Tadalafil analgesia in experimental arthritis involves suppression of intra-articular TNF release

Br J Pharmacol. 2011 Sep;164(2b):828-35. doi: 10.1111/j.1476-5381.2011.01469.x.

Abstract

Background and purpose: We investigated the effect of the phosphodiesterase-5 inhibitor, tadalafil, on the acute hypernociception in rat models of arthritis.

Experimental approach: Rats were treated with either an intra-articular injection of zymosan (1 mg) or surgical transection of the anterior cruciate ligament (as an osteoarthritis model). Controls received saline intra-articular or sham operation respectively. Joint pain was evaluated using the articular incapacitation test measured over 6 h following zymosan or between 4 and 7 days after anterior cruciate ligament transection. Cell counts, tumour necrosis factor-α (TNF-α), interleukin-1 (IL-1), and the chemokine, cytokine-induced neutrophil chemoattractant-1 (CINC-1) were measured in joint exudates 6 h after zymosan. Groups received tadalafil (0.02-0.5 mg·kg⁻¹ per os) or saline 2 h after intra-articular zymosan. Other groups received the µ-opioid receptor antagonist naloxone or the cGMP inhibitor 1H-[1,2,4] oxadiazolo [4,3-a] quinoxalin-1-one (ODQ) before tadalafil.

Key results: Tadalafil dose-dependently inhibited hypernociception in zymosan and osteoarthritis models. In zymosan-induced arthritis, tadalafil significantly decreased cell influx and TNF-α release but did not alter IL-1 or CINC-1 levels. Pretreatment with ODQ but not with naloxone prevented the anti-inflammatory effects of tadalafil.

Conclusions and implications: Therapeutic oral administration of tadalafil provided analgesia mediated by guanylyl cyclase and was independent of the release of endogenous opioids. This effect of tadalafil was associated with a decrease in neutrophil influx and TNF-α release in inflamed joints.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics / pharmacology
  • Animals
  • Anti-Inflammatory Agents / pharmacology
  • Arthralgia / drug therapy
  • Arthralgia / metabolism
  • Arthritis, Experimental / chemically induced
  • Arthritis, Experimental / drug therapy*
  • Arthritis, Experimental / metabolism*
  • Carbolines / pharmacology*
  • Chemokine CXCL1 / metabolism
  • Chemokines / metabolism
  • Cyclic GMP / antagonists & inhibitors
  • Guanylate Cyclase / metabolism
  • Injections, Intra-Articular
  • Interleukin-1 / metabolism
  • Joints / drug effects
  • Joints / metabolism
  • Male
  • Naloxone / pharmacology
  • Narcotic Antagonists / pharmacology
  • Neutrophils / drug effects
  • Neutrophils / metabolism
  • Nociception / drug effects*
  • Osteoarthritis / drug therapy
  • Osteoarthritis / metabolism
  • Oxadiazoles / pharmacology
  • Quinoxalines / pharmacology
  • Rats
  • Rats, Wistar
  • Tadalafil
  • Tumor Necrosis Factor-alpha / metabolism*
  • Zymosan / pharmacology

Substances

  • 1H-(1,2,4)oxadiazolo(4,3-a)quinoxalin-1-one
  • Analgesics
  • Anti-Inflammatory Agents
  • Carbolines
  • Chemokine CXCL1
  • Chemokines
  • Cxcl1 protein, rat
  • Interleukin-1
  • Narcotic Antagonists
  • Oxadiazoles
  • Quinoxalines
  • Tumor Necrosis Factor-alpha
  • Naloxone
  • Tadalafil
  • Zymosan
  • Guanylate Cyclase
  • Cyclic GMP