Naoya Yuzuriha1, Sosuke Yoshinaga1, Hiroshi Sato2, Sokichi Honda3, Keisuke Tamaki3, Toshihiro Sekizawa3, Akihiko Fujikawa3, and Hiroaki Terasawa1
1Department of Structural BioImaging, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan, 2Bruker Biospin K.K., Yokohama, Japan, 3Drug Discovery Research, Astellas Pharm. Inc., Tsukuba, Japan
Synopsis
The
aim of this study is to evaluate the analgesic effect of pregabalin on allodynia-specific
pain. fMRI images of fibromyalgia model rats were acquired, before and after pregabalin
administration. When treated with saline,
the BOLD signal intensities in the S1, IC, and TH were increased upon the laser
stimulation by up to 1.7%, 1.3%, and 1.8%, respectively. In contrast, in the pregabalin treated rats,
no BOLD responses were detected. It is
conceivable that the pain signals were inhibited by pregabalin, and thus the
stimulation-induced BOLD responses were not observed. We successfully observed the suppression of allodynia-specific
pain responses by pregabalin.Introduction
Fibromyalgia
and neuropathic disorders characterized by chronic pain induce the pathological
condition “allodynia”, in which a stimulus that is normally not painful causes
pain sensations. One of the hypotheses
about the pathogenic mechanism of allodynia suggested that the propagation of
pain signals caused by the demyelination of Aδ-fibers generates the symptoms of
allodynia [1]. Recent evidence has indicated
that a 532 nm green laser can stimulate the TRPV1 and TRPV4 ion channels, and
activate the Aδ- and C-fibers without direct contact [2]. Thus, the pain signals propagated from
Aβ-fibers to Aδ- and C-fibers, which are thought to be the cause of allodynia,
can be extracted (Fig.1). The aim of this study
is to elucidate the allodynia-specific neural circuits activated by green laser
stimulation in the reserpine-induced myalgia (RIM) rat, an animal model of
fibromyalgia with the symptoms of allodynia [3], using the blood oxygenation
level dependent (BOLD) technique. We previously
reported the allodynia-specific pain responses evoked by the laser stimulation [4]. In this study, we tried to evaluate the
analgesic effect of pregabalin, a treatment for fibromyalgia, on the allodynia-specific
pain.
Methods
To
produce the RIM rats, a reserpine solution was injected subcutaneously (1
mg/kg) into Sprague Dawley rats once daily, for three consecutive days
[3]. Three RIM rats (272–286 g) were used for fMRI experiments. The rats were ventilated in a N
2/O
2
70/30 mixture, and treated with gallamine.
The rats were anesthetized with urethane (1.25 g/kg i.p.). MRI experiments were performed with a 7.0
Tesla Bruker Biospec 70/20 scanner and a rat brain 4-channel phased array
surface coil. Functional data were
acquired with a 4-shot GRE-EPI sequence (TR 500 ms, TE 15 ms, FA 45°, 13
slices, 0.6 mm slice thickness, matrix 64 x 64, FOV 2.56 x 2.56 cm). The rats were treated with saline (10 mL/kg
i.v.), and 30 minutes later the BOLD experiments were performed. The green laser with the 350 mW output power
and 2 s irradiation time, which evoked the allodynia-specific pain in the RIM
rats [4], was used to irradiate the left hind paws 5 times every 2 minutes, during
12 minutes of EPI continuous scans.
After the first BOLD experiment, the rats were treated with pregabalin
(10 mg/kg i.v.), and 30 minutes later the same BOLD experiments were
performed. The Independent Component
Analysis (ICA) was performed with the FSL software. The brain regions that showed periodic BOLD
responses with the same frequency as the laser stimulation (8.3 mHz) were
searched. The BOLD signal intensity was
analyzed with the SPM8 software.
Results
When the
rats were treated with saline, through the ICA, the primary somatosensory
cortex (S1), insular cortex (IC), and thalamus (TH) were found to exhibit
periodic BOLD responses with the same frequency as the laser stimulations (8.3
mHz) (Fig.2). Upon the laser stimulation, the BOLD
signal intensities in the S1, IC, and TH were increased by up to 1.7%, 1.3%,
and 1.8%, respectively (Fig.3). In contrast,
when the rats were treated with pregabalin, no periodic BOLD responses were
detected by the ICA. We also analyzed
the BOLD responses with the SPM8 for the S1, IC, and TH, but no significant
changes due to BOLD responses were detected.
Discussion
When the
rats were treated with saline, S1, IC, and TH were activated, consistent with
our previous study [4]. Pregabalin reportedly binds to the α2δ
subunit of the voltage-dependent calcium channel in Aδ- and
C-fibers and decreases the release of neurotransmitters, resulting in the
analgesic effect. It is conceivable that
the pain signals in Aδ- and C-fibers were inhibited by pregabalin, and thus the
stimulation-induced BOLD responses were not observed.
Conclusions
We
successfully observed the suppression of allodynia-specific pain responses by
pregabalin, using the 532 nm green laser and BOLD-fMRI. The
532 nm green laser is transparent to water molecules and easy to use for local
stimulation without direct contact, and thus is ideal for allodynia studies. Our experimental system facilitates the
elucidation of the allodynia-specific neural circuits, and provides a robust
clinical and preclinical evaluation system for new analgesic agents.
Acknowledgements
We gratefully acknowledge Masayasu
Takahashi and Rikita Araki for fruitful discussions.References
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