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1.
J Pineal Res ; 75(4): e12909, 2023 Dec.
Article in English | MEDLINE | ID: mdl-37721126

ABSTRACT

Huntington's disease (HD) is a progressive neurodegenerative brain disorder associated with uncontrolled body movements, cognitive decline, and reduced circulating melatonin levels. Melatonin is a potent antioxidant and exogenous melatonin treatment is neuroprotective in experimental HD models. In neurons, melatonin is exclusively synthesized in the mitochondrial matrix. Thus, we investigated the integrity of melatonin biosynthesis pathways in pineal and extrapineal brain areas in human HD brain samples, in the R6/2 mouse model of HD and in full-length mutant huntingtin knock-in cells. Aralkylamine N-acetyltransferase (AANAT) is the rate-limiting step enzyme in the melatonin biosynthetic pathway. We found that AANAT expression is significantly decreased in the pineal gland and the striatum of HD patients compared to normal controls. In the R6/2 mouse forebrain, AANAT protein expression was decreased in synaptosomal, but not nonsynaptosomal, mitochondria and was associated with decreased synaptosomal melatonin levels compared to wild type mice. We also demonstrate sequestration of AANAT in mutant-huntingtin protein aggregates likely resulting in decreased AANAT bioavailability. Paradoxically, AANAT mRNA expression is increased in tissues where AANAT protein expression is decreased, suggesting a potential feedback loop that is, ultimately unsuccessful. In conclusion, we demonstrate that pineal, extrapineal, and synaptosomal melatonin levels are compromised in the brains of HD patients and R6/2 mice due, at least in part, to protein aggregation.


Subject(s)
Huntington Disease , Melatonin , Pineal Gland , Humans , Mice , Animals , Melatonin/metabolism , Pineal Gland/metabolism
2.
J Mol Cell Cardiol ; 126: 50-59, 2019 01.
Article in English | MEDLINE | ID: mdl-30448480

ABSTRACT

Inflammation is critical in the pathobiology of atherosclerosis. An essential player in the inflammatory process in atherosclerosis are macrophages that scavenge oxidatively modified low-density lipoproteins (OxLDL) deposited in the subendothelium of systemic arteries that secrete a myriad of pro-inflammatory mediators. Here, we identified that a subunit of the Skp-Cullin-F-box ubiquitin E3 ligase apparatus, termed FBXO3, modulates the inflammatory response in atherosclerosis. Specifically, individuals with a hypofunctioning genetic variant of FBXO3 develop less atherosclerosis. FBXO3 protein is present in cells of monocytic lineage within carotid plaques and its levels increase in those with symptomatic compared with asymptomatic atherosclerosis. Further, cellular depletion or small molecule inhibition of FBXO3 significantly reduced the inflammatory response to OxLDL by macrophages without altering OxLDL uptake. Thus, FBXO3 potentiates vascular inflammation and atherosclerosis that can be effectively mitigated by a small molecule inhibitor.


Subject(s)
Atherosclerosis/enzymology , Inflammation/enzymology , Ubiquitin-Protein Ligases/metabolism , Adult , Aged , Carotid Arteries/drug effects , Carotid Arteries/pathology , Coronary Vessels/drug effects , Coronary Vessels/pathology , Endocytosis/drug effects , Enzyme Inhibitors/pharmacology , F-Box Proteins/genetics , Female , Genetic Variation , Humans , Lipoproteins, LDL/metabolism , Macrophages/drug effects , Macrophages/metabolism , Male , Middle Aged , Small Molecule Libraries/pharmacology , THP-1 Cells
3.
Genome Res ; 21(8): 1223-38, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21734011

ABSTRACT

Genetic reference populations in model organisms are critical resources for systems genetic analysis of disease related phenotypes. The breeding history of these inbred panels may influence detectable allelic and phenotypic diversity. The existing panel of common inbred strains reflects historical selection biases, and existing recombinant inbred panels have low allelic diversity. All such populations may be subject to consequences of inbreeding depression. The Collaborative Cross (CC) is a mouse reference population with high allelic diversity that is being constructed using a randomized breeding design that systematically outcrosses eight founder strains, followed by inbreeding to obtain new recombinant inbred strains. Five of the eight founders are common laboratory strains, and three are wild-derived. Since its inception, the partially inbred CC has been characterized for physiological, morphological, and behavioral traits. The construction of this population provided a unique opportunity to observe phenotypic variation as new allelic combinations arose through intercrossing and inbreeding to create new stable genetic combinations. Processes including inbreeding depression and its impact on allelic and phenotypic diversity were assessed. Phenotypic variation in the CC breeding population exceeds that of existing mouse genetic reference populations due to both high founder genetic diversity and novel epistatic combinations. However, some focal evidence of allele purging was detected including a suggestive QTL for litter size in a location of changing allele frequency. Despite these inescapable pressures, high diversity and precision for genetic mapping remain. These results demonstrate the potential of the CC population once completed and highlight implications for development of related populations.


