Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole

Introduction. Valproic acid and metamizole are widely used in the treatment of primary headaches. However, despite the drugs’ proven clinical efficacy, the neurophysiological mechanisms underlying their therapeutic action are poorly understood. The ventral posteromedial nucleus of the thalamus (VPM)...

Full description

Bibliographic Details
Main Authors: A. Yu. Sokolov, O. A. Lyubashina
Format: Article
Language:Russian
Published: Academician I.P. Pavlov First St. Petersburg State Medical University 2022-11-01
Series:Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
Subjects:
Online Access:https://www.sci-notes.ru/jour/article/view/901
_version_ 1797702356087865344
author A. Yu. Sokolov
O. A. Lyubashina
author_facet A. Yu. Sokolov
O. A. Lyubashina
author_sort A. Yu. Sokolov
collection DOAJ
description Introduction. Valproic acid and metamizole are widely used in the treatment of primary headaches. However, despite the drugs’ proven clinical efficacy, the neurophysiological mechanisms underlying their therapeutic action are poorly understood. The ventral posteromedial nucleus of the thalamus (VPM) serves as the highest suprasegmental relay center for transmitting ascending nociceptive information from the cranial structures to the cerebral cortex and is considered as a potential neuroanatomical target for anticephalalgic drugs.The objective of the study was to evaluate the action of valproate and metamizole on the excitability of the VPM thalamic neurons.Methods and materials. In acute controlled experiments on anesthetized rats (n=31), we studied the action of cumulative dosing (three fixed dose injections every 30 minutes) of intravenously administered valproate (n=8, 100 mg/kg x 3) or metamizole (n=16,150 mg/kg · 3) on extracellularly recorded background and dura mater electrical stimulation-evoked activities of the convergent VPM neurons. Results. In all experiments, intravenous valproate significantly inhibited both background activity of the VPM neurons and their responses to dural electrostimulation. Metamizole had a similar action in more than half of the cases, whereas 44 % of the examined thalamic cells (7 out of 16) did not react to its infusion.Conclusion. One of the main neurophysiological mechanisms underlying anticephalalgic action of valproic acid and metamizole may be inhibition of the nociceptive transmission at the thalamic level due to the drugs-induced suppression of the meningeal-sensitive VPM neurons excitability.
first_indexed 2024-03-12T04:48:48Z
format Article
id doaj.art-554819c5c82e4a019df0785dc6c1d116
institution Directory Open Access Journal
issn 1607-4181
language Russian
last_indexed 2024-03-12T04:48:48Z
publishDate 2022-11-01
publisher Academician I.P. Pavlov First St. Petersburg State Medical University
record_format Article
series Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
spelling doaj.art-554819c5c82e4a019df0785dc6c1d1162023-09-03T09:26:34ZrusAcademician I.P. Pavlov First St. Petersburg State Medical UniversityУчёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова1607-41812022-11-01293556410.24884/1607-4181-2022-29-3-55-64606Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizoleA. Yu. Sokolov0O. A. Lyubashina1Pavlov University; Pavlov Institute of Physiology of the Russian Academy of SciencesPavlov University; Pavlov Institute of Physiology of the Russian Academy of SciencesIntroduction. Valproic acid and metamizole are widely used in the treatment of primary headaches. However, despite the drugs’ proven clinical efficacy, the neurophysiological mechanisms underlying their therapeutic action are poorly understood. The ventral posteromedial nucleus of the thalamus (VPM) serves as the highest suprasegmental relay center for transmitting ascending nociceptive information from the cranial structures to the cerebral cortex and is considered as a potential neuroanatomical target for anticephalalgic drugs.The objective of the study was to evaluate the action of valproate and metamizole on the excitability of the VPM thalamic neurons.Methods and materials. In acute controlled experiments on anesthetized rats (n=31), we studied the action of cumulative dosing (three fixed dose injections every 30 minutes) of intravenously administered valproate (n=8, 100 mg/kg x 3) or metamizole (n=16,150 mg/kg · 3) on extracellularly recorded background and dura mater electrical stimulation-evoked activities of the convergent VPM neurons. Results. In all experiments, intravenous valproate significantly inhibited both background activity of the VPM neurons and their responses to dural electrostimulation. Metamizole had a similar action in more than half of the cases, whereas 44 % of the examined thalamic cells (7 out of 16) did not react to its infusion.Conclusion. One of the main neurophysiological mechanisms underlying anticephalalgic action of valproic acid and metamizole may be inhibition of the nociceptive transmission at the thalamic level due to the drugs-induced suppression of the meningeal-sensitive VPM neurons excitability.https://www.sci-notes.ru/jour/article/view/901headachemigraineelectrical stimulationtrigeminal nervethalamusvalproic acidmetamizoleneuronal activity
spellingShingle A. Yu. Sokolov
O. A. Lyubashina
Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова
headache
migraine
electrical stimulation
trigeminal nerve
thalamus
valproic acid
metamizole
neuronal activity
title Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
title_full Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
title_fullStr Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
title_full_unstemmed Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
title_short Ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
title_sort ventral posteromedial nucleus of the thalamus as a neuroanatomical target for the anticephalalgic action of valproic acid and metamizole
topic headache
migraine
electrical stimulation
trigeminal nerve
thalamus
valproic acid
metamizole
neuronal activity
url https://www.sci-notes.ru/jour/article/view/901
work_keys_str_mv AT ayusokolov ventralposteromedialnucleusofthethalamusasaneuroanatomicaltargetfortheanticephalalgicactionofvalproicacidandmetamizole
AT oalyubashina ventralposteromedialnucleusofthethalamusasaneuroanatomicaltargetfortheanticephalalgicactionofvalproicacidandmetamizole