Role of spinal NMDA receptors, protein kinase C and nitric oxide synthase in the hyperalgesia induced by magnesium deficiency in rats

Br J Pharmacol. 2001 Nov;134(6):1227-36. doi: 10.1038/sj.bjp.0704354.

Abstract

1. Magnesium (Mg)-deficient rats develop a mechanical hyperalgesia which is reversed by a N-Methyl-D-Aspartate (NMDA) receptor antagonist. Given that functioning of this receptor-channel is modulated by Mg, we wondered whether facilitated activation of NMDA receptors in Mg deficiency state may in turn trigger a cascade of specific intracellular events present in persistent pain. Hence, we tested several antagonists of NMDA and non-NMDA receptors as well as compounds interfering with the functioning of intracellular second messengers for effects on hyperalgesia in Mg-deficient rats. 2. Hyperalgesic Mg-deficient rats were administered intrathecally (10 microl) or intraperitoneally with different antagonists. After drug injection, pain sensitivity was evaluated by assessing the vocalization threshold in response to a mechanical stimulus (paw pressure test) over 2 h. 3. Intrathecal administration of MgSO4 (1.6, 3.2, 4.8, 6.6 micromol) as well as NMDA receptor antagonists such as MK-801 (0.6, 6.0, 60 nmol), AP-5 (10.2, 40.6, 162.3 nmol) and DCKA (0.97, 9.7, 97 nmol) dose-dependently reversed the hyperalgesia. Chelerythrine chloride, a protein kinase C (PKC) inhibitor (1, 10.4, 104.2 nmol) and 7-NI, a specific nitric oxide (NO) synthase inhibitor (37.5, 75, 150 micromol x kg(-1), i.p.) induced an anti-hyperalgesic effect in a dose-dependent manner. SR-140333 (0.15, 1.5, 15 nmol) and SR-48968 (0.17, 1.7, 17 nmol), antagonists of neurokinin receptors, produced a significant, but moderate, increase in vocalization threshold. 4. These results demonstrate that Mg-deficiency induces a sensitization of nociceptive pathways in the spinal cord which involves NMDA and non-NMDA receptors. Furthermore, the data is consistent with an active role of PKC, NO and, to a lesser extent substance P in the intracellular mechanisms leading to hyperalgesia.

MeSH terms

  • 2-Amino-5-phosphonovalerate / pharmacokinetics
  • Alkaloids
  • Analgesics / pharmacokinetics
  • Animals
  • Benzophenanthridines
  • Dizocilpine Maleate / pharmacokinetics
  • Excitatory Amino Acid Antagonists / pharmacokinetics*
  • Hyperalgesia / chemically induced
  • Indazoles / pharmacokinetics
  • Injections, Spinal
  • Kynurenic Acid / analogs & derivatives*
  • Kynurenic Acid / pharmacokinetics
  • Magnesium Sulfate / pharmacology
  • Male
  • Neurons / metabolism
  • Nitric Oxide Synthase / antagonists & inhibitors
  • Pain Measurement
  • Phenanthridines / pharmacokinetics
  • Protein Kinase C / antagonists & inhibitors
  • Rats
  • Rats, Wistar
  • Receptors, N-Methyl-D-Aspartate / antagonists & inhibitors
  • Receptors, N-Methyl-D-Aspartate / metabolism*
  • Spine / metabolism*

Substances

  • Alkaloids
  • Analgesics
  • Benzophenanthridines
  • Excitatory Amino Acid Antagonists
  • Indazoles
  • Phenanthridines
  • Receptors, N-Methyl-D-Aspartate
  • Dizocilpine Maleate
  • Magnesium Sulfate
  • 2-Amino-5-phosphonovalerate
  • chelerythrine
  • Nitric Oxide Synthase
  • Protein Kinase C
  • Kynurenic Acid
  • 5,7-dichlorokynurenic acid
  • 7-nitroindazole