Subject(s)
Crosses, Genetic , Inbreeding , Quantitative Trait Loci , Animals , Female , Genetic Variation , Genotype , Litter Size/genetics , Male , Mice , Mice, Inbred Strains , Phenotype , Polymorphism, Single Nucleotide
4.
Anesth Analg ; 118(6): 1355-62, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24722259

ABSTRACT

BACKGROUND: As an alternative to current methods of local nerve block, we studied the feasibility of producing ankle block in the rat with IV injection of magnetic nanoparticles (MNPs) associated with ropivacaine and application of a magnet at the ankle. METHODS: The anesthetic effect of magnet-directed ropivacaine-associated MNPs (MNP/Ropiv) was tested in the rat using paw withdrawal latencies from thermal stimuli applied to the hindpaw. The MNP/Ropiv complexes consisted of 0.7% w/v ropivacaine and 0.8% w/v MNPs containing 12% w/w magnetite (F3O4). The effect of IV injection of MNP/Ropiv with 15, 30, and 60-minute magnet application to the right ankle was compared with the effect without magnet application on the left hindpaw, to conventional ankle block with 0.1% or 0.2% ropivacaine, and to IV injection of MNPs alone with 30-minute magnet application to the right ankle. In addition, the pharmacokinetics of the MNP/Ropiv complexes were determined. RESULTS: IV injection of MNP/Ropiv with magnet application at the ankle significantly increased paw withdrawal latencies from thermal stimuli compared with pretreatment baselines in the same paw (P < 0.0001) and compared with the contralateral paw without magnet application (P < 0.0001). IV injection of MNPs alone had no significant effect on paw withdrawal latency. Absolute ropivacaine concentrations in ankle tissue, and ankle tissue-to-plasma concentration ratios were higher in the MNP/Ropiv group with 30-minute magnet application compared with MNP/Ropiv group without magnet application (mean ± SEM, 150 ± 10 ng/g vs 105 ± 15 ng/g, respectively, and 6.1 ± 0.8 vs 4.2 ± 0.7, respectively). CONCLUSIONS: The current study establishes proof of principle that it is possible to produce ankle block in the rat by IV injection of MNP/Ropiv complexes and magnet application at the ankle. The results indicate that further study of this approach is warranted.


Subject(s)
Amides/administration & dosage , Anesthesia/methods , Anesthetics, Local/administration & dosage , Hindlimb , Magnetics , Nanoparticles , Nerve Block/methods , Amides/pharmacokinetics , Anesthetics, Local/pharmacokinetics , Animals , Area Under Curve , Drug Compounding , Half-Life , Male , Rats , Rats, Sprague-Dawley , Ropivacaine
5.
J Med Genet ; 49(1): 1-9, 2012 Jan.
Article in English | MEDLINE | ID: mdl-22058430

ABSTRACT

An estimated 15-50% of the population experiences pain at any given time, at great personal and societal cost. Pain is the most common reason patients seek medical attention, and there is a high degree of individual variability in reporting the incidence and severity of symptoms. Research suggests that pain sensitivity and risk for chronic pain are complex heritable traits of polygenic origin. Animal studies and candidate gene testing in humans have provided some progress in understanding the heritability of pain, but the application of the genome-wide association methodology offers a new tool for further elucidating the genetic contributions to normal pain responding and pain in clinical populations. Although the determination of the genetics of pain is still in its infancy, it is clear that a number of genes play a critical role in determining pain sensitivity or susceptibility to chronic pain. This review presents an update of the most recent findings that associate genetic variation with variability in pain and an overview of the candidate genes with the highest translational potential.


Subject(s)
Pain Perception , Pain/genetics , Animals , Genetic Predisposition to Disease , Genetic Variation , Genome-Wide Association Study , Humans , Pain/psychology , Polymorphism, Genetic , Synaptic Transmission/genetics
6.
Alcohol Clin Exp Res ; 33(2): 289-99, 2009 Feb.
Article in English | MEDLINE | ID: mdl-19032579

