Abstract | UNLABELLED: Although mechanical hyperalgesia associated with medical procedures is the major source of severe pain in burn-injured patients, little is known about its underlying mechanism. One reason for this has been the lack of a model for mechanical hyperalgesia at the site of injury. We have modified an established partial-thickness burn model in the rat to produce long-lasting primary mechanical hyperalgesia, which is present from the first measurement at 0.5 h, reaches a maximum at 3 days, and is still significant after 7 days. Because nerve growth factor ( NGF), which is elevated in burn-injured tissue, produces mechanical hyperalgesia and activates protein kinase C ( PKC)-epsilon, a key mediator in inflammatory and neuropathic pain, we used this model to evaluate the role of the NGF receptor, tyrosine-receptor kinase A (TrkA), and PKC-epsilon in burn-induced primary mechanical hyperalgesia. Intrathecal administration of antisense oligodeoxynucleotides to TrkA and PKC-epsilon, starting 3 days before inducing a burn injury, caused dose-related decrease of burn-induced primary mechanical hyperalgesia. In addition, intradermal injection of a PKC-epsilon-selective inhibitor eliminated hyperalgesia. Our model provides a method to elucidate the underlying mechanism of burn-injury pain as well as to screen for targets for novel analgesic treatments of this important clinical condition. PERSPECTIVE: This manuscript presents the first model of thermal injury-induced mechanical hyperalgesia which mimics prolonged duration of clinical burn injury pain. We also perform proof of concept experiments demonstrating that our model provides a method to elucidate the mechanism of this important clinical condition.
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Authors | Gretchen J Summer, Kathleen A Puntillo, Christine Miaskowski, Olayinka A Dina, Paul G Green, Jon D Levine |
Journal | The journal of pain
(J Pain)
Vol. 7
Issue 12
Pg. 884-91
(Dec 2006)
ISSN: 1526-5900 [Print] United States |
PMID | 17157774
(Publication Type: Journal Article, Research Support, N.I.H., Extramural)
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Chemical References |
- Enzyme Inhibitors
- Oligodeoxyribonucleotides, Antisense
- Peptides
- protein kinase inhibitor peptide
- Receptor, trkA
- Protein Kinase C-epsilon
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Topics |
- Animals
- Burns
(complications)
- Dose-Response Relationship, Drug
- Enzyme Inhibitors
(administration & dosage)
- Hyperalgesia
(drug therapy, etiology, metabolism)
- Male
- Oligodeoxyribonucleotides, Antisense
(administration & dosage)
- Pain Measurement
(methods)
- Pain Threshold
(drug effects, physiology)
- Peptides
(administration & dosage)
- Protein Kinase C-epsilon
(genetics, metabolism)
- Rats
- Rats, Sprague-Dawley
- Reaction Time
(physiology)
- Receptor, trkA
(genetics, metabolism)
- Time Factors
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