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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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