THC Vapor Inhalation Attenuates Hyperalgesia in Rats Using a Chronic Inflammatory Pain Model

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
Leslie K. Kelley , Savannah H.M. Lightfoot , Matthew N. Hill , Jason W. Middleton , Nicholas W. Gilpin
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Abstract

Humans use cannabinoid drugs to alleviate pain. As cannabis and cannabinoids are legalized in the United States for medicinal and recreational use, it has become critical to determine the potential utilities and harms of cannabinoid drugs in individuals living with chronic pain. Here, we tested the effects of repeated ∆9-tetrahydrocannabinol (THC) vapor inhalation on thermal nociception and mechanical sensitivity, in adult male and female Wistar rats using a chronic inflammatory pain model (ie, treated with complete Freund’s adjuvant [CFA]). We report that repeated THC vapor inhalation rescues thermal hyperalgesia in males and females treated with CFA and also reduces mechanical hypersensitivity in CFA males but not females. Many of the antihyperalgesic effects of chronic THC vapor were still observable 24 hours after cessation of the last THC exposure. We also report plasma levels of THC and its major metabolites, some of which are cannabinoid type-1 receptor agonists, after the first and tenth days of THC vapor inhalation. Finally, we report that systemic administration of the cannabinoid type-1 receptor inverse agonist AM251 (1 mg/kg, I.P.) blocks the antihyperalgesic effects of THC vapor in males and females. These data provide a foundation for future work that will explore the cells and circuits underlying the antihyperalgesic effects of THC vapor inhalation in individuals with chronic inflammatory pain.

Perspective

Cannabinoids are thought to have potential utility in the treatment of chronic pain, but few animal studies have tested the effects of chronic THC or cannabis in animal models of chronic pain. We tested the effects of repeated THC vapor inhalation on chronic pain-related outcomes in male and female animals.
利用慢性炎症疼痛模型,吸入四氢大麻酚蒸气可减轻大鼠的痛觉过度。
人类使用大麻素药物来减轻疼痛。随着大麻和大麻素在美国合法化,用于医疗和娱乐,确定大麻素药物对慢性疼痛患者的潜在效用和危害变得至关重要。在这里,我们使用慢性炎症疼痛模型(即使用完全弗氏佐剂 [CFA])测试了重复吸入 THC 蒸汽对成年雄性和雌性 Wistar 大鼠热痛觉和机械敏感性的影响。我们的报告显示,重复吸入 THC 蒸汽可以缓解用 CFA 治疗的雄性和雌性大鼠的热超敏反应,还能降低 CFA 雄性大鼠的机械超敏反应,但不能降低雌性大鼠的机械超敏反应。在停止最后一次 THC 暴露 24 小时后,仍可观察到慢性 THC 蒸汽的许多抗过敏效应。我们还报告了吸入 THC 蒸汽第一和第十天后 THC 及其主要代谢物(其中一些是大麻素 1 型受体(CB1)激动剂)的血浆水平。最后,我们报告说,全身给予 CB1 反向激动剂 AM251(1 毫克/千克;静脉注射)可阻断四氢大麻酚蒸气对男性和女性的镇痛作用。这些数据为今后的工作奠定了基础,今后的工作将探索吸入 THC 蒸汽对慢性炎症性疼痛患者产生抗过痛效应的细胞和回路。观点:人们认为大麻素具有治疗慢性疼痛的潜在作用,但很少有动物实验测试过在慢性疼痛动物模型中长期吸入 THC 或大麻的效果。我们测试了在雄性和雌性动物中反复吸入 THC 蒸汽对慢性疼痛相关结果的影响。
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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
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