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Involvement of chloride channel coupled GABAC receptors in the peripheral
antinociceptive effect induced by GABAC receptor agonist
cis-4-aminocrotonic acid
Glucia Maria Lopes Reis, Igor Dimitri Gama Duarte
Department of Pharmacology, Institute of Biological Sciences, UFMG, Av. Antnio Carlos, 6627, 31270-100, Belo Horizonte, Brazil
Received 5 September 2006; accepted 12 December 2006
Abstract
We investigated the effect of chloride and potassium channel blockers on the antinociception induced by GABAC receptor agonist CACA (cis-4-
aminocrotonic acid) using the paw pressure test, in which pain sensitivity was increased by an intraplantar injection (2 g) of prostaglandin E2(PGE2). CACA administered locally into the right hindpaw (25, 50 and 100 g/paw) elicited a dose-dependent antinociceptive effect which was
demonstrated to be local, since only higher doses produced an effect when injected in the contralateral paw. The GABAC receptor antagonist (1,2,5,6
tetrahydropyridin-4-yl) methylphosphinic acid (TPMPA; 5, 10 and 20 g/paw) antagonized, in a dose-dependent manner, the peripheral
antinociception induced by CACA (100 g), suggesting a specific effect. This effect was reversed by the chloride channel coupled receptor blocker
picrotoxin (0.8 g/paw). Glibenclamide (160 g) and tolbutamide (320 g), blockers of ATP-sensitive potassium channels, charybdotoxin (2 g), a
large-conductance potassium channel blocker, dequalinium (50 g), a small-conductance potassium channel blocker, and cesium (500 g), a non-
specific potassium channel blocker did not modify the peripheral antinociception induced by CACA. This study provides evidence that activation of
GABAC receptors in the periphery induces antinociception, that this effect results from the activation of chloride channel coupled GABAC receptors
and that potassium channels appear not to be involved. 2007 Elsevier Inc. All rights reserved.
Keywords: cis-4-aminocrotonic acid; CACA; K+ channel; Cl channel; Peripheral antinociception; Picrotoxin; TPMPA
Introduction
In the vertebrate central nervous system, -aminobutyric
acid (GABA) is the major inhibitory neurotransmitter. GABA
receptors can be classified as GABAA and GABAC receptors,
which are ionotropic receptors, or as GABAB receptors, whichare metabotropic receptors coupled to the GTP-binding protein
(Bormann, 2000; Bowery and Enna, 2000). GABAA receptors
have several subunits (6, 4, 3, 1, 1, 1, and 3), which
form a pentameric chloride channel (Barnard et al., 1998).
GABAC receptors are pentameric Cl channels composed of the
subunits ( 13). The GABAA and GABAB receptors show
sensitivities to bicuculline and baclofen, respectively. GABACreceptors do not respond to either drug. GABA analogue cis-4-
aminocrotonic acid (CACA) selectively activates GABACreceptors while TPMPA has been identified as a potent and
highly selective antagonist for GABAC receptors (Bowery et al.,
1981; Bormann, 2000; Bowery and Enna, 2000).The function of GABA in the modulation of nociception is
crucial and complex. Several reports have demonstrated the
participation of GABAergic system in modulation of pain at the
supraspinal (Millan, 2002) and spinal level (Malcangio and
Bowery, 1996; Hammond, 2001). In addition, studies have
demonstrated a peripheral GABAergic antinociceptive action
(Carlton and Zhou, 1998; Motta et al., 2004). Most of these
studies examined the effects of activation of GABAA and
GABAB receptors in nociception. In contrast, less is known
about the involvement of the GABAC receptor in pain. The
function of the GABAC receptor has been extensively studied in
Life Sciences 80 (2007) 12681273
www.elsevier.com/locate/lifescie
Corresponding author. Departamento de Farmacologia, ICB-UFMG, Av.
Antnio Carlos, 6627, Campus da Pampulha, Belo Horizonte, MG, Brasil, CEP:
31.270-100, Brazil.
E-mail address: [email protected](I.D.G. Duarte).
0024-3205/$ - see front matter 2007 Elsevier Inc. All rights reserved.doi:10.1016/j.lfs.2006.12.015
mailto:[email protected]://dx.doi.org/10.1016/j.lfs.2006.12.015http://dx.doi.org/10.1016/j.lfs.2006.12.015mailto:[email protected] -
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the retina where the receptor is strongly expressed in bipolar cell
axon terminals (Enz et al., 1996; Koulen et al., 1997; Fletcher
et al., 1998; Lukasiewicz, 1996). However, Zheng et al. (2003)
localized the 1 subunits of the GABAC receptor on lamina I
and II of the dorsal horn and dorsal root ganglia (DRG), crucial
sites for pain transmission.
