Experiments on conscious dogs addressed the effects of blockade of type 3 serotonin receptors on visceromotor reactions and changes in heart rate (HR) initiated by nociceptive distension of the rectum. Distension of the rectal walls with pressures of 20–60 mmHg were found not to produce significant changes in the electromyographic activity of the abdominal muscles or HR. Distension of the intestine with a pressure of 80 mmHg and greater produced marked visceromotor reactions (contractions of the abdominal muscles) and increases in HR (tachycardia), which are regarded as markers for the occurrence of pain sensations. Use of these indicators allowed the first demonstration in conscious dogs of the dose-dependent antinociceptive effect of blockade of 5-HT3 receptors with granisetron. Administration of granisetron at doses of 0.25, 0.5, and 1.0 mg/kg was accompanied by prolonged (at least 90 min) decreases in visceromotor reactions to nociceptive rectal distension by 33.6 ± 9.2%, 58.0 ± 8.6%, and 76.7 ± 5.5% of baseline, respectively. In turn, the inhibitory effect of granisetron on tachycardia induced by painful rectal stimulation was seen only immediately after administration. Thus, studies on conscious dogs demonstrated the antinociceptive effect of granisetron in relation to abdominal pain, which may be relevant in the development of pharmacological agents to treat pain in patients with irritable bowel syndrome.
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References
V. Andresen and M. Camilleri, “Irritable bowel syndrome: recent and novel therapeutic approaches,” Drug, 66, 1073–1078 (2006).
F. Azpiroz, M. Bouin, M. Camilleri, et al., “Mechanisms of hypersensitivity in IBS and functional disorders,” Neurogastroenterol. Motil., 19, Suppl. 1, 62–88 (2007).
S. E. Banner and G. J. Sanger, “Differences between 5-HT3 receptor antagonists in modulation of visceral hypersensitivity,” Br. J. Pharmacol., 114, 558–562 (1995).
S. E. Banner, M. Carter, and G. J. Sanger, “5-Hydroxytryptamine 3 receptor antagonists modulate a noxious visceral pseudoaffective reflex,” Neuropharmacology, 34, 263–267 (1995).
S. C. Boike, B. Ilson, N. Zariffa, and D. K. Jorkasky, “Cardiovascular effects of i.v. granisetron at two administration rates and of ondansetron in healthy adults,” Am. J. Health Syst. Pharm., 54, 1172–1176 (1997).
M. Bouin, V. Plourde, M. Boivin, et al., “Rectal distention testing in patients with irritable bowel syndrome: sensitivity, specificity, and predictive values of pain sensory thresholds,” Gastroenterology, 122, No. 2, 1771–1777 (2002).
S. Bradesi, L. Lao, P. G. McLean, et al., “Dual role of 5-HT3 receptors in a rat model of delayed stress-induced visceral hyperalgesia,” Pain, 13, No. 1–2, 56–65 (2007).
C. Brock, L. Arendt-Nelson, O. Wilder-Smith, and A. M. Drewes, “Sensory testing of the human gastrointestinal tract,” World J. Gastroenterol., 15, No. 2, 151–159 (2009).
L. Bueno, F. De Ponti, M. Fried, et al., “Serotonergic and non-serotonergic targets in the pharmacotherapy of visceral hypersensitivity,” Neurogastroenterol. Motil., 19, Suppl. 1, 89–119 (2007).
M. Buyukavci, H. Olgun, and N. Ceviz, “The effects of ondansetron and granisetron on electrocardiography in children receiving chemotherapy for acute leukemia,” Am. J. Clin. Oncol., 28, 201–204 (2005).
F. B. Cakir, O. Yapar, C. Canpolat, et al., “Cardiac effects of granisetron in a prospective crossover randomized dose comparison trial support,” Care Cancer, 20, 2451–2457 (2012).
M. Camilleri, “Serotonergic modulation of visceral sensation: lower gut,” Gut, 51, Suppl. I, i81–i86 (2002).
R. M. Danzebrink and G. F. Gebhart, “Evidence that spinal 5-HT1, 5-HT2, and 5-HT3 receptor subtypes modulate responses to noxious colorectal distension in the rat,” Brain Res., 538, No. 1, 64–75 (1991).
M. Fayyaz and J. M. Lackner, “Serotonin receptor modulators in the treatment of irritable bowel syndrome,” Ther. Clin. Risk. Manag., 4, 41–48 (2008).
H. Gregersen, A. M. Drewes, B. P. McMahon, and D. Liao, “Balloon-distension studies in the gastrointestinal tract: Current role,” Dig. Dis., 24, 286–296 (2006).
J. Huang, A. D. Spier, and V. M. Pickil, “5-HT3a receptor subunits in the rat medial nucleus of the solitary tract: subcellular distribution and relation to the serotonin transporter,” Brain Res., 1028, 156–169 (2004).
V. Jain, J. K. Mitra, G. P. Rath, et al., “A randomized, double-blinded comparison of ondansetron, granisetron, and placebo for prevention of postoperative nausea and vomiting after supratentorial craniotomy,” J. Neurosurg. Anesthesiol., 21, 226–230 (2009).
M. Kanazawa, M. Hongo, and S. Fukudo, “Visceral hypersensitivity in irritable bowel syndrome,” J. Gastroenterol. Hepatol., 26, Suppl. 3, 119–121 (2011).
D. Y. Kim and M. Camilleri, “Serotonin: a mediator of the brain-gut connection,” Am. J. Gastroenterol., 95, No. 10, 2698–2709 (2000).
