Simultaneous targeting of MOR/DOR: A useful strategy for inflammatory pain modulation

Eur J Pharmacol. 2019 Mar 15:847:97-102. doi: 10.1016/j.ejphar.2019.01.031. Epub 2019 Jan 25.

Abstract

Development of new analgesics endowed with mu/delta opioid receptor (MOR/DOR) activity represents a promising alternative to MOR selective compounds because of their better therapeutic and tolerability profile. Lately, we have synthetized the MOR/DOR agonist LP2 that showed a long lasting antinociceptive activity in the tail flick test, an acute pain model. Here, we investigate whether LP2 is also effective in the mouse formalin test, a model of inflammatory pain sustained by mechanisms of central sensitization. Moreover, we evaluated a possible peripheral component of LP2 analgesic activity. Different doses of LP2 were tested after either intraperitoneal (i.p.) or intraplantar (i.pl.) administration. LP2 (0.75-1.00 mg/kg, i.p.), dose-dependently, counteracted both phases of the formalin test after i.p. administration. The analgesic activity of LP2 (0.75-1.00 mg/kg) was completely blocked by a pretreatment with the opioid antagonist naloxone (3 mg/kg, i.p.). Differently, the pretreatment with naloxone methiodide (5 mg/kg, i.p.), a peripherally restricted opioid antagonist, completely blocked the lower analgesic dose of LP2 (0.75 mg/kg) but only partially relieved the antinociceptive effects of LP2 at the dose of 1.00 mg/kg, thus revealing a peripheral analgesic component of LP2. I.pl. injections of LP2 (10-20 μg/10 μl) were also performed to investigate a possible effect of LP2 on peripheral nerve terminals. Nociceptive sensitization, which occur both at peripheral and central level, is a fundamental step for pain chronicization, thus LP2 is a promising drug for pain conditions characterized by nociceptive sensitization.

Keywords: Mouse formalin test; Multitarget ligands; Naloxone; Naloxone methiodide; Opioid; Pain; Rotarod.

MeSH terms

  • Analgesics, Opioid / pharmacology*
  • Animals
  • Inflammation / drug therapy*
  • Inflammation / metabolism
  • Male
  • Mice
  • Narcotic Antagonists / pharmacology
  • Pain / drug therapy*
  • Pain / metabolism
  • Pain Measurement / methods
  • Receptors, Opioid, delta / agonists*
  • Receptors, Opioid, delta / metabolism
  • Receptors, Opioid, mu / agonists*
  • Receptors, Opioid, mu / metabolism

Substances

  • Analgesics, Opioid
  • Narcotic Antagonists
  • Receptors, Opioid, delta
  • Receptors, Opioid, mu