In this context, the aim of the present study was to verify thepossibility of the peripheral antinociceptive effect of the
GABAC agonist CACA using the rat paw pressure test. The
specificity of CACA in GABAC receptors was also tested
through intraplantar administration of GABAC receptor antag-
onist TPMPA. Furthermore, the possible antinociceptive action
mechanism was evaluated using picrotoxin, a chloride channel
blocker, and specific potassium channel specific blockers.
Materials and methods
Animals
The experiments were performed on 160200 g male Wistar
rats (N= 47 per group) from CEBIO-UFMG (The Animal
Centre of the Federal University of Minas Gerais). The animals
were housed in a temperature-controlled room (23 1 C) on an
automatic 12-h light/dark cycle (06:00 to 18:00 h of light
phase). All testing was concluded during the light phase (8:00
15:00). Food and water were freely available until the beginning
of the experiments. Naive animals were used throughout. All
the experiments were approved by the Ethics Committee on
Animal Experimentation (CETEA) of the Federal University of
Minas Gerais.
Measurement of the hyperalgesia
Hyperalgesia was induced by a subcutaneous injection of
prostaglandin E2 (PGE2, 2 g) into the plantar surface of the
rat's hindpaw and measured by the paw pressure test described
by Randall and Selitto (1957). An analgesimeter (Ugo-Basile,
Italy) with a cone-shaped paw-presser with a rounded tip was
used to apply a linearly increasing force to the rat's right
hindpaw. The weight in grams required to elicit nociceptive
response paw flexion or struggle was determined as the
nociceptive threshold. A cut-off value of 300 g was used to
prevent damage to the paws. The nociceptive threshold was
measured in the right paw and determined by the average ofthree consecutive trials recorded before (zero time) and 3 h after
PGE2 injection (peak of effect). The results were calculated by
the difference between these two averages ( of nociceptive
threshold) and expressed as grams (Fig. 1). To reduce stress, the
rats were habituated to the apparatus 1 day before the
experiments.
Drug administration
The drug used as a hyperalgesic agent was PGE2 (Sigma,
USA), and cis-4-aminocrotonic acid (CACA; Tocris, USA) was
used as the GABAC receptor agonist. 1,2,5,6 tetrahydropyridin-
4-yl (TPMPA; Sigma) was used as a GABAC receptor
antagonist. The Cl- channel blocker was picrotoxin (Sigma)
and the K+ channels blockers were glibenclamide (Sigma),
tolbutamide (ICN Biomedicals, USA), charybdotoxin (Sigma),
dequalinium (Calbiochem, USA), tetraethylammonium
(Sigma), 4-aminopyridine (Sigma), and cesium (Mitsuwa's
Pure Chemical, Japan). Prostaglandin E2 (ethanol 8% in saline),
CACA, TPMPA, picrotoxin, TEA, 4-AP, charybdotoxin,
cesium and dequalinium were dissolved in isotonic saline
while the sulphonylureas glibenclamide and tolbutamide were
dissolved in Tween 80 vehicle (2% in saline). All drugs were
dissolved immediately before use and injected in a volume of100 l/paw, with exception of K+ channel blockers, TPMPA
and picrotoxin, which were injected in a volume of 50 l/paw.
Experimental protocol
CACA was administered subcutaneously in the right
hindpaw 2 h and 45 min after the local injection of PGE 2. In
the protocol used to determine whether CACA was acting
outside the injected paw, PGE2 was injected into both hindpaws,
while CACA was administered into the left or right paw. The
nociceptive threshold was always measured in the right
hindpaw. TPMPA was administered subcutaneously in theright paw 5 min before CACA and picrotoxin was injected
40 min before CACA. All the K+ channel blockers were
injected subcutaneously into the right hindpaw 30 min before
CACA. The protocol above was assessed in the literature and
pilot experiments to determine best moment of injection for
each substance.
Statistical analysis
The data were analysed statistically by one-way analysis of
variance (ANOVA) using the Bonferroni test post-hoc for
multiple comparisons. Probabilities less than 5% (Pb0.05)
were considered statistically significant.
Fig. 1. Parameter utilized for calculation of of nociceptive threshold. Left bars
represent the nociceptive threshold express in gram (g) before prostaglandin E 2(PGE2, 2 g) or saline (Sal) administration (0 h). Central bars are the mechanical
threshold measured 3 h after PGE2 or Sal administration (3rd h). Right bars refer to
difference between these measurements ( of nociceptive threshold).
