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Tumor-evoked sensitization of C nociceptors: a role for endothelin.

Abstract
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.
AuthorsDarryl T Hamamoto, Sergey G Khasabov, David M Cain, Donald A Simone
JournalJournal of neurophysiology (J Neurophysiol) Vol. 100 Issue 4 Pg. 2300-11 (Oct 2008) ISSN: 0022-3077 [Print] United States
PMID18684911 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Chemical References
  • Endothelin A Receptor Antagonists
  • Endothelins
  • Peptides, Cyclic
  • cyclo(Trp-Asp-Pro-Val-Leu)
Topics
  • Animals
  • Behavior, Animal (physiology)
  • Cell Line, Tumor
  • Electrophysiology
  • Endothelin A Receptor Antagonists
  • Endothelins (metabolism, physiology)
  • Fibrosarcoma (pathology)
  • Hot Temperature
  • Hyperalgesia (etiology, metabolism, physiopathology)
  • Male
  • Mice
  • Mice, Inbred C3H
  • Neoplasm Transplantation
  • Neoplasms (complications, metabolism)
  • Nerve Fibers, Unmyelinated (physiology)
  • Neural Conduction (physiology)
  • Neurons, Afferent (metabolism, physiology)
  • Nociceptors (physiology)
  • Peptides, Cyclic (pharmacology)
  • Peripheral Nervous System Diseases (physiopathology, psychology)

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