Antibody directed against GD(2) produces mechanical allodynia, but not thermal hyperalgesia when administered systemically or intrathecally despite its dependence on capsaicin sensitive afferents

Brain Res. 2002 Mar 15;930(1-2):67-74. doi: 10.1016/s0006-8993(01)03408-4.

Abstract

Anti-GD(2) antibodies have been shown to be effective for immunotherapy of neuroblastoma and other GD(2) enriched malignancies. Infusion of anti-GD(2) antibodies frequently causes spontaneous pain and allodynia for the duration of the immunotherapy and occasionally longer lasting neuropathic pain. Bolus intravenous injection of anti-GD(2) in rats initiates mechanical allodynia as measured by withdrawal threshold of the hindpaws. In this study, thermal thresholds were measured prior to and for up to 6 h following systemic anti-GD(2) administration in adult rats. In addition, both thermal and mechanical thresholds were tested following intrathecal administration of anti-GD(2) and IgG(2a). Murine anti-GD(2) elicited mechanical allodynia when administered into either the vasculature or the intrathecal space. Effective systemic doses were 1--3 mg/kg as previously shown. Intrathecally, optimal doses ranged from 0.01 to 0.1 ng; a higher dose was ineffective. Thermal hyperalgesia was not observed via either route of administration. Intrathecal pretreatment 48--72 h prior to the experiment with capsaicin at doses sufficient to cause a 50% depletion of dorsal horn CGRP, caused a total blockade of the mechanical allodynia indicating an involvement of peptidergic fine afferent fibers. It is likely that the antibody reacts with an antigen on peripheral nerve and/or myelin to initiate its effect. The lack of observed thermal hyperalgesia is surprising especially in light of the capsaicin-associated blockade, however, it is consistent with several other immune system related models of pain.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Animals
  • Antibodies, Blocking / administration & dosage
  • Antibodies, Blocking / pharmacology*
  • Antibodies, Monoclonal / pharmacology
  • Behavior, Animal / drug effects
  • Capsaicin / pharmacology*
  • Gangliosides / antagonists & inhibitors*
  • Gangliosides / immunology
  • Hyperalgesia / chemically induced
  • Hyperalgesia / physiopathology*
  • Hyperalgesia / psychology
  • Infusions, Intravenous
  • Injections, Spinal
  • Male
  • Neurons, Afferent / drug effects*
  • Nociceptors / drug effects
  • Pain / chemically induced
  • Pain / physiopathology*
  • Pain / psychology
  • Pain Measurement / drug effects
  • Pain Threshold / drug effects
  • Physical Stimulation
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Antibodies, Blocking
  • Antibodies, Monoclonal
  • Gangliosides
  • ganglioside, GD2
  • Capsaicin