ABSTRACT

BACKGROUND: Although many people consume alcohol (ethanol), it remains unknown why some become addicted. Elucidating the molecular mechanisms of tolerance and physical dependence (withdrawal) may provide insight into alcohol addiction. While the exact molecular mechanisms of ethanol action are unclear, gamma-aminobutyric acid type A receptors (GABA(A)-Rs) have been extensively implicated in ethanol action. The alpha1 GABA(A)-R subunit is associated with tolerance and physical dependence, but its exact role remains unknown. In this report, we tested the hypothesis that alpha1-GABA(A)-Rs mediate in part these effects of ethanol. METHODS: Ethanol-induced behavioral responses related to tolerance and physical dependence were investigated in knockin (KI) mice that have ethanol-insensitive alpha1 GABA(A)-Rs and wildtype (WT) controls. Acute functional tolerance (AFT) was assessed using the stationary dowel and loss of righting reflex (LORR) assays. Chronic tolerance was assessed on the LORR, fixed speed rotarod, hypothermia, and radiant tail-flick assays following 10 consecutive days of ethanol exposure. Withdrawal-related hyperexcitability was assessed by handling-induced convulsions following 3 cycles of ethanol vapor exposure/withdrawal. Immunoblots were used to assess alpha1 protein levels. RESULTS: Compared with controls, KI mice displayed decreased AFT and chronic tolerance to ethanol-induced motor ataxia, and also displayed heightened ethanol-withdrawal hyperexcitability. No differences between WT and KI mice were seen in other ethanol-induced behavioral measures. Following chronic exposure to ethanol, control mice displayed reductions in alpha1 protein levels, but KIs did not. CONCLUSIONS: We conclude that alpha1-GABA(A)-Rs play a role in tolerance to ethanol-induced motor ataxia and withdrawal-related hyperexcitability. However, other aspects of behavioral tolerance and physical dependence do not rely on alpha1-containing GABA(A)-Rs.


Subject(s)
Alcoholism/genetics , Alcoholism/metabolism , Central Nervous System Depressants/pharmacology , Ethanol/pharmacology , Receptors, GABA-A/genetics , Receptors, GABA-A/physiology , Animals , Blotting, Western , Drug Tolerance , Hot Temperature , Hyperkinesis/chemically induced , Hyperkinesis/prevention & control , Hyperkinesis/psychology , Hypothermia/chemically induced , Mice , Mice, Inbred C57BL , Pain Measurement/drug effects , Postural Balance/drug effects , Receptors, GABA-A/drug effects , Substance Withdrawal Syndrome/psychology
7.
World Neurosurg ; 122: e307-e314, 2019 Feb.
Article in English | MEDLINE | ID: mdl-30321673

ABSTRACT

BACKGROUND: Patients with hydrocephalus experience symptoms related to hydrocephalus in an age-dependent manner. However, prevalence estimates of hydrocephalus symptoms in young and middle-aged (YMA) adult patients are rare and variable. Highlighting the importance of hydrocephalus symptom management, the persistence and intensity of headache or gait disturbance have been associated with signs of brain white matter integrity loss, including in treated YMA adult patients. Thus, it is important to ascertain which symptoms adult patients with hydrocephalus report most to confirm their relative importance. METHODS: Observations of symptom complaints were made from publicly viewable online responses to an inquiry posted by the Hydrocephalus Association to 2 Facebook webpages. RESULTS: Within 7 days of inquiry posting, 381 complaints of signs and symptoms were identified in 82 online responses. Headache, cognitive deficits (cognition and memory), and mobility issues (dizziness, balance, or gait problems) were most commonly reported by 63%, 45%, and 40% of respondents, respectively. Results were highly similar for the subgroup of 53 patients reported as treated. For self-identified YMA patients (<60 years old), results were similar, but with fewer mobility complaints. Not previously reported, hypersensitivity to external stimuli was reported by one-half of the patients that reported headache. CONCLUSIONS: The current results provide further quantitative support for the prioritization of study of headache, cognitive deficits, and mobility issues in YMA adult patients with hydrocephalus. Warranting further study, cranial hypersensitivity to external stimuli may represent a novel outcome measure, and treated YMA adult hydrocephalus patients continue to report symptoms associated with signs of brain damage.


Subject(s)
Hydrocephalus/physiopathology , Social Media , Activities of Daily Living , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Hydrocephalus/psychology , Hydrocephalus/therapy , Male , Middle Aged , Patient Participation , Young Adult
8.
Neurosurgery ; 85(2): E284-E293, 2019 08 01.
Article in English | MEDLINE | ID: mdl-30335165