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Results
Peripheral antinociceptive effect of CACA
Fig. 2 shows that intraplantar administration of CACA (25,
50 and 100 g) in the right paw antagonized the hyperalgesic
effect of PGE2 (2 g/paw) in a dose-dependent manner. CACAat a dose of 100 g/paw, when injected into left paw, did not
produce an antinociceptive effect in the right paw, whereas
CACA at a dose of 200 g/paw, when injected into the left paw,
induced antinociceptive effect in the contralateral paw (Fig. 3).
Antagonism of CACA-induced antinociception by TPMPA
The intraplantar injection of TPMPA (5, 10, and 20 g)
reduced the peripheral antinociception induced by CACA
(100 g/paw; Fig. 4) in a dose-dependent manner. TPMPA did
not modify the nociceptive threshold in control animals or
induce any overt behavioural effect at the doses used.
Antagonism of CACA-induced antinociception by picrotoxin
Picrotoxin (0.8 g/paw) significantly reduced the CACA-
induced peripheral antinociception (100 g/paw; Fig. 5). This
drug did not modify the nociceptive threshold in control animals
or induce any overt behavioural effect at the doses used.
Effect of K+ channel blockers on CACA-induced
antinociception
As shown in Fig. 6, the K+ channel blockers tetraethylam-
monium (30 g), 4-aminopyridine (10 g), glibenclamide
(160 g), tolbutamide (320 g), charybdotoxin (2 g),
dequalinium (50 g) and cesium (500 g), injected into the
paw, did not modify the antinociception induced by CACA
Fig. 2. Effect of GABAC receptor agonist CACA on the nociceptive threshold in
rats with PGE2-induced hyperalgesia. CACA (g/paw) was administered 2 h
and 45 min after local administration of 100 l of PGE2 (2 g). The
antinociceptive response was measured in the paw pressure test as described in
Methods. Each column represents the meanS.E.M. for 45 rats per group.
Indicates a significant difference from the PGE2
+ saline (Sal) injected control(Pb0.05, ANOVA+Bonferroni test).
Fig. 3. Exclusion of outside paw antinociceptive effect of CACA (100 g).
CACA was administered into the right (R) or left (L) paw 2 h and 45 min after
PGE2 (2 g) administration into both hind paws. The antinociceptive response
of the right (R) hindpaw was measured in the paw pressure test as described in
Methods. Each column represents the mean S.E.M. for 5 rats per group.Indicates a significant difference from the PGE2+ Sal injected control (Pb0.05,
ANOVA+Bonferroni test).
Fig. 4. Antagonism induced by intraplantar administration of GABAC receptor
antagonist TPMPA of the peripheral antinociception produced by CACA in
hyperalgesic paws (PGE2, 2 g). TPMPA (g) was administered 05 min before
CACA (100 g/paw). Each column represents the mean S.E.M. for 45 rats per
group. , # Indicate significant differences compared to PGE2+Sal+Sal- and
PGE2
+ CACA+ Sal-injected groups, respectively (Pb
0.05, ANOVA + Bonferronitest). Veh= vehicle.
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(100 g/paw). These drugs did not induce hyperalgesia or
antinociception by themselves (data not shown).
Discussion
The function of GABAC receptors in the visual system hasbeen extensively demonstrated (Quian and Dowling, 1993; Enz
and Cutting, 1999; Koulen et al., 1997; Fletcher et al., 1998;
Lukasiewicz, 1996). In contrast, the involvement of the GABACreceptors in pain has been less studied. In the present study,
CACA, an agonist of GABAC receptors, induced a dose-
dependent and peripheral antinociceptive effect on PGE2-
induced hyperalgesia. This is consistent with data from the
literature reporting the participation of the GABAergic system
in the modulation of pain. For example, Fields et al. (1991)
reported the involvement of the GABAA receptor in the
modulation of central nociception through the descending
inhibitory system. Also, the GABAB receptor agonist baclofen,has been reported to produce central antinociception (Shafiza-
deh et al., 1997; Sabetkasai et al., 1999; Sawynok, 1987; Aran
and Hammond, 1991). In addition, Carlton et al. (1999)
demonstrated that muscimol, a GABAA receptor agonist,
induced peripheral antinociception in the formalin test.
GABAC receptors are formed by a specific subunit (Bormann,
2000). The presence of subunit or mRNA can be used as a
marker for GABAC receptors (Schlicker et al., 2004). The 1subunits have been localized on lamina I and II of the dorsal
horn and DRG; crucial sites for pain transmission (Zheng et al.,
2003). This study also demonstrated that the mechanical pain
threshold with the von Frey filament test was decreased in
rho1/ mice compared with control mice.
