The American Academy of Pain Medicine      Annual Meeting Home Page     
23rd Annual Meeting
February 7-10, 2007
New Orleans, LA

© 2006 American Academy of Pain Medicine
 


Thursday, February 8, 2007
107

A Novel Molecular Target for the Treatment of Neuropathic Pain: PPAR γ

Sajay Churi, M.D., M.S., Omar Abdel-Aleem, B.S., Melvin C. Gitlin, M.D., and Bradley K. Taylor, PhD. Tulane University, New Orleans, LA, USA

The gamma subtype of the peroxisome proliferator-activated receptor family (PPAR γ) is a nuclear receptor that regulates gene transcription. Because recent immunohistochemical studies indicate that PPAR γ are found in the dorsal horn of the spinal cord, we tested the hypothesis that activation of spinal PPAR γ will decrease behavioral signs of neuropathic pain. To address this question, male Sprague-Dawley rats were anesthetized with isoflurane, spared nerve injury (SNI) surgery was performed, and the rats were instrumented with intrathecal catheters. After 7 d, allowing full development of behavioral signs of mechanical allodynia (von Frey filament test) and cold allodynia (acetone test), we administered either saline, 15dPGJ2 (PPAR γ receptor agonist) or rosiglitazone (PPAR γ receptor agonist) in a randomized protocol, and re-evaluated allodynia at 30, 60, 90, 120, and 240 min. We found that 15dPGJ2 dose-dependently decreased mechanical allodynia and rosiglitazone dose-dependently decreased mechanical and cold allodynia. The anti-allodynic effect of 15dPGJ2 and rosiglitazone peaked at 30-60 min and at 60-90 min, respectively, and lasted less than 4 h. The concurrent administration of BADGE (a PPAR γ receptor antagonist) reduced the anti-allodynic effects of 15dPGJ2 and rosiglitazone, indicating a receptor-mediated effect. There was no alteration of motor coordination as assessed with a rotarod. To evaluate for opiate-like tolerance, rosiglitazone was administered chronically (2 intrathecal injections of rosiglitazone per day, administered 8 h apart). Rosiglitazone equally reduced mechanical allodynia in the SNI animal after 5 d of treatment as after single administration. Cold allodynia was more effectively reduced after 5 d of treatment than after single administration. We conclude that activation of spinal PPAR γ reverses mechanical allodynia. Our results suggest that new or currently available drugs targeted at spinal PPAR γ may yield important therapeutic effects for the treatment of neuropathic pain.

References: B.K. Taylor, N. Dadia, C.B. Yang, S. Krishnan, M. Badr, “Peroxisome proliferator-activated receptor agonists inhibit inflammatory edema and hyperalgesia,” Inflammation, 26 (2002), 121-127.

J. Berger, D.E. Moller, “The mechanisms of action of PPARs,” Annual Reviews of Medicine, 53 (2002), 409–435.

S. Moreno, S. Farioli-Vecchioli, M.P. Ceru, “Immunolocalization of peroxisome proliferator-activated receptors and retinoid X receptors in the adult rat CNS,” Neuroscience,123 (2004),131-145.
Funding: Supported by DA10356, NS43383 (BKT).

Sajay Churi, M.D., M.S.
Nothing to disclose.