Skin vasodilation and analgesic effect of a topical nitric oxide-releasing hydrogel

J Mater Sci Mater Med. 2013 Sep;24(9):2157-69. doi: 10.1007/s10856-013-4973-7. Epub 2013 Jun 12.

Abstract

New approaches based on topical treatments are needed for treating pain and impaired dermal blood flow. We used a topical Pluronic F127 hydrogel containing S-nitrosoglutathione (GSNO) as a prodrug to generate free NO, an effector molecule that exerts both dermal vasodilation and antinociceptive effects. GSNO-containing hydrogels underwent gelation above 12 °C and released free NO at rates that were directly dependent on the GSNO concentration in the range of 50-150 mM. The topical application of this material led to dose-response dermal vasodilation in healthy volunteers and to a reduction of up to 50 % of the hypernociception intensity in Wistar rats that were subjected to inflammatory pain. Mechanistic investigations indicated that the antinociceptive effect of the topical F127/GSNO hydrogels is produced by the local activation of the cGMP/PKG/KATP channel-signaling pathway, which was stimulated by the free NO that diffused through the skin. These results expand the scope of the biomedical applications of this material and may represent a new approach for the topical treatment of inflammatory pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adult
  • Analgesics / pharmacology*
  • Animals
  • Calorimetry, Differential Scanning
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Hydrogels*
  • Male
  • Nitric Oxide / administration & dosage
  • Nitric Oxide / pharmacology*
  • Rats
  • Rats, Wistar
  • Skin / blood supply*
  • Vasodilation / drug effects*
  • Vasodilator Agents / pharmacology*
  • Young Adult

Substances

  • Analgesics
  • Hydrogels
  • Vasodilator Agents
  • Nitric Oxide