Bone
tumor pain is a poorly controlled
pain comprising background and severe
pain on moving or weight-bearing postures that decreases the quality of life for
cancer patients; thus, more effective
analgesics are clearly needed. This study evaluated the efficacy of a
cannabinoid (CB) receptor agonist (WIN 55,212-2) on bone
tumor pain in the spinal cords of rats, and clarified the roles of the CB1 and CB2 receptors in WIN 55,212-2-induced antinociception at the spinal level. Bone
tumor pain was induced by injecting MRMT-1
tumor cells (1×10(5)) into the right tibias of female Sprague-Dawley rats under
sevoflurane anesthesia. Bone
tumor development was monitored radiologically. Under
sevoflurane anesthesia, a
polyethylene catheter was inserted into the intrathecal space for
drug administration. To assess
pain, the withdrawal threshold was measured by applying a von Frey filament to the
tumor cell inoculation site. The effect of intrathecal
WIN 55,212-2 was investigated. Next, the WIN 55,212-2-mediated antinociception was reversed using CB1 (
AM 251) and CB2 (
AM 630) receptor antagonists. The intratibial injection of MRMT-1
tumor cells produced radiologically confirmed bone
tumors. The paw withdrawal threshold decreased significantly (
mechanical allodynia) with
tumor development; however, intrathecal
WIN 55,212-2 dose-dependently increased the withdrawal threshold. The antinociceptive effect of
WIN 55,212-2 was reversed by both CB1 and
CB2 receptor antagonists. Intrathecal
WIN 55,212-2 reduced bone
tumor-related pain behavior mediated via spinal CB1 and CB2 receptors. Therefore, spinal CB receptor agonists may be novel
analgesics in the treatment of bone
tumor pain.