The possibility that CACA at a dose of 100 g/paw produced
antinociception by acting at sites outside the paw was excluded,
since its administration into the left paw did not alter hyperalgesia
in the contralateral paw. In these experiments, PGE2 was ad-
ministered in the left paw, so that this site of administration would
be similar to that in the right paw, with an equal possibility that
these agents would reach receptors outside the injected paw.A source of endogenous GABA for this peripheral receptor
might be glutamate-containing primary afferent fibres. This
amino acid is present in more than 90% of primary afferent
fibers (Battaglia and Rustioni, 1988) and is converted by
glutamic acid decarboxylase (GAD) into GABA (Malcangio
and Bowery, 1996). In addition, was demonstrated the presence
of GABA in primary afferent neurons of feline sensory ganglia:
trigeminal ganglia and DRG. The localization of GABA in
primary afferent neurons, which are considered to be nocicep-
tors, suggests that the amino acid may function as a pain
transmitter or modulator (Stoyanova, 2004).
Unlike GABAA receptors, GABAC receptors are not inhibitedby GABAA receptor antagonist bicuculline and, unlike GABABreceptors, they are not activated by GABAB receptor agonist
baclofen (Chebib and Johnston, 2000). In the present study,
receptor specificity is shown by demonstrating that TPMPA, a
specific GABAC receptor antagonist (Ragozzino et al., 1996),
blocked the peripheral antinociceptive effect of CACA. Further-
more, our results show that neither bicuculline nor GABABreceptor antagonist saclofen blocked the antinociceptive effect
Fig. 5. Antagonism induced by intraplantar administration of picrotoxin of the
peripheralantinociception produced by CACA in hyperalgesic paws (PGE2, 2 g).
Picrotoxin (g) was administered 40 min before CACA (100 g/paw). Each
column represents the mean S.E.M. for 47 rats per group. , # Indicate
significant differences compared to PGE2+Sal+Sal- and PGE2+CACA+Sal-
injected groups, respectively (Pb0.05, ANOVA+Bonferroni test). Veh=vehicle.
Fig. 6. Effect of intraplantar administration of tetraethylammonium (TEA),
4-aminopyridine (4-AP), glibenclamide (GLI), tolbutamide (TOL), charybdo-
toxinin (ChTX), dequalinium (DQ) and cesium (Cs) on the peripheral
antinociception produced by CACA in hyperalgesic paws (PGE2, 2 g). Drugs
(g) were administered 30 min before CACA (100 g/paw). Each column
represents the meanS.E.M. for 47 rats per group. , # Indicate significant
differences compared to PGE2
+Sal+ Sal- and PGE2
+CACA+Sal-injectedgroups, respectively (Pb0.05, ANOVA+Bonferroni test). Veh=vehicle.
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induced by CACA (data not shown), further supporting the
argument that the antinociceptive response induced by CACA in
the paw pressure test is mediated by a GABAC mechanism.
The present work suggested for the first time, based on
pharmacological evidence, the peripheral occurrence of
GABAC receptors and their antinociceptive function/activation.
According to Bormann (2000) the Cl- channel blockerpicrotoxin is a strong antagonist on GABAA and 1 homomeric
GABAC receptors. The present results demonstrated that the
intraplantar administration of picrotoxin antagonized the
peripheral antinociception induced by CACA, suggesting that
chloride channel coupled GABAC receptors play an important
role in this effect. In neurons of the major pelvic ganglion in
rats, picrotoxin blocked the biphasic response (depolarization
followed by hyperpolarization) induced by CACA indicating
that GABAC receptors mediate this effect (Akasu et al., 1999).
In this study, we propose that activation of chloride channel
coupled GABAC receptors cause a hyperpolarization of
peripheral terminals of primary afferents, leading to a decreasein action potential generation.
In contrast, K+ channel blockers, in effective doses
(Rodrigues and Duarte, 2000; Soares and Duarte, 2001;
Pacheco and Duarte, 2005) did not exhibit any effect in the
peripheral antinociception induced by CACA. The lack of
antagonism of peripheral antinociceptive effect of CACA by K+
channel blockers was expected, as CACA does not open K+
channels in neurons, but does open Cl- channels (Bormann,
2000). In addition, K+ channel blockers seem to antagonize
only the antinociception due to drugs that activate receptors
linked to K+ channel (see Ocaa et al., 2004).
More recently, we demonstrated the participation of voltage-
dependent K+ channel or G-protein-coupled inwardly rectifyingK+ channel in the peripheral antinociception induced by
baclofen (Reis and Duarte, 2006).
In conclusion, the present study shows that the peripheral
chloride channels coupled to GABAC receptors play an
important role in the antinociception induced by CACA and
that K+ channel do not appear to be involved in this effect.
Acknowledgements
The authors were supported by a fellowship from the
Coordenao de Aperfeioamento de Pessoal de Nvel Superior
(CAPES) and the Conselho Nacional de Pesquisa (CNPq).
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