ABSTRACT

BACKGROUND: Many studies have explored molecular markers of carotid plaque development and vulnerability to rupture, usually having examined whole carotid plaques. However, there are regional differences in plaque morphology and known shear-related mechanisms in areas surrounding the lipid core. OBJECTIVE: To determine whether there are regional differences in protein expression along the long axis of the carotid plaque and how that might produce gaps in our understanding of the carotid plaque molecular signature. METHODS: Levels of 7 inflammatory cytokines (IL-1ß, IL-6, IL-8, IL-10, IL-12 p70, IFN-γ, and TNF-α) and caspase-3 were analyzed in prebifurcation, bifurcation, and postbifurcation segments of internal carotid plaques surgically removed from symptomatic and asymptomatic patients. Expression profiles of miRNAs and mRNAs were determined with microarrays for the rupture-prone postbifurcation segment for comparison with published whole plaque results. RESULTS: Expression levels of all proteins examined, except IL-10, were lowest in the prebifurcation segment and significantly higher in the postbifurcation segment. Patient group differences in protein expression were observed for the prebifurcation segment; however, no significant differences were observed in the postbifurcation segment between symptomatic and asymptomatic patients. Expression profiles from postbifurcation carotid plaques identified 4 novel high priority miRNAs differentially expressed between patient groups (miR-214, miR-484, miR-942, and miR-1287) and 3 high-confidence miRNA:mRNA targets, including miR-214:APOD, miR-484:DACH1, and miR-942:GPR56. CONCLUSION: The results demonstrate regional differences in protein expression for the first time and show that focus on the rupture-prone postbifurcation region leads to prioritization for further study of novel miRNA gene regulation mechanisms.


Subject(s)
Cytokines/metabolism , Eye Proteins/metabolism , Plaque, Atherosclerotic/metabolism , Aged , Aged, 80 and over , Biomarkers/metabolism , Carotid Stenosis/genetics , Caspase 3/metabolism , Female , Gene Expression Regulation , Humans , Interferon-gamma/metabolism , Interleukins/metabolism , Male , MicroRNAs/metabolism , Middle Aged , Transcription Factors , Tumor Necrosis Factor-alpha/metabolism
9.
J Neurosurg ; 130(4): 1252-1259, 2018 May 11.
Article in English | MEDLINE | ID: mdl-29749912

ABSTRACT

OBJECTIVE: Ventricular shunt (VS) durability has been well studied in the pediatric population and in patients with normal pressure hydrocephalus; however, further evaluation in a more heterogeneous adult population is needed. This study aims to evaluate the effect of diagnosis and valve type-fixed versus programmable-on shunt durability and cost for placement of shunts in adult patients. METHODS: The authors retrospectively reviewed the medical records of all patients who underwent implantation of a VS for hydrocephalus at their institution over a 3-year period between August 2013 and October 2016 with a minimum postoperative follow-up of 6 months. The primary outcome was shunt revision, which was defined as reoperation for any indication after the initial procedure. Supply costs, shunt durability, and hydrocephalus etiologies were compared between fixed and programmable valves. RESULTS: A total of 417 patients underwent shunt placement during the index time frame, consisting of 62 fixed shunts (15%) and 355 programmable shunts (85%). The mean follow-up was 30 ± 12 (SD) months. The shunt revision rate was 22% for programmable pressure valves and 21% for fixed pressure valves (HR 1.1 [95% CI 0.6-1.8]). Shunt complications, such as valve failure, infection, and overdrainage, occurred with similar frequency across valve types. Kaplan-Meier survival curve analysis showed no difference in durability between fixed (mean 39 months) and programmable (mean 40 months) shunts (p = 0.980, log-rank test). The median shunt supply cost per index case and accounting for subsequent revisions was $3438 (interquartile range $2938-$3876) and $1504 (interquartile range $753-$1584) for programmable and fixed shunts, respectively (p < 0.001, Wilcoxon rank-sum test). Of all hydrocephalus etiologies, pseudotumor cerebri (HR 1.9 [95% CI 1.2-3.1]) and previous shunt malfunction (HR 1.8 [95% CI 1.2-2.7]) were found to significantly increase the risk of shunt revision. Within each diagnosis, there were no significant differences in revision rates between shunts with a fixed valve and shunts with a programmable valve. CONCLUSIONS: Long-term shunt revision rates are similar for fixed and programmable shunt pressure valves in adult patients. Hydrocephalus etiology may play a significant role in predicting shunt revision, although programmable valves incur higher supply costs regardless of initial diagnosis. Utilization of fixed pressure valves versus programmable pressure valves may reduce supply costs while maintaining similar revision rates. Given the importance of developing cost-effective management protocols, this study highlights the critical need for large-scale prospective observational studies and randomized clinical trials of ventricular shunt valve revisions and additional patient-centered outcomes.

10.
ScientificWorldJournal ; 6: 1066-74, 2006 Aug 31.
Article in English | MEDLINE | ID: mdl-16951899

ABSTRACT

Chronic, unremitting pain is perhaps the most common reason that patients seek medical care. In general, conservative techniques, such as medical management, are implemented as first-line therapy. Local anesthesia and lytic procedures, followed by interventional techniques, such as dorsal column stimulation and intrathecal drug delivery systems, are second-line therapies. However, for refractory and severe pain, which is not adequately controlled by other modes of therapy, new emerging options, including molecular or gene therapy, may become more widely utilized as experimental results are translated into clinical options.


