Adjuvant effect of caffeine on acetylsalicylic acid anti-nociception: prostaglandin E2 synthesis determination in carrageenan-induced peripheral inflammation in rat

Eur J Pain. 2008 Feb;12(2):157-63. doi: 10.1016/j.ejpain.2007.03.485. Epub 2007 May 15.

Abstract

In the present study, we report a synergistic interaction between acetylsalicylic acid (ASA) and caffeine (CAF) on the inhibition of nociception in a model of peripheral inflammation in rat; on the contrary no interaction have been found on anti-inflammatory effects and peripheral prostaglandin E2 (PGE-2) synthesis inhibition. Acute inflammation was induced by the subplantar injection of carrageenan into the right hind paw, and the effects of the drugs were evaluated from 0 to 5h. Nociception was assessed using the Randall & Selitto test, and the inflammatory response by plethismometry. Oral administration of ASA (10-400mg/kg) induced dose-related anti-nociceptive and anti-inflammatory effects. On the other hand, oral CAF administration (5-50mg/kg) did not show a dose-related inhibitory effect, neither on the inhibition of nociception nor on the inflammatory response. To analyze a possible interaction between both drugs a dose-response curve to ASA plus a fixed dose of CAF (5mg/kg) was obtained 3h after the injection of carrageenan, when the inflammatory pain peaked. A fixed dose of CAF was able to improve the anti-nociceptive, but not the anti-inflammatory, effects of ASA. We also assessed, by enzyme immunoassay, the effects of the combination on peripheral PGE-2 levels: CAF did not alter the inhibitory effect of ASA on PGE-2 synthesis. Our results corroborate the well-known clinical effects of combining ASA and CAF; on the other hand, we rule out that prostaglandin synthesis inhibition at peripheral sites would be the mechanism responsible of the adjuvant anti-nociceptive effect of CAF.

MeSH terms

  • Analgesics / administration & dosage
  • Analgesics / pharmacology*
  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Aspirin / administration & dosage
  • Aspirin / pharmacology*
  • Caffeine / administration & dosage
  • Caffeine / pharmacology*
  • Carrageenan
  • Dinoprostone / antagonists & inhibitors
  • Dinoprostone / biosynthesis*
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Foot
  • Inflammation / chemically induced
  • Inflammation / metabolism
  • Inflammation / physiopathology*
  • Male
  • Nociceptors / drug effects*
  • Rats
  • Rats, Sprague-Dawley

Substances

  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal
  • Caffeine
  • Carrageenan
  • Dinoprostone
  • Aspirin