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Selective melatonin MT2 receptor ligands relieve neuropathic pain through modulation of brainstem descending antinociceptive pathways.

Pain
February 1, 2015
Martha Lopez-Canul et al. (15 authors)
Journal ArticleResearch Support, Non-U.S. Gov'tAnimal Study
Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
melatonin (MLT)
decrease
neuropathic pain
preclinical studies
-
has analgesic properties
#1
UCM924 (20-40 mg/kg, subcutaneously)
decrease
neuropathic pain
rats in L5-L6 spinal nerve ligation and spared nerve injury models
-
produced a prolonged antinociceptive effect
#2
UCM924
increase
antinociceptive effect
rats
-
dose-dependent
#3
UCM924
decrease
antinociceptive effect
rats
-
blocked by the selective MT2 receptor antagonist 4-phenyl-2-propionamidotetralin
#4
UCM924
increase
antinociceptive effect
rats
-
superior to a high dose of MLT (150 mg/kg)
#5
UCM924
no change
antinociceptive effect
rats
-
comparable with gabapentin (100 mg/kg)
#6
UCM924
no change
motor coordination
rats in the rotarod test
-
without noticeable motor coordination impairments
#7
microinjection of UCM924 into the ventrolateral periaqueductal gray
decrease
tail flick responses
rats
-
decreased tail flick responses
#8
microinjection of UCM924 into the ventrolateral periaqueductal gray
decrease
firing activity of ON cells
rats
-
depressed the firing activity of ON cells
#9
microinjection of UCM924 into the ventrolateral periaqueductal gray
increase
firing of OFF cells
rats
-
activated the firing of OFF cells
#10
selective MT2 receptor partial agonists
decrease
neuropathic pain
-
-
have analgesic properties through modulation of brainstem descending antinociceptive pathways
#11
Abstract

Neuropathic pain is an important public health problem for which only a few treatments are available. Preclinical studies show that melatonin (MLT), a neurohormone acting on MT1 and MT2 receptors, has analgesic properties, likely through MT2 receptors. Here, we determined the effects of the novel selective MLT MT2 receptor partial agonist N-{2-([3-bromophenyl]-4-fluorophenylamino)ethyl}acetamide (UCM924) in 2 neuropathic pain models in rats and examined its supraspinal mechanism of action. In rat L5-L6 spinal nerve ligation and spared nerve injury models, UCM924 (20-40 mg/kg, subcutaneously) produced a prolonged antinociceptive effect that is : (1) dose-dependent and blocked by the selective MT2 receptor antagonist 4-phenyl-2-propionamidotetralin, (2) superior to a high dose of MLT (150 mg/kg) and comparable with gabapentin (100 mg/kg), but (3) without noticeable motor coordination impairments in the rotarod test. Using double staining immunohistochemistry, we found that MT2 receptors are expressed by glutamatergic neurons in the rostral ventrolateral periaqueductal gray. Using in vivo electrophysiology combined with tail flick, we observed that microinjection of UCM924 into the ventrolateral periaqueductal gray decreased tail flick responses, depressed the firing activity of ON cells, and activated the firing of OFF cells; all effects were MT2 receptor-dependent. Altogether, these data demonstrate that selective MT2 receptor partial agonists have analgesic properties through modulation of brainstem descending antinociceptive pathways, and MT2 receptors may represent a novel target in the treatment of neuropathic pain.

Medical Subject Headings (MeSH)
AcetamidesAniline CompoundsAnimalsBrain StemLigandsMaleNeuralgiaPain MeasurementPyramidal TractsRatsRats, WistarReceptor, Melatonin, MT2
Study Links
PubMed ID25599452
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