Subject(s)
Genetic Therapy , Pain Management , Adenoviridae/genetics , Analgesia/methods , Animals , Clinical Trials as Topic , DNA/administration & dosage , Endorphins/therapeutic use , Genetic Therapy/methods , Genetic Vectors , Herpesvirus 1, Human/genetics , Humans , Inflammation/drug therapy , Liposomes , Neoplasms/therapy , Nervous System Diseases/therapy , Opioid Peptides/therapeutic use , Palliative Care , Transgenes/physiology
11.
J Pain ; 6(12): 777-81, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16326365

ABSTRACT

UNLABELLED: We reanalyze data of Frot et al on sex and location differences in the pain response to topical capsaicin using a dynamic model developed from responses to oral capsaicin. This model considers the pain response as the sum of 3 underlying component processes: a phasic component, a tonic component, and an integrator component. Sex differences in response to stimulation of both the cheek and ankle could be accounted for by a greater gain in the tonic mechanism. Responses to ankle stimulation showed a greater integrator component than responses to cheek stimulation, a negligible phasic component, and required a time delay. This analysis demonstrates that the model is applicable to responses to stimuli outside the oral cavity and that it can explain differences due to location and sex, in addition to explaining sensitization, desensitization, and individual differences in earlier studies. Application of this model in future genetic studies, for instance, would be more appropriate than the use of the peak response or the response at an arbitrarily determined time. PERSPECTIVE: This dynamic model provides insight into individual differences in sensitivity to vallinoid receptor-activating compounds including capsaicin, and it may be useful for the identification of subgroups of patients with differential responsiveness to therapeutic topical capsaicin. A similarly derived model might prove useful for the analysis of development of chronic pain.


Subject(s)
Afferent Pathways/physiology , Capsaicin/pharmacology , Nociceptors/physiology , Pain/physiopathology , Sensory Receptor Cells/physiology , Afferent Pathways/drug effects , Ankle/innervation , Ankle/physiology , Drug Resistance/genetics , Female , Humans , Inflammation Mediators/pharmacology , Male , Models, Neurological , Mouth/drug effects , Mouth/innervation , Mouth/physiology , Neural Conduction/genetics , Nociceptors/drug effects , Pain/chemically induced , Pain Threshold/drug effects , Pain Threshold/physiology , Pain, Intractable/drug therapy , Pain, Intractable/physiopathology , Psychophysics , Sensory Receptor Cells/drug effects , Sex Characteristics , Skin/drug effects , Skin/innervation
12.
Sheng Li Xue Bao ; 57(3): 278-88, 2005 Jun 25.
Article in English | MEDLINE | ID: mdl-15968421

ABSTRACT

The precise relationship between the degree of pain and the degree of inflammation in the individual remains debated. A quantitative analysis simultaneously applied to the immediate and prolonged painful consequences of inflammation has not yet been done. Thus, the correlations between edema, nociception and hypersensitivity following an inflammatory insult were assessed in rodents. To better understand the therapeutic value of modifying specific aspects of inflammation, the effects of an anti-inflammatory drug were compared to the results. Inbred strains of mice and outbred rats received an intraplantar injection of honeybee venom and the between-group and within-group correlations were calculated for spontaneous nociceptive measures, thermal and mechanical hypersensitivity, and edema and temperature. The effect of indomethacin on the pain and inflammation measures was examined. Edema correlated with spontaneous flinching, licking and lifting of the injected paw (P< or =0.003), and not with thermal or mechanical hypersensitivity. Indomethacin affected edema and spontaneous nociception dose-dependently, and affected hypersensitivity only at the highest dose tested (P< 0.05). These results suggest that edema may contribute only to immediate spontaneous nociceptive responses to an inflammatory insult, and not to the more clinically relevant prolonged hypersensitivity. This analysis represents a method for determining which inflammatory processes are the most promising therapeutic targets against the multiple painful consequences of inflammation.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/pharmacology , Edema/complications , Indomethacin/pharmacology , Inflammation/complications , Pain/physiopathology , Animals , Bee Venoms , Edema/chemically induced , Inflammation/chemically induced , Male , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Nociceptors/physiology , Pain/etiology , Pain Measurement , Rats , Rats, Sprague-Dawley
13.
Neurosci Biobehav Rev ; 26(8): 907-23, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12667496

ABSTRACT

Laboratory conditions in biobehavioral experiments are commonly assumed to be 'controlled', having little impact on the outcome. However, recent studies have illustrated that the laboratory environment has a robust effect on behavioral traits. Given that environmental factors can interact with trait-relevant genes, some have questioned the reliability and generalizability of behavior genetic research designed to identify those genes. This problem might be alleviated by the identification of the most relevant environmental factors, but the task is hindered by the large number of factors that typically vary between and within laboratories. We used a computational approach to retrospectively identify and rank sources of variability in nociceptive responses as they occurred in a typical research laboratory over several years. A machine-learning algorithm was applied to an archival data set of 8034 independent observations of baseline thermal nociceptive sensitivity. This analysis revealed that a factor even more important than mouse genotype was the experimenter performing the test, and that nociception can be affected by many additional laboratory factors including season/humidity, cage density, time of day, sex and within-cage order of testing. The results were confirmed by linear modeling in a subset of the data, and in confirmatory experiments, in which we were able to partition the variance of this complex trait among genetic (27%), environmental (42%) and genetic x environmental (18%) sources.


