Despite the clear roles played by
peroxisome proliferators-activated receptor alpha (
PPAR-alpha) in lipid metabolism,
inflammation and feeding, the effects of its activation in the central nervous system (CNS) are largely unknown.
Palmitoylethanolamide (PEA), a member of the
fatty-acid ethanolamide family, acts peripherally as an endogenous
PPAR-alpha agonist, exerting
analgesic and anti-inflammatory effects. Both
PPAR-alpha and PEA are present in the CNS, but the specific functions of this
lipid and its receptor remain to be clarified. Using the
carrageenan-induced paw model of
hyperalgesia in mice, we report here that intracerebroventricular administration of PEA (0.1-1 microg) 30 min before
carrageenan injection markedly reduced
mechanical hyperalgesia up to 24 h following inflammatory insult. This effect was mimicked by
GW7647 (1 microg), a synthetic
PPAR-alpha agonist. The obligatory role of
PPAR-alpha in mediating PEA's actions was confirmed by the lack of anti-hyperalgesic effects in mutant mice lacking
PPAR-alpha. PEA significantly reduced the expression of
cyclooxygenase-2 (COX-2) and
inducible nitric oxide synthase (iNOS) in sciatic nerves and restored
carrageenan-induced reductions of
PPAR-alpha in the L4-L6 dorsal root ganglia (DRG). To investigate the mechanism by which PEA attenuated
hyperalgesia, we evaluated inhibitory kB-alpha (IkB-alpha) degradation and p65 nuclear factor kB (
NF-kappaB) activation in DRG. PEA prevented IkB-alpha degradation and p65
NF-kappaB nuclear translocation, confirming the involvement of this transcriptional factor in the control of peripheral
hyperalgesia. These results add further support to the broad-spectrum of
biological and pharmacological effects induced by
PPAR-alpha agonists, suggesting a centrally mediated component for these drugs in controlling inflammatory
pain.