Dual role of 5-HT₃ receptors in a rat model of delayed stress-induced visceral hyperalgesia

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• 作者：Sylvie Bradesi ; Lijun Lao ; Peter G. McLean ; Wendy J. Winchester ; Kevin Lee ; Gareth A. Hicks ; Emeran A. Mayer
• 关键词：5-HT₃ receptors ; Visceral nociception ; Hyperalgesia ; Stress
• 刊名：Pain
• 出版年：2007
• 出版时间：July 2007
• 年：2007
• 卷：130
• 期：1-2
• 页码：56-65
• 全文大小：274 K

文摘

Despite its beneficial effect in IBS patients, the mechanism of action of the 5-HT₃ receptor (5-HT₃R) antagonist alosetron is still incompletely understood. We aimed to characterize the effect and site(s) of action in a model of stress-induced sensitization of visceral nociception in rats. Adult male Wistar rats were equipped for recording of visceromotor response (VMR) to phasic colorectal distension (CRD; 10–60 mm Hg). VMR to CRD was recorded 24 h after an acute session of water avoidance (WA) stress (post-WA). Baseline and post-WA responses were measured in rats exposed to WA or sham-WA, treated with alosetron at 0.3 mg/kg subcutaneously (s.c.) 25 nmol intrathecally (i.t.) or vehicle before post-WA CRD. Some rats were treated with capsaicin/vehicle on the cervical vagus nerve and received alosetron (0.3 mg/kg, s.c.) 15 min before post-WA CRD. WA stress led to visceral hyperalgesia 24 h later. Alosetron (0.3 mg/kg, s.c.), failed to inhibit WA-induced exacerbation of VMR to CRD. Stress-induced visceral hyperalgesia was abolished when alosetron was injected intrathecally (P < 0.05) in intact rats or subcutaneously (0.3 mg/kg) in capsaicin-pretreated animals (P < 0.05). Capsaicin-pretreatment did not affect the exacerbating effect of stress on visceral sensitivity. Alosetron had no inhibitory effect on normal visceral pain responses when administered subcutaneously or intrathecally. We demonstrated that 5-HT₃Rs on central terminals of spinal afferents are engaged in the facilitatory effect of stress on visceral sensory information processing. In addition, we showed that stress-induced sensitization of visceral nociception is independent of 5-HT₃R activation on vagal afferents.