Subject(s)
Behavior/physiology , Environment , Genetics , Animals , Archives , Computational Biology , Electronic Data Processing , Female , Genotype , Laboratories , Male , Mice , Mice, Inbred Strains , Models, Genetic , Pain Measurement , Quantitative Trait, Heritable , Seasons , Species Specificity
14.
Pain ; 84(1): 1-12, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10601667

ABSTRACT

Corticotropin-releasing factor (CRF) is a peptide that is released from the hypothalamus and in widespread areas of the brain following exposure to stressors. It is considered to be a mediator of many of the effects of stress, and its analgesic properties have been demonstrated in many studies. However, for primarily methodological reasons, the effects of CRF in the central nervous system have been neglected whereas the peripheral effects of CRF have been overemphasized. We present evidence that: (1) CRF can act at all levels of the neuraxis to produce analgesia; (2) the release of beta-endorphin does not explain the analgesia following intravenous or intracranial CRF administration; (3) inflammation must be present for local CRF to evoke analgesia and (4) the analgesic effects of CRF show specificity for prolonged pain. These findings suggest that CRF may have a significant role in chronic pain syndromes associated with hypothalamic-pituitary-adrenal axis abnormalities. Furthermore, CRF may represent a new class of analgesics that merits further study. Implications for the relationship between stress and pain are discussed.


Subject(s)
Analgesia , Brain/physiology , Corticotropin-Releasing Hormone/physiology , Pain/physiopathology , Animals , Brain/drug effects , Brain/physiopathology , Corticotropin-Releasing Hormone/pharmacology , Humans , Hypothalamus/physiology , Hypothalamus/physiopathology , beta-Endorphin/physiology
15.
Pain ; 106(3): 325-335, 2003 Dec.
Article in English | MEDLINE | ID: mdl-14659515

ABSTRACT

The antiepileptic drug, gabapentin, and another structurally related compound, pregabalin, are increasingly employed in the pharmacotherapy of chronic pain states, although their primary mechanism of action remains a topic of active study. A genomic approach to the study of these drugs may elucidate their potentially novel mechanisms. We examined the heritability of sensitivity to analgesia from gabapentin and pregabalin as a precursor to linkage mapping efforts. Accordingly, 11 inbred mouse strains were tested for inhibition of nociception by gabapentin or pregabalin (50-300 mg/kg, i.p.) in two different preclinical assays of inflammatory pain, the formalin test (5% formalin; 20 microl) and zymosan thermal hyperalgesia on the paw-withdrawal test (3 mg/ml zymosan; 20 microl). Significant strain-dependence of drug action was noted in each case, indicating that sensitivity to these analgesics is heritable. Furthermore, the pattern of strain sensitivities to gabapentin and pregabalin were mostly similar, supporting the notion that they act via similar genetic and physiological mechanisms. However, there was virtually no correlation between strain sensitivities to pregabalin inhibition of formalin nociception and zymosan thermal hyperalgesia. In light of previous data from our laboratory and others regarding morphine analgesia, we now establish and empirically demonstrate the general principle that pharmacogenetic mechanisms underlying analgesic sensitivity are specific to the type of pain being inhibited. This has considerable implications for ongoing pharmacogenetic investigations and, more generally, for the choices of preclinical models of pain used in drug development.


Subject(s)
Acetates/therapeutic use , Amines , Cyclohexanecarboxylic Acids , Pain/drug therapy , Pain/genetics , Pharmacogenetics/methods , gamma-Aminobutyric Acid/analogs & derivatives , gamma-Aminobutyric Acid/therapeutic use , Acetates/pharmacology , Analgesia/methods , Animals , Dose-Response Relationship, Drug , Female , Gabapentin , Genotype , Male , Mice , Mice, Inbred AKR , Mice, Inbred BALB C , Mice, Inbred C3H , Mice, Inbred C57BL , Mice, Inbred CBA , Mice, Inbred DBA , Pain Measurement/drug effects , Pain Measurement/methods , Pregabalin , Species Specificity , gamma-Aminobutyric Acid/pharmacology
16.
Pain ; 97(1-2): 75-86, 2002 May.
Article in English | MEDLINE | ID: mdl-12031781

