Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice

Nociplastic pain, the most recently proposed mechanistic descriptor of chronic pain, is the pain resulting from an altered nociceptive system and network without clear evidence of nociceptor activation, injury or disease in the somatosensory system. As the pain-associated symptoms in many patients s...

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Main Authors: Manami Yajima, Yukari Takahashi, Yae K. Sugimura, Fusao Kato
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Neurobiology of Pain
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452073X23000181
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author Manami Yajima
Yukari Takahashi
Yae K. Sugimura
Fusao Kato
author_facet Manami Yajima
Yukari Takahashi
Yae K. Sugimura
Fusao Kato
author_sort Manami Yajima
collection DOAJ
description Nociplastic pain, the most recently proposed mechanistic descriptor of chronic pain, is the pain resulting from an altered nociceptive system and network without clear evidence of nociceptor activation, injury or disease in the somatosensory system. As the pain-associated symptoms in many patients suffering from undiagnosed pain would result from the nociplastic mechanisms, it is an urgent issue to develop pharmaceutical therapies that would mitigate the aberrant nociception in nociplastic pain. We have recently reported that a single injection of formalin to the upper lip shows sustained sensitization lasting for more than 12 days at the bilateral hindpaws, where there is no injury or neuropathy in rats. Using the equivalent model in mice, we show that pregabalin (PGB), a drug used for treating neuropathic pain, significantly attenuates this formalin-induced widespread sensitization at the bilateral hindpaws, even on the 6 day after the initial single orofacial injection of formalin. On the 10th day after formalin injection, the hindlimb sensitization before PGB injection was no more significant in mice receiving daily PGB injections, unlike those receiving daily vehicle injections. This result suggests that PGB would act on the central pain mechanisms that undergo nociplastic changes triggered by initial inflammation and mitigate widespread sensitization resulting from the established changes.
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spelling doaj.art-9a359a4eb9d34307975e1c188f41249d2023-05-27T04:26:22ZengElsevierNeurobiology of Pain2452-073X2023-01-0113100131Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in miceManami Yajima0Yukari Takahashi1Yae K. Sugimura2Fusao Kato3Center for Neuroscience of Pain and Department of Neuroscience, The Jikei University School of Medicine, Tokyo, Japan; Department of Dental Anesthesiology, School of Dental Medicine, Tsurumi University, Yokohama, JapanCenter for Neuroscience of Pain and Department of Neuroscience, The Jikei University School of Medicine, Tokyo, JapanCenter for Neuroscience of Pain and Department of Neuroscience, The Jikei University School of Medicine, Tokyo, JapanCenter for Neuroscience of Pain and Department of Neuroscience, The Jikei University School of Medicine, Tokyo, Japan; Corresponding author at: Center for Neuroscience of Pain, The Jikei University School of Medicine, 3-25-8 Nishishimbashi, Minato-ku, Tokyo 105-8461, Japan.Nociplastic pain, the most recently proposed mechanistic descriptor of chronic pain, is the pain resulting from an altered nociceptive system and network without clear evidence of nociceptor activation, injury or disease in the somatosensory system. As the pain-associated symptoms in many patients suffering from undiagnosed pain would result from the nociplastic mechanisms, it is an urgent issue to develop pharmaceutical therapies that would mitigate the aberrant nociception in nociplastic pain. We have recently reported that a single injection of formalin to the upper lip shows sustained sensitization lasting for more than 12 days at the bilateral hindpaws, where there is no injury or neuropathy in rats. Using the equivalent model in mice, we show that pregabalin (PGB), a drug used for treating neuropathic pain, significantly attenuates this formalin-induced widespread sensitization at the bilateral hindpaws, even on the 6 day after the initial single orofacial injection of formalin. On the 10th day after formalin injection, the hindlimb sensitization before PGB injection was no more significant in mice receiving daily PGB injections, unlike those receiving daily vehicle injections. This result suggests that PGB would act on the central pain mechanisms that undergo nociplastic changes triggered by initial inflammation and mitigate widespread sensitization resulting from the established changes.http://www.sciencedirect.com/science/article/pii/S2452073X23000181GabapentinoidsInflammation-induced widespread painvon Frey filament testCentral sensitizationEctopic sensitizationOrofacial inflammatory pain
spellingShingle Manami Yajima
Yukari Takahashi
Yae K. Sugimura
Fusao Kato
Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
Neurobiology of Pain
Gabapentinoids
Inflammation-induced widespread pain
von Frey filament test
Central sensitization
Ectopic sensitization
Orofacial inflammatory pain
title Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
title_full Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
title_fullStr Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
title_full_unstemmed Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
title_short Pregabalin attenuates long-lasting post-inflammatory nociplastic mechanical sensitization in mice
title_sort pregabalin attenuates long lasting post inflammatory nociplastic mechanical sensitization in mice
topic Gabapentinoids
Inflammation-induced widespread pain
von Frey filament test
Central sensitization
Ectopic sensitization
Orofacial inflammatory pain
url http://www.sciencedirect.com/science/article/pii/S2452073X23000181
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AT yaeksugimura pregabalinattenuateslonglastingpostinflammatorynociplasticmechanicalsensitizationinmice
AT fusaokato pregabalinattenuateslonglastingpostinflammatorynociplasticmechanicalsensitizationinmice