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The cPLA2α inhibitor efipladib decreases nociceptive responses without affecting PGE2 levels in the cerebral spinal fluid.

Abstract
The contribution of central PGE(2) levels to the nociceptive response in rats was assessed and the effects of the selective cPLA(2)α inhibitor efipladib, and pain therapies of different classes on these responses was determined. An inflammatory pain model was optimized in rats so that PGE(2) levels in the cerebrospinal fluid (CSF) could be directly correlated to the nociceptive response. Since efipladib appears to have limited permeation of the blood-brain barrier, we used this compound to determine the extent of pain reversal resulting primarily from peripheral, but not central, inhibition of the arachidonic acid (AA) pathway. The nociceptive response was significantly inhibited by orally administered efipladib, yet spinal fluid levels of PGE(2) and temperature measurements were unaffected compared to vehicle-treated animals. Conversely, intrathecal (IT) administration of efipladib reduced PGE(2) levels in the CSF by 45-60%, yet there was no effect on the nociceptive response. With COX-2 selective inhibitors and ibuprofen, a return of the nociceptive response developed over time, despite complete inhibition of PGE(2) in the spinal fluid. The opposite was true with low doses of indomethacin: inhibition of the nociceptive response was observed despite the lack of effect on central PGE(2) levels. Our results demonstrate that levels of PGE(2) in the spinal fluid do not directly correlate with the nociceptive response and that blocking cPLA(2)α in the periphery significantly decreases inflammatory pain.
AuthorsCheryl L Nickerson-Nutter, Debra Goodwin, Marina W H Shen, Christy Damphousse, Weili Duan, Tarek A Samad, John C McKew, Katherine L Lee, Margaret M Zaleska, Nevena Mollova, James D Clark
JournalNeuropharmacology (Neuropharmacology) Vol. 60 Issue 4 Pg. 633-41 (Mar 2011) ISSN: 1873-7064 [Electronic] England
PMID21146550 (Publication Type: Journal Article)
CopyrightCopyright © 2010 Elsevier Ltd. All rights reserved.
Chemical References
  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal
  • Benzoates
  • Cyclooxygenase Inhibitors
  • Sulfonamides
  • Group IV Phospholipases A2
  • Dinoprostone
  • efipladib
Topics
  • Analgesics (pharmacology, therapeutic use)
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal (pharmacology, therapeutic use)
  • Behavior, Animal (drug effects)
  • Benzoates (pharmacology, therapeutic use)
  • Blood-Brain Barrier (metabolism)
  • Cyclooxygenase Inhibitors (pharmacology, therapeutic use)
  • Dinoprostone (cerebrospinal fluid)
  • Group IV Phospholipases A2 (antagonists & inhibitors)
  • Inflammation (cerebrospinal fluid, drug therapy)
  • Male
  • Pain (cerebrospinal fluid, drug therapy)
  • Pain Measurement (drug effects)
  • Rats
  • Rats, Sprague-Dawley
  • Sulfonamides (pharmacology, therapeutic use)

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