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Regulation of Expression of Hyperalgesic Priming by Estrogen Receptor α in the Rat
Journal article   Peer reviewed

Regulation of Expression of Hyperalgesic Priming by Estrogen Receptor α in the Rat

Luiz F Ferrari, Dionéia Araldi and Jon D Levine
The journal of pain, Vol.18(5), pp.574-582
05/01/2017
DOI: 10.1016/j.jpain.2016.12.017
PMID: 28089711

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Abstract

Hyperalgesic priming, a sexually dimorphic model of transition to chronic pain, is expressed as prolongation of prostaglandin E2-induced hyperalgesia by the activation of an additional pathway including an autocrine mechanism at the plasma membrane. The autocrine mechanism involves the transport of cyclic adenosine monophosphate (AMP) to the extracellular space, and its conversion to AMP and adenosine, by ecto-5'phosphodiesterase and ecto-5'nucleotidase, respectively. The end product, adenosine, activates A1 receptors, producing delayed onset prolongation of prostaglandin E2 hyperalgesia. We tested the hypothesis that the previously reported, estrogen-dependent, sexual dimorphism observed in the induction of priming is present in the mechanisms involved in its expression, as a regulatory effect on ecto-5'nucleotidase by estrogen receptor α (EsRα), in female rats. In the primed paw AMP hyperalgesia was dependent on conversion to adenosine, being prevented by ecto-5'nucleotidase inhibitor α,β-methyleneadenosine 5'-diphosphate sodium salt and A1 receptor antagonist 8-cyclopentyl-1,3-dipropylxanthine. To investigate an interaction between EsRα and ecto-5'nucleotidase, we treated primed female rats with oligodeoxynucleotide antisense or mismatch against EsRα messenger RNA. Whereas in rats treated with antisense AMP-induced hyperalgesia was abolished, the A1 receptor agonist N -cyclopentiladenosine still produced hyperalgesia. Thus, EsRα interacts with this autocrine pathway at the level of ecto-5'nucleotidase. These results demonstrate a sexually dimorphic mechanism for the expression of priming. This study presents evidence of an estrogen-dependent mechanism of expression of chronic pain in female rats, supporting the suggestion that differential targets must be considered when establishing protocols for the treatment of painful conditions in men and women.
5'-Nucleotidase - metabolism Adenosine - analogs & derivatives Adenosine - toxicity Adenosine A1 Receptor Antagonists - toxicity Adenosine Monophosphate - toxicity Animals Chronic Pain - chemically induced Chronic Pain - physiopathology Dinoprostone - toxicity Disease Models, Animal DNA, Antisense - therapeutic use Estrogen Receptor alpha - chemistry Estrogen Receptor alpha - genetics Estrogen Receptor alpha - metabolism Female Gene Expression Regulation - drug effects Gene Expression Regulation - physiology Hyperalgesia - drug therapy Male Pain Threshold - drug effects Rats Rats, Sprague-Dawley Ryanodine - toxicity Sex Factors Time Factors Xanthines - toxicity

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