Mirtazapine and its enantiomers differentially modulate acute thermal nociception in rats

Brain Res Bull. 2006 Mar 31;69(2):168-73. doi: 10.1016/j.brainresbull.2005.11.017. Epub 2005 Dec 19.

Abstract

The antidepressant mirtazapine is an optically active drug and currently marketed as a racemic compound consisting of its S(+) and R(-)-enantiomers in a 50:50 mixture. As stereochemistry of antidepressants has become increasingly important to consider for the relevance of their analgesic properties, we investigated the effect of (+/-)-mirtazapine and its enantiomers in an animal model of acute thermal nociception. Wistar rats were injected intrathecal with either (+/-)-mirtazapine, R(-)-mirtazapine, S(+)-mirtazapine from 1 to 0.001 mg/kg and vehicle (0.9% NaCl), respectively. The effects on thermal paw withdrawal thresholds were monitored using the Hargreaves test. (+/-)-Mirtazapine exerted pro- and antinociceptive effects in acute thermal nociception, whereas R(-)-mirtazapine showed solely antinociceptive and S(+)-mirtazapine pronociceptive properties. These results clearly demonstrate a differential effect of (+/-)-mirtazapine and its enantiomers on nociception. As R(-)-mirtazapine exerts the antinociceptive activity of the racemic mixture it may be a putative candidate for an enantioselective use as analgesic.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Afferent Pathways / drug effects*
  • Afferent Pathways / physiology
  • Animals
  • Antidepressive Agents, Tricyclic / chemistry
  • Antidepressive Agents, Tricyclic / pharmacology
  • Antidepressive Agents, Tricyclic / therapeutic use
  • Central Nervous System / drug effects
  • Central Nervous System / physiopathology
  • Disease Models, Animal
  • Hot Temperature / adverse effects
  • Injections, Spinal
  • Isomerism
  • Male
  • Mianserin / analogs & derivatives*
  • Mianserin / chemistry
  • Mianserin / pharmacology
  • Mianserin / therapeutic use
  • Mirtazapine
  • Molecular Conformation
  • Nociceptors / drug effects*
  • Nociceptors / physiology
  • Pain / chemically induced
  • Pain / drug therapy*
  • Pain / physiopathology
  • Pain Measurement
  • Pain Threshold / drug effects
  • Pain Threshold / physiology
  • Rats
  • Rats, Wistar
  • Thermosensing / drug effects*
  • Thermosensing / physiology
  • Treatment Outcome

Substances

  • Antidepressive Agents, Tricyclic
  • Mianserin
  • Mirtazapine