Primary and metastatic
cancers that effect bone are frequently associated with
pain. Sensitization of primary afferent C nociceptors innervating tissue near the
tumor likely contributes to the
chronic pain and
hyperalgesia accompanying this condition. This study focused on the role of the endogenous
peptide endothelin-1 (ET-1) as a potential peripheral algogen implicated in the process of
cancer pain. Electrophysiological response properties, including ongoing activity and responses evoked by heat stimuli, of C nociceptors were recorded in vivo from the tibial nerve in anesthetized control mice and mice exhibiting
mechanical hyperalgesia following implantation of
fibrosarcoma cells into and around the calcaneus bone. ET-1 (100 microM) injected into the receptive fields of C nociceptors innervating the plantar surface of the hind paw evoked an increase in ongoing activity in both control and
tumor-bearing mice. Moreover, the selective ETA receptor antagonist,
BQ-123 (3 mM), attenuated
tumor-evoked ongoing activity in
tumor-bearing mice. Whereas ET-1 produced sensitization of C nociceptors to heat stimuli in control mice, C nociceptors in
tumor-bearing mice were sensitized to heat, and their responses were not further increased by ET-1. Importantly, administration of
BQ-123 attenuated
tumor-evoked sensitization of C nociceptors to heat. We conclude that ET-1 at the
tumor site contributes to
tumor-evoked excitation and sensitization of C nociceptors through an ETA receptor mediated mechanism.