ABSTRACT

We and others have previously demonstrated that nociception in the mouse is heritable. A genetic correlation analysis of 12 common measures of nociception among a common set of inbred strains revealed three major clusters (or 'types') of nociception in this species. In the present study, we re-evaluated the major types of nociception and their interrelatedness using ten additional assays of nociception and hypersensitivity, including: three thermal assays (tail withdrawal from 47.5 degrees C water or -15 degrees C ethanol; tail flick from radiant heat), two chemical assays of spontaneous nociception (bee venom test; capsaicin test) and their subsequent thermal hypersensitivity states (including contralateral hypersensitivity in the bee venom test), a mechanical nociceptive assay (tail-clip test), and a mechanical hypersensitivity assay (intrathecal dynorphin). Confirming our earlier findings, the results demonstrate distinct thermal and chemical nociceptive types. It is now clear that mechanical hypersensitivity and thermal hypersensitivity are genetically dissociable phenomena. Furthermore, we now see at least two distinct types of thermal hypersensitivity: afferent-dependent, featuring a preceding significant period of spontaneous nociceptive behavior associated with afferent neural activity, and non-afferent-dependent. In conclusion, our latest analysis suggests that there are at least five fundamental types of nociception and hypersensitivity: (1) baseline thermal nociception; (2) spontaneous responses to noxious chemical stimuli; (3) thermal hypersensitivity; (4) mechanical hypersensitivity; and (5) afferent input-dependent hypersensitivity.


Subject(s)
Hyperalgesia/genetics , Nociceptors/physiology , Pain/genetics , Animals , Bee Venoms , Capsaicin , Carrageenan , Dynorphins/pharmacology , Hyperalgesia/chemically induced , Injections, Spinal , Male , Mice , Mice, Inbred AKR , Mice, Inbred BALB C , Mice, Inbred C3H , Mice, Inbred C57BL , Mice, Inbred CBA , Mice, Inbred DBA , Multivariate Analysis , Neurogenic Inflammation/chemically induced , Neurogenic Inflammation/genetics , Pain/chemically induced , Pain Measurement , Species Specificity , Tail
17.
Pain ; 111(1-2): 181-90, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15327822

ABSTRACT

Women have a higher incidence of chronic pain syndromes than men and are generally more sensitive to experimental pain. Numerous studies have shown that the female gonadal hormones, estrogens, can profoundly affect the nervous and immune systems, including mechanisms involved in pain and nociception. In the present study, we used antagonists of estrogen receptors (ER) or mu-opioid receptors (mu OR) to evaluate the effects of estrogens on formalin-induced behavioural and immune responses in male rats. After two days of priming with 17 beta-estradiol or saline (i.c.v.), animals were subjected to the formalin test; 15 min prior to formalin (50 microl, 5%) or sham injection in the hind paw, animals were treated with an ER antagonist (ICI 182,780, ICI) or a mu OR antagonist (beta-funaltrexamine, FNA) or saline. The spontaneous behaviours, pain-related behaviours and interferon-gamma (IFN-gamma) production by peripheral blood mononuclear cells were studied in all groups. We found that central administration of estradiol increased the amount of licking of the formalin-injected paw in the second phase of the formalin test. Whereas ICI and FNA had no effect on pain behaviour in saline-pre-treated animals, both antagonists reversed the estradiol-induced increase in licking. The immune system was differently affected by formalin and estradiol treatment. Indeed, formalin injection per se decreased IFN-gamma production; estradiol had no effect on sham-injected animals but strongly reduce the decrease of IFN-gamma production in formalin-injected animals. The results demonstrate that centrally acting estrogens affect ER- and mu OR-mediated pain processing and influence immune function.


Subject(s)
Estradiol/analogs & derivatives , Estradiol/pharmacology , Estrogen Antagonists/pharmacology , Interferon-gamma/metabolism , Naltrexone/analogs & derivatives , Pain/immunology , Receptors, Opioid, mu/antagonists & inhibitors , Animals , Behavior, Animal/drug effects , Drug Interactions , Fulvestrant , Injections, Intraventricular , Male , Naltrexone/pharmacology , Narcotic Antagonists/pharmacology , Neuroimmunomodulation/drug effects , Neuroimmunomodulation/physiology , Pain/metabolism , Pain Measurement , Rats , Rats, Wistar , Receptors, Opioid, mu/metabolism
18.
Brain Res ; 1001(1-2): 78-86, 2004 Mar 19.
Article in English | MEDLINE | ID: mdl-14972656