C. M. Kozlowski, A. Green, D. Grundy, et al., “The 5-HT(3) receptor antagonist alosetron inhibits the colorectal distention induced depressor response and spinal c-fos expression in the anaesthetised rat,” Gut, 46, 474–480 (2000).
S. D. Kuiken, G. N. Tytgat, and G. F. Boeckxstaens, “Review article: drugs interfering with visceral sensitivity for the treatment of functional gastrointestinal disorders – the clinical evidence,” Aliment. Pharmacol. Ther., 21, No. 6, 633–651 (2005).
A. Langlois, X. Pascaud, J. L. Junien, et al., “Response heterogeneity of 5-HT3 receptor antagonists in a rat visceral hypersensitivity model,” Eur. J. Pharmacol., 318, No. 1, 141–144 (1996).
H. Mertz, B. Naliboff, J. Munakata, et al., “Altered rectal perception is a biological marker of patients with irritable bowel syndrome,” Gastroenterology, 109, No. 1, 40–52 (1995).
A. Miranda, S. Peles, P. G. McLean, and J. N. Sengupta, “Effects of the 5-HT3 receptor antagonist, alosetron, in a rat model of somatic and visceral hyperalgesia,” Pain, 126, No. 1–3, 54–63 (2006).
M. Miura, D. C. Lawson, E. M. Clary, et al., “Central modulation of rectal distension induced blood pressure changes by alosetron, a 5-HT3 receptor antagonist,” Dig. Dis. Sci., 44, 20–24 (1999).
H. Monnikes, J. Ruter, M. Konig, et al., “Differential induction of c-fos expression in brain nuclei by noxious and non-noxious colonic distention: role of afferent C-fibers and 5-HT3 receptors,” Brain Res., 966, 252–264 (2003).
M. Morales, E. Battenburg, and F. E. Bloom, “Distribution of neurons expressing immunoreactivity for the 5-HT3 receptor subtype in the rat brain and spinal cord,” J. Comp. Neurol., 402, 385–401 (1998).
O. Morteau, V. Lulia, C. Eeckhout, and L. Bueno, “Influence of 5-HT3 receptor antagonists in visceromotor and nociceptive responses to rectal distension before and during experimental colitis in rats,” Fundam. Clin. Pharmacol., 8, 553–562 (1994).
H. E. Moss and G. J. Sanger, “The effects of granisetron, ICS 205–930 and ondansetron on the visceral pain reflex induced by duodenal distension,” Br. J. Pharmacol., 100, 497–501 (1990).
R. M. Navari and J. M. Koeller, “Electrocardiographic and cardiovascular effects of the 5-hydroxytryptamine3 receptor antagonists,” Ann. Pharmacother., 37, 1276–1286 (2003).
T. J. Ness and G. F. Gebhart, “Colorectal distension as a noxious visceral stimulus: physiologic and pharmacologic characterization of pseudoaffective reflexes in the rat,” Brain Res., 450, 153–169 (1988).
F. G. Pinarli, M. Elli, A. Dagdemir, et al., “Electrocardiographic findings after 5-HT3 receptor antagonists and chemotherapy in children with cancer,” Pediatr. Blood Cancer, 47, 567–571 (2006).
A. Prior and N. W. Read, “Reduction of rectal sensitivity and postprandial motility by granisetron, a 5-HT3-receptor antagonist, in patients with irritable bowel syndrome,” Aliment. Pharmacol. Ther., 7, 175–180 (1993).
J. Ritchie, “Pain from distension of the pelvic colon by inflating a balloon in the irritable colon syndrome,” Gut, 14, No. 2, 125–132 (1973).
D. R. Robinson and G. F. Gebhart, “Animal models of visceral pain,” in: Chronic Visceral and Abdominal Pain, Informa Healthcare USA Inc., New York (2007), pp. 107–125.
M. I. Smith, S. E. Banner, and G. J. Sanger, “5-HT4 receptor antagonism potentiates inhibition of intestinal allodynia by 5-HT3 receptor antagonism in conscious rats,” Neurosci. Lett., 271, 61–64 (1999).
R. Spiller, “Recent advances in understanding the role of serotonin in gastrointestinal motility in functional bowel disorders: alterations in 5-HT signalling and metabolism in human disease,” Neurogastroenterol. Motil., 19, Supplement 2, 25–31 (2007).
M. Thumshirn, B. Coulie, M. Camilleri, et al., “Effects of alosetron on gastrointestinal transit time and rectal sensation in patients with irritable bowel syndrome,” Aliment. Pharmacol. Ther., 14, No. 7, 869–878 (2000).
K. Tsukamoto, T. Kurihara, N. Nakayama, et al., “Pressor responses to serotonin injected into the nucleus tractus solitarius of Sprague–Dawley rats and spontaneously hypertensive rats,” Clin. Exp. Hypertens., 22, 63–73 (2000).
Y. Wang, A. Ramage, and D. Jordan, “Presynaptic 5-HT3 receptors evoke an excitatory response in dorsal preganglionic neurons in anaesthetized rats,” J. Physiol., 509, 683–694 (1998).
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Translated from Rossiiskii Fiziologicheskii Zhurnal imeni I. M. Sechenova, Vol. 99, No. 4, pp. 471–483, April, 2013.
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Panteleev, S.S., Busygina, I.I. & Lyubashina, O.A. Effects of Selective Blockade of 5-HT3 Receptors on Physiological Markers of Abdominal Pain in Conscious Dogs. Neurosci Behav Physi 45, 263–270 (2015). https://doi.org/10.1007/s11055-015-0066-z
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DOI: https://doi.org/10.1007/s11055-015-0066-z