Comparison of the antinociceptive profiles of gabapentin and 3-methylgabapentin in rat models of acute and persistent pain: implications for mechanism of action

J Pharmacol Exp Ther. 2005 Jun;313(3):1209-16. doi: 10.1124/jpet.104.081778. Epub 2005 Feb 25.

Abstract

The anticonvulsant gabapentin (GBP) has been shown effective for the treatment of neuropathic pain, although its mechanism of action remains unclear. A recent report has suggested that binding to the alpha(2)delta subunit of voltage-gated calcium channels contributes to its antinociceptive effect, based on the stereoselective efficacy of two analogs: (1S,3R)3-methylgabapentin (3-MeGBP) (IC(50) = 42 nM), which is effective in neuropathic pain models; and (1R,3R)3-MeGBP (IC(50) > 10,000 nM), which is ineffective (Field et al., 2000). The present study was designed to further examine the profiles of GBP and 3-MeGBP in rat models of acute and persistent pain. Systemic administration of GBP or (1S,3R)3-MeGBP inhibited tactile allodynia in the spinal nerve ligation model of neuropathic pain, whereas (1R,3R)3-MeGBP was ineffective. The antiallodynic effect of GBP, but not (1S,3R)3-MeGBP, was blocked by i.t. injection of the GABA(B) receptor antagonist [3-[[(3,4-dichlorophenyl)methyl]amino]propyl](diethoxymethyl)phosphinic acid (CGP52432). Systemic GBP or (1S,3R)3-MeGBP also inhibited the second phase of formalin-evoked nociceptive behaviors, whereas (1R,3R)3-MeGBP was ineffective. However, both (1S,3R)3-MeGBP and (1R,3R)3-MeGBP, but not GBP, inhibited first phase behaviors. In the carrageenan model of inflammatory pain, systemic GBP or (1R,3R)3-MeGBP failed to inhibit thermal hyperalgesia, whereas (1S,3R)3-MeGBP had a significant, albeit transient, effect. Systemic (1S,3R)3-MeGBP, but not GBP or (1R,3R)3-MeGBP, also produced an antinociceptive effect in the warm water tail withdrawal test of acute pain. These data demonstrate that GBP and 3-MeGBP display different antinociceptive profiles, suggesting dissimilar mechanisms of antinociceptive action. Thus, the stereoselective efficacy of 3-MeGBP, presumably related to alpha(2)delta binding, likely does not completely account for the mechanism of action of GBP.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetates / pharmacology*
  • Acute Disease
  • Amines / pharmacology*
  • Analgesics / pharmacology*
  • Animals
  • Benzylamines / pharmacology
  • Chronic Disease
  • Cyclohexanecarboxylic Acids / pharmacology*
  • Disease Models, Animal
  • Gabapentin
  • Hyperalgesia / drug therapy
  • Male
  • Pain / drug therapy*
  • Phosphinic Acids / pharmacology
  • Rats
  • Rats, Sprague-Dawley
  • Receptors, GABA-B / physiology
  • gamma-Aminobutyric Acid / pharmacology*

Substances

  • 3-methylgabapentin
  • Acetates
  • Amines
  • Analgesics
  • Benzylamines
  • Cyclohexanecarboxylic Acids
  • Phosphinic Acids
  • Receptors, GABA-B
  • CGP 52432
  • gamma-Aminobutyric Acid
  • Gabapentin