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Anesth Analg 2005;101:1757-1762
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000180766.74782.7E


PAIN MEDICINE

A Role for Endothelin in Neuropathic Pain After Chronic Constriction Injury of the Sciatic Nerve

Markus Klass, MD, PhD, Allen Hord, MD, Melissa Wilcox, BA, Don Denson, PhD, and Marie Csete, MD, PhD

Departments of Anesthesiology and Cell Biology, Emory University School of Medicine, Atlanta, Georgia

Address correspondence and reprint requests to Marie Csete MD, PhD, Emory Anesthesiology Laboratories, 1462 Clifton Rd NE, Room 420, Atlanta GA 30322. Address e-mail to marie.csete{at}emoryhealthcare.org.

The purpose of this study was to explore the role of endothelin in neuropathic pain. Endothelins (ET) are a family (ET-1, ET-2, ET-3) of ubiquitously expressed peptides involved in control of vascular tone. Injected ET-1 causes intense pain via activation of ETA receptors, modulated by analgesic signals initiated by ETB receptor activation. Using a rat model of chronic constriction injury of the sciatic nerve, we found that pharmacologic ETA receptor antagonism acutely and significantly reduced thermal and mechanical hyperalgesic responses 5 days after injury. Furthermore, ET-1 and the ETA receptor are locally upregulated at the site of chronic constriction injury at both the message and the protein levels, suggesting that ET-1 may be involved in establishing pain after the injury. These data point to ET-1 as an important mediator of pain in general and suggest that ETA antagonism deserves study as a potential novel therapy for neuropathic pain.




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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.