GW406381, a novel COX-2 inhibitor, attenuates spontaneous ectopic discharge in sural nerves of rats following chronic constriction injury

Pain. 2007 Mar;128(1-2):78-87. doi: 10.1016/j.pain.2006.08.032. Epub 2006 Oct 19.

Abstract

There are several lines of evidence to suggest that cyclooxygenase-2 (COX-2) plays an important role in the generation and maintenance of neuropathic pain states following peripheral nerve injury. However, COX-2 inhibitors are generally ineffective in reversing mechanical allodynia and hyperalgesia in models of neuropathic hypersensitivity. Here, we have investigated the effects of GW406381, a novel COX-2 inhibitor, on mechanical allodynia, hyperalgesia and generation of spontaneous ectopic discharge in rats following chronic constriction injury (CCI) of the sciatic nerve and compared it with rofecoxib. GW406381 (5mg/kg, 5 days of treatment) significantly reversed the CCI-induced decrease in paw withdrawal thresholds (PWTs), assessed using both von Frey hair and paw pressure tests, whereas an equi-effective dose of rofecoxib (5mg/kg, 5 days of treatment) in inflammatory pain models was ineffective. In rats treated with GW406381, the proportion of fibres showing spontaneous activity was significantly lower (15.58%) than that in the vehicle (32.67%)- and rofecoxib (39.66%)-treated rats. Ibuprofen, a non-selective COX inhibitor, at 5mg/kg, orally dosed three times a day for 5 days did not significantly affect the PWTs in CCI rats. In naïve rats, GW406381 did not significantly change the PWTs. These results illustrate that COX-2 may indeed play an important role in the maintenance of neuropathic pain following nerve injury, but that only certain COX-2 inhibitors, such as GW406381, are effective in this paradigm. Whilst the mechanisms underlying this differential effect of GW406381 are not clear, differences in drug/enzyme kinetic interactions may be a key contributing factor.

MeSH terms

  • Action Potentials / drug effects*
  • Animals
  • Chronic Disease
  • Constriction, Pathologic / drug therapy
  • Constriction, Pathologic / physiopathology
  • Cyclooxygenase 2 Inhibitors / administration & dosage*
  • Dose-Response Relationship, Drug
  • Hydrocarbons, Aromatic / administration & dosage*
  • Hyperalgesia / drug therapy
  • Hyperalgesia / physiopathology*
  • Lactones / administration & dosage
  • Male
  • Nerve Compression Syndromes / drug therapy
  • Nerve Compression Syndromes / physiopathology*
  • Nitrogen / administration & dosage*
  • Pain Measurement / drug effects
  • Pyrazoles
  • Pyridazines
  • Rats
  • Rats, Sprague-Dawley
  • Sulfones / administration & dosage
  • Sural Nerve / drug effects
  • Sural Nerve / injuries*
  • Sural Nerve / physiopathology*

Substances

  • Cyclooxygenase 2 Inhibitors
  • GW406381X
  • Hydrocarbons, Aromatic
  • Lactones
  • Pyrazoles
  • Pyridazines
  • Sulfones
  • rofecoxib
  • Nitrogen