ABSTRACT

Behavioral, hormonal and neuronal responses to prolonged exposure to the volatile components of essential oil (EO) extracted from citrus lemon were investigated in male and female rats. Animals were exposed to the lemon essence for 2 weeks while in their cage. Anxiety was then determined with the elevated plus-maze apparatus while nociception was evaluated with a phasic thermal pain stimulus (plantar test) and with a chemical pain stimulus (formalin test). At the end of the experimental sessions, brain areas were dissected to measure beta-endorphin (beta-EP) concentrations in the hypothalamus and periaqueductal gray matter (PAG). Blood samples were collected to determine corticosterone plasma levels. In both sexes, prolonged EO exposure decreased the time spent in the open arms of the plus-maze apparatus. EO-exposed males and females showed higher thermal nociceptive thresholds than controls when tested with the plantar test apparatus. EO exposure induced female-specific decreases in formalin-induced pain behaviors during the formalin test. beta-EP concentrations in the hypothalamus and PAG were affected by EO. Corticosterone was lower in EO-exposed animals of both sexes than in their controls. These results suggest that long-term exposure to lemon EO can induce significant, at times sex-specific, changes in neuronal circuits involved in anxiety and pain.


Subject(s)
Citrus/chemistry , Hypothalamus/drug effects , Maze Learning/drug effects , Oils, Volatile/pharmacology , Pain Threshold/drug effects , Periaqueductal Gray/drug effects , beta-Endorphin/metabolism , Analysis of Variance , Animals , Behavior, Animal/drug effects , Corticosterone/blood , Female , Formaldehyde , Male , Motor Activity/drug effects , Pain Measurement/drug effects , Plant Oils/pharmacology , Rats , Reaction Time/drug effects , Sex Factors , Time
19.
Pain ; 155(5): 868-880, 2014 May.
Article in English | MEDLINE | ID: mdl-24071598

ABSTRACT

Prior genetic correlation analysis of 22 heritable behavioral measures of nociception and hypersensitivity in the mouse identified 5 genetically distinct pain types. In the present study, we reanalyzed that dataset and included the results of an additional 9 assays of nociception and hypersensitivity, with the following goals: to replicate the previously identified 5 pain types; to test whether any of the newly added pain assays represent novel genetically distinct pain types; and to test the level of genetic relatedness among 9 commonly used neuropathic pain assays. Multivariate analysis of pairwise correlations between assays shows that the newly added zymosan-induced heat hypersensitivity assay does not conform to the 2 previously identified groups of heat hypersensitivity assays and cyclophosphamide-induced cystitis, the first organ-specific visceral pain model examined, is genetically distinct from other inflammatory assays. The 4 included mechanical hypersensitivity assays are genetically distinct and do not comprise a single pain type as previously reported. Among the 9 neuropathic pain assays including autotomy, chemotherapy, nerve ligation and spared nerve injury assays, at least 4 genetically distinct types of neuropathic sensory abnormalities were identified, corresponding to differences in nerve injury method. In addition, 2 itch assays and Comt genotype were compared to the expanded set of nociception and hypersensitivity assays. Comt genotype was strongly related only to spontaneous inflammatory nociception assays. These results indicate the priority for continued investigation of genetic mechanisms in several assays newly identified to represent genetically distinct pain types.


Subject(s)
Hyperalgesia/genetics , Neuralgia/genetics , Nociception/physiology , Pain Measurement , Peripheral Nerve Injuries/genetics , Animals , Behavior, Animal , Disease Models, Animal , Male , Mice , Peripheral Nerve Injuries/etiology
20.
Ann Appl Stat ; 8(4): 2150-2174, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25541588

ABSTRACT

Microarray analysis to monitor expression activities in thousands of genes simultaneously has become routine in biomedical research during the past decade. a tremendous amount of expression profiles are generated and stored in the public domain and information integration by meta-analysis to detect differentially expressed (DE) genes has become popular to obtain increased statistical power and validated findings. Methods that aggregate transformed p-value evidence have been widely used in genomic settings, among which Fisher's and Stouffer's methods are the most popular ones. In practice, raw data and p-values of DE evidence are often not available in genomic studies that are to be combined. Instead, only the detected DE gene lists under a certain p-value threshold (e.g., DE genes with p-value < 0.001) are reported in journal publications. The truncated p-value information makes the aforementioned meta-analysis methods inapplicable and researchers are forced to apply a less efficient vote counting method or naïvely drop the studies with incomplete information. The purpose of this paper is to develop effective meta-analysis methods for such situations with partially censored p-values. We developed and compared three imputation methods-mean imputation, single random imputation and multiple imputation-for a general class of evidence aggregation methods of which Fisher's and Stouffer's methods are special examples. The null distribution of each method was analytically derived and subsequent inference and genomic analysis frameworks were established. Simulations were performed to investigate the type Ierror, power and the control of false discovery rate (FDR) for (correlated) gene expression data. The proposed methods were applied to several genomic applications in colorectal cancer, pain and liquid association analysis of major depressive disorder (MDD). The results showed that imputation methods outperformed existing naïve approaches. Mean imputation and multiple imputation methods performed the best and are recommended for future applications.

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