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10.1097/j.pain.0000000000000608

http://scihub22266oqcxt.onion/10.1097/j.pain.0000000000000608
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suck abstract from ncbi


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pmid27315512
      Pain 2016 ; 157 (9 ): 2024-2032
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  • Gabapentin loses efficacy over time after nerve injury in rats: role of glutamate transporter-1 in the locus coeruleus #MMPMID27315512
  • Kimura M ; Eisenach JC ; Hayashida KI
  • Pain 2016[Sep]; 157 (9 ): 2024-2032 PMID27315512 show ga
  • Despite being one of the first-choice analgesics for chronic neuropathic pain, gabapentin sometimes fails to provide analgesia, but the mechanisms for this lack of efficacy is unclear. Rats with nerve injury including L5-L6 spinal nerve ligation (SNL) respond uniformly and well to gabapentin, but many of these studies are performed within just a few weeks of injury, questioning their relevance to chronic neuropathic pain. In this study, intraperitoneal gabapentin showed a time-dependently reduction in antihypersensitivity after SNL, associated with downregulation of astroglial glutamate transporter-1 (GLT-1) in the locus coeruleus (LC). Consistently, SNL also time-dependently increased basal but masked gabapentin-induced noradrenergic neuronal activity in the LC. In rats 2 weeks after SNL, knock-down of GLT-1 in the LC reduced the antihypersensitivity effect of gabapentin. In rats 8 weeks after SNL, increasing GLT-1 expression by histone deacetylase inhibitor valproate restored the antihypersensitivity effect of gabapentin, associated with restored gabapentin-induced noradrenergic neuronal activity in the LC and subsequent spinal noradrenaline release. Knock-down of GLT-1 in the LC reversed the effect of valproate to restore gabapentin-induced antihypersensitivity. In addition, the antihypersensitivity effect of the intrathecal ?2-adrenoceptor agonist clonidine also decreased with time after SNL injury. These results suggest that downregulation of GLT-1 in the LC and reduced spinal noradrenergic inhibition contribute to impaired analgesic efficacy from gabapentin in chronic neuropathic pain and that valproate can rescue this impaired efficacy.
  • |Amines/*therapeutic use [MESH]
  • |Analgesics/*therapeutic use [MESH]
  • |Animals [MESH]
  • |Antihypertensive Agents/pharmacology [MESH]
  • |Atropine/pharmacology [MESH]
  • |Bronchodilator Agents/pharmacology [MESH]
  • |CREB-Binding Protein/metabolism [MESH]
  • |Clonidine/pharmacology [MESH]
  • |Cyclohexanecarboxylic Acids/*therapeutic use [MESH]
  • |Disease Models, Animal [MESH]
  • |Excitatory Amino Acid Transporter 2/genetics/*metabolism [MESH]
  • |Gabapentin [MESH]
  • |Locus Coeruleus/drug effects/*metabolism [MESH]
  • |Male [MESH]
  • |Norepinephrine/metabolism [MESH]
  • |Pain Threshold/drug effects [MESH]
  • |Peripheral Nerve Injuries/*drug therapy/*pathology [MESH]
  • |RNA, Small Interfering/pharmacology [MESH]
  • |Rats [MESH]
  • |Rats, Sprague-Dawley [MESH]
  • |Spinal Cord Dorsal Horn/metabolism [MESH]
  • |Time Factors [MESH]


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