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The Role of N-Methyl D-Aspartate Receptors on Pain Transmission

Year 2012, Volume: 37 Issue: 1, 9 - 16, 01.03.2012

Abstract

Aim : In the experimental studies, NMDA (N-methyl-D-aspartate) receptors play important role in the mechanism of action among the drugs used for the treatment of pain. The NMDA receptors in the dorsal horn of spinal cord is essential for central sensitization and the central facilitation of pain transmission produced by peripheral injury. The aim of this study was to evaluate the contributions of peripheral NMDA receptor agonist and antagonists in peripheral pain transmission. Material-Method : In the present study, N methyl aspartic acid (NMDA) and antagonist ( MK-801) were administered intraplantarily to investigate withdrawal effects, the dose and time dependent latency using thermal plantar test method in rats. Results : MK-801 caused dose-dependent thermal anti-nociceptive effects, whereas NMDA led to reduction in the thermal nociceptive latency and hyperalgesia. Conclusion : Peripheral NMDA receptors may play a dominant role in the transmission of pain information.

References

  • Lee M, Silverman SM, Hansen H, Patel VB, Manchikanti L. A comprehensive review of opioid- induced hyperalgesia. Pain Physician. 2011;14:145- 61. 2. Mitra S. Opioid-induced
  • pathophysiology and clinical implications. J Opioid
  • Manag. 2008; 4:123-30. hyperalgesia:
  • Mert T, Gunes Y, Ozcengiz D, Gunay I. Magnesium modifies fentanyl-induced local antinociception and hyperalgesia. Pharmacol. 2009; 380:415-20. Schmiedebergs Arch
  • Martin, T.J., Eisenach, J.C., Pharmacology of opioid and nonopioid analgesics in chronic pain states. J. Pharmacol. Exp. Ther. 2001; 299: 811-817.
  • Sawynok J., Topical and Peripherally Acting Analgesics. Pharmacol. Rev. 2003; 55: 1-20.
  • Hargreaves, K., Dubner, R., Broun, F., Flores, C., Joris, J.,. A new and sensitive method for measuring thermal nociception in cutaneous hyperalgesia. Pain. 1998;32: 77-8.
  • Angst MS, Clark J D Opioid-induced hyperalgesia: a qualitative 2006;104: 570-87. Anesthesiology.
  • Galbraith, J.A., Mrosko, B.J., Myers, R.R.,. A system to measure thermal nociception. J. Neurosci. Methods. 1993; 49: 63-8.
  • Janson W, Stein C Peripheral opioid analgesia. Curr Pharm Biotechnol. 2003; 4:270-4.
  • Mao J Opioid-induced abnormal pain sensitivity: Implications in clinical opioid therapy. Pain. 2002; 100:213-7.
  • Mert T, Gunes Y, Gunay I,. Local analgesic efficacy of tramadol following intraplantar injection. European Journal of Pharmacology. 2007, 558, 68-72.
  • Simonnet G, Rivat C Opioid-induced hyperalgesia: Abnormal or normal pain? NeuroReport. 2003; 14:1- 6.
  • Van Elstraete AC, Sitbon P, Mazoit JX, Conti M, Benhamou D Protective effect of prior administration of magnesium on delayed hyperalgesia induced by fentanyl in rats. Can J Anesth. 2006; 53:1180-85.

Ağrının İletilmesinde N-Metil D- Aspartat Reseptörlerinin Rolü

Year 2012, Volume: 37 Issue: 1, 9 - 16, 01.03.2012

Abstract

Amaç : Yapılan deneysel çalışmalar, NMDA (N-methyl-D-aspartate) reseptörlerinin ağrı tedavilerine yönelik kullanılan ilaçların etki mekanizmalarında en önemli etken mekanizmalardan biri olabileceğini gösterilmiştir. Spinal kord dorsal boynuzda yer alan NMDA reseptörleri santral sensitizasyon için esastır, periferik yaralanmada santral sensitizasyon ağrının iletilmesinde rol oynar. Bu çalışmada NMDA reseptör agonisti ve antagonisti kullanarak periferal NMDA reseptörlerinin ağrı bilgisinin iletilmesindeki katkılarına yönelik yeni bilgilere ulaşmak amaçlandı. Gereç-Yöntem : Çalışmada, sıçanlara intraplantar olarak uygulanan N metil aspartik asit (NMDA) ve antagonisti olan MK-801’nin doz ve zamana bağlı olarak sıçanların geri çekme latansına etkileri termal plantar test yöntemi kullanılarak araştırıldı. Bulgular : MK-801 doza bağlı olarak termal anti-nosiseptif etkiler oluştururken, NMDA termal latansta azalma meydana getirerek hiperaljezinin ortaya çıkmasına neden oldu. Sonuç : Periferal NMDA reseptörlerinin ağrı bilgisinin iletilmesinde dominant bir rol oynayabileceğini göstermektedir.

References

  • Lee M, Silverman SM, Hansen H, Patel VB, Manchikanti L. A comprehensive review of opioid- induced hyperalgesia. Pain Physician. 2011;14:145- 61. 2. Mitra S. Opioid-induced
  • pathophysiology and clinical implications. J Opioid
  • Manag. 2008; 4:123-30. hyperalgesia:
  • Mert T, Gunes Y, Ozcengiz D, Gunay I. Magnesium modifies fentanyl-induced local antinociception and hyperalgesia. Pharmacol. 2009; 380:415-20. Schmiedebergs Arch
  • Martin, T.J., Eisenach, J.C., Pharmacology of opioid and nonopioid analgesics in chronic pain states. J. Pharmacol. Exp. Ther. 2001; 299: 811-817.
  • Sawynok J., Topical and Peripherally Acting Analgesics. Pharmacol. Rev. 2003; 55: 1-20.
  • Hargreaves, K., Dubner, R., Broun, F., Flores, C., Joris, J.,. A new and sensitive method for measuring thermal nociception in cutaneous hyperalgesia. Pain. 1998;32: 77-8.
  • Angst MS, Clark J D Opioid-induced hyperalgesia: a qualitative 2006;104: 570-87. Anesthesiology.
  • Galbraith, J.A., Mrosko, B.J., Myers, R.R.,. A system to measure thermal nociception. J. Neurosci. Methods. 1993; 49: 63-8.
  • Janson W, Stein C Peripheral opioid analgesia. Curr Pharm Biotechnol. 2003; 4:270-4.
  • Mao J Opioid-induced abnormal pain sensitivity: Implications in clinical opioid therapy. Pain. 2002; 100:213-7.
  • Mert T, Gunes Y, Gunay I,. Local analgesic efficacy of tramadol following intraplantar injection. European Journal of Pharmacology. 2007, 558, 68-72.
  • Simonnet G, Rivat C Opioid-induced hyperalgesia: Abnormal or normal pain? NeuroReport. 2003; 14:1- 6.
  • Van Elstraete AC, Sitbon P, Mazoit JX, Conti M, Benhamou D Protective effect of prior administration of magnesium on delayed hyperalgesia induced by fentanyl in rats. Can J Anesth. 2006; 53:1180-85.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research
Authors

Yasemin Güneş This is me

Tufan Mert This is me

Dilek Özcengiz This is me

İsmail Günay This is me

Publication Date March 1, 2012
Published in Issue Year 2012 Volume: 37 Issue: 1

Cite

MLA Güneş, Yasemin et al. “Ağrının İletilmesinde N-Metil D- Aspartat Reseptörlerinin Rolü”. Cukurova Medical Journal, vol. 37, no. 1, 2012, pp. 9-16.