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Métodos Terapéuticos y Terapias MTCI
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1.
Eur J Pain ; 16(4): 485-95, 2012 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-22396078

RESUMEN

Pain influences many aspects of daily living and effective analgesics should reinstate normal spontaneous daily behaviours. Experiments are described herein which show that the innate, spontaneous behaviour of burrowing by rats, which can be simply and objectively assessed by measuring the amount of gravel left in a hollow tube 1 h after presentation to the rat, is reduced by peripheral nerve injury (tibial nerve transection (TNT), L5 spinal nerve transection (SNT) and partial sciatic nerve ligation (PSNL)) and also following inflammation induced by intra-plantar injection of Complete Freund's Adjuvant (CFA). Gabapentin (100 mg/kg sc) but not at 30 mg/kg sc significantly reduced burrowing activity in naive rats. All peripheral nerve injuries and CFA reduced burrowing compared with shams and rats naive to surgery. The level of mechanical hypersensitivity in rats with peripheral nerve injury did not correlate with the deficit in burrowing indicating that different parameters of the holistic pain experience are measured in these paradigms. Gabapentin at 30 mg/kg sc, but not 100 mg/kg sc, reversed the deficit in burrowing induced by TNT and ibuprofen (30 mg/kg sc) reversed the effect of CFA on burrowing. These experiments show that measurement of burrowing is a simple, objective assay of innate rodent behaviour affected by pain that is ethologically relevant to the rat, does not rely wholly on evoking a reflex and can dissociate a selective analgesic dose of gabapentin from one inducing motor impairment in the same animal.


Asunto(s)
Conducta Animal/fisiología , Inflamación/psicología , Dolor/psicología , Traumatismos de los Nervios Periféricos/psicología , Aminas/farmacología , Analgésicos/farmacología , Animales , Antiinflamatorios no Esteroideos/farmacología , Ácidos Ciclohexanocarboxílicos/farmacología , Interacciones Farmacológicas , Gabapentina , Hiperalgesia/etiología , Hiperalgesia/psicología , Ibuprofeno/farmacología , Inflamación/complicaciones , Inflamación/tratamiento farmacológico , Dolor/tratamiento farmacológico , Dolor/etiología , Dimensión del Dolor , Traumatismos de los Nervios Periféricos/complicaciones , Traumatismos de los Nervios Periféricos/tratamiento farmacológico , Ratas , Ratas Sprague-Dawley , Nervio Ciático/lesiones , Medio Social , Nervios Espinales/lesiones , Nervio Tibial/lesiones , Ácido gamma-Aminobutírico/farmacología
2.
Ann Fr Anesth Reanim ; 21(6): 493-508, 2002 Jun.
Artículo en Francés | MEDLINE | ID: mdl-12134594

RESUMEN

OBJECTIVE: To present the cannabinoid system together with recent findings on the pharmacology of these compounds in the treatment of pain. DATA SOURCES: Search through Medline database of articles published in French and English since 1966. Also use of other publications such as books on cannabis. STUDY SELECTION: All the relevant documents within the theme of this review were used. DATA EXTRACTION: All the data linked to the present topic were searched. DATA SYNTHESIS: Recent advances have dramatically increased our understanding of cannabinoid pharmacology. The psychoactive constituents of Cannabis sativa have been isolated, synthetic cannabinoids described and an endocannabinoid system identified, together with its component receptors and ligands. Strong laboratory evidence now underwrites anecdotal claims of cannabinoid analgesia in inflammatory and neuropathic pain. Sites of analgesic action have been identified in brain, spinal cord and the periphery, with the latter two presenting attractive targets for divorcing the analgesic and psychotrophic effects of cannabinoids. Clinical trials are now required, but are hindered by a paucity of cannabinoids of suitable bioavailability and therapeutic ratio. CONCLUSION: The cannabinoid system is a major target in the treatment of pain and its therapeutic potential should be assessed in the near future by the performance of new clinical trials.


Asunto(s)
Analgésicos no Narcóticos/farmacología , Analgésicos no Narcóticos/uso terapéutico , Cannabinoides/farmacología , Cannabinoides/uso terapéutico , Dolor/tratamiento farmacológico , Analgésicos no Narcóticos/efectos adversos , Animales , Moduladores de Receptores de Cannabinoides , Cannabinoides/efectos adversos , Cannabis/química , Humanos , Receptores de Cannabinoides , Receptores de Droga/efectos de los fármacos , Receptores de Droga/genética , Transducción de Señal/efectos de los fármacos
3.
Curr Opin Investig Drugs ; 2(3): 399-414, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11575713

RESUMEN

Recent advances have dramatically increased our understanding of cannabinoid pharmacology: the psychoactive constituents of Cannabis sativa have been isolated, synthetic cannabinoids described and an endocannabinoid system identified, together with its component receptors, ligands and their biochemistry. Strong laboratory evidence now underwrites anecdotal claims of cannabinoid analgesia in inflammatory and neuropathic pain. Sites of analgesic action have been identified in brain, spinal cord and the periphery, with the latter two presenting attractive targets for divorcing the analgesic and psychotrophic effects of cannabinoids. Clinical trials are now required, but are hindered by a paucity of cannabinoids of suitable bioavailability and therapeutic ratio.


Asunto(s)
Analgésicos/uso terapéutico , Cannabinoides/uso terapéutico , Dolor/tratamiento farmacológico , Ácidos Palmíticos/uso terapéutico , Receptores de Droga/agonistas , Médula Espinal/efectos de los fármacos , Amidas , Amidohidrolasas/antagonistas & inhibidores , Amidohidrolasas/metabolismo , Animales , Ácidos Araquidónicos/biosíntesis , Ácidos Araquidónicos/química , Ácidos Araquidónicos/metabolismo , Ácidos Araquidónicos/farmacología , Benzoxazinas , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Canfanos/química , Moduladores de Receptores de Cannabinoides , Cannabinoides/química , Cannabinoides/clasificación , Cannabinoides/farmacología , Membrana Celular/metabolismo , Ensayos Clínicos como Asunto , Modelos Animales de Enfermedad , Diseño de Fármacos , Interacciones Farmacológicas , Endocannabinoides , Inhibidores Enzimáticos/farmacología , Etanolaminas , Glicéridos/biosíntesis , Glicéridos/química , Humanos , Inyecciones Espinales , Estructura Molecular , Morfolinas/química , Naftalenos/química , Dolor/inducido químicamente , Palmitatos/farmacología , Piperidinas/química , Extractos Vegetales/uso terapéutico , Alcamidas Poliinsaturadas , Pirazoles/química , Receptores de Cannabinoides , Receptores de Droga/análisis , Receptores de Droga/metabolismo , Rimonabant , Médula Espinal/metabolismo
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