Abstract
Rationale
Clinical data support a correlation between smoking and the incidence and severity of some chronic pain conditions. However, the impact of nicotine on neuropathic pain has been largely ignored in the laboratory setting.
Objectives
The purpose of these studies was to determine if chronic nicotine would alter mechanical hypersensitivity after spinal nerve ligation.
Materials and methods
Rats were implanted with osmotic mini pumps to administer either saline or nicotine (4, 10, or 24 mg/kg/day) for 7 or 21 days. On day 7 of saline/nicotine administration, rats receiving 24 mg/kg/day nicotine underwent spinal nerve ligation. Mechanical thresholds to pressure were measured across nicotine exposure and spinal cords were collected on days 7 or 21. Spinal cord slices were immunostained for phosphorylation of cAMP response element binding protein (pCREB), to determine general neuronal activity, and for cleaved caspase-3, as a marker for apoptosis.
Results
Chronic nicotine produced a dose-dependent and stable mechanical hypersensitivity, which could be blocked with the α4β2-selective antagonist, dihydro-β-erythroidine (DHβE). Spinal nerve ligation also produced a stable mechanical hypersensitivity, which was exacerbated in the presence of chronic nicotine. Differences in mechanical sensitivity were reflected in spinal pCREB, which was highly correlated with the degree of mechanical hypersensitivity. Chronic nicotine also altered the number of pro-apoptotic cells in the spinal cord as measured by cleaved caspase-3.
Conclusions
These findings demonstrate that chronic nicotine produces a stable, long-lasting, mechanical hypersensitivity that exacerbates mechanical sensitivity resulting from peripheral nerve injury. The mechanism of this may involve an increase in spinal neuronal activity and apoptosis.
Similar content being viewed by others
References
Anderson LE, Seybold VS (2000) Phosphorylated cAMP response element binding protein increases in neurokinin-1 receptor-immunoreactive neurons in rat spinal cord in response to formalin-induced nociception. Neurosci Lett 283:29–32
Anderson KL, Pinkerton KE, Uyeminami D, Simons CT, Carstens MI, Carstens E (2004) Antinociception induced by chronic exposure of rats to cigarette smoke. Neurosci Lett 366:86–91
Azkue JJ, Zimmermann M, Hsieh TF, Herdegen T (1998) Peripheral nerve insult induces NMDA receptor-mediated, delayed degeneration in spinal neurons. Eur J Neurosci 10:2204–2206
Benowitz NL, Porchet H, Sheiner L, Jacob P III (1988) Nicotine absorption and cardiovascular effects with smokeless tobacco use: comparison with cigarettes and nicotine gum. Clin Pharmacol Ther 44:23–28
Carstens E, Anderson KA, Simons CT, Carstens MI, Jinks SL (2001) Analgesia induced by chronic nicotine infusion in rats: differences by gender and pain test. Psychopharmacology (Berl) 157:40–45
Cronin JN, Bradbury EJ, Lidierth M (2004) Laminar distribution of GABAA- and glycine-receptor mediated tonic inhibition in the dorsal horn of the rat lumbar spinal cord: effects of picrotoxin and strychnine on expression of Fos-like immunoreactivity. Pain 112:156–163
Fertig JB, Pomerleau OF, Sanders B (1986) Nicotine-produced antinociception in minimally deprived smokers and ex-smokers. Addict Behav 11:239–248
Flores CM, Rogers SW, Pabreza LA, Wolfe BB, Kellar KJ (1992) A subtype of nicotinic cholinergic receptor in rat brain is composed of alpha 4 and beta 2 subunits and is up-regulated by chronic nicotine treatment. Mol Pharmacol 41:31–37
Flores CM, Davila-Garcia MI, Ulrich YM, Kellar KJ (1997) Differential regulation of neuronal nicotinic receptor binding sites following chronic nicotine administration. J Neurochem 69:2216–2219
Fratiglioni L, Wang HX (2000) Smoking and Parkinson’s and Alzheimer’s disease: review of the epidemiological studies. Behav Brain Res 113:117–120
Goldberg MS, Scott SC, Mayo NE (2000) A review of the association between cigarette smoking and the development of nonspecific back pain and related outcomes. Spine 25:995–1014
Ji RR, Rupp F (1997) Phosphorylation of transcription factor CREB in rat spinal cord after formalin-induced hyperalgesia: relationship to c-fos induction. J Neurosci 17:1776–1785
Joseph EK, Levine JD (2004) Caspase signalling in neuropathic and inflammatory pain in the rat. Eur J Neurosci 20:2896–2902
Ke L, Eisenhour CM, Bencherif M, Lukas RJ (1998) Effects of chronic nicotine treatment on expression of diverse nicotinic acetylcholine receptor subtypes. I. Dose- and time-dependent effects of nicotine treatment. J Pharmacol Exp Ther 286:825–840
Kim SH, Chung JM (1992) An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat. Pain 50:355–363
Li X, Eisenach JC (2002) Nicotinic acetylcholine receptor regulation of spinal norepinephrine release. Anesthesiology 96:1450–1456
Ma W, Quirion R (2001) Increased phosphorylation of cyclic AMP response element-binding protein (CREB) in the superficial dorsal horn neurons following partial sciatic nerve ligation. Pain 93:295–301
Maione S, Siniscalco D, Galderisi U, De N, V, Uliano R, Di BG, Berrino L, Cascino A, Rossi F (2002) Apoptotic genes expression in the lumbar dorsal horn in a model neuropathic pain in rat. Neuroreport 13:101–106
Mao J, Sung B, Ji RR, Lim G (2002) Neuronal apoptosis associated with morphine tolerance: evidence for an opioid-induced neurotoxic mechanism. J Neurosci 22:7650–7661
Marubio LM, Mar Arroyo-Jimenez M, Cordero-Erausquin M, Lena C, Le Novere N, de Kerchove dA, Huchet M, Damaj MI, Changeux JP (1999) Reduced antinociception in mice lacking neuronal nicotinic receptor subunits. Nature 398:805–810
Mitchell BD, Hawthorne VM, Vinik AI (1990) Cigarette smoking and neuropathy in diabetic patients. Diabetes Care 13:434–437
Muhlhauser I, Sawicki P, Berger M (1986) Cigarette-smoking as a risk factor for macroproteinuria and proliferative retinopathy in type 1 (insulin-dependent) diabetes. Diabetologia 29:500–502
Nguyen HN, Rasmussen BA, Perry DC (2003) Subtype-selective up-regulation by chronic nicotine of high-affinity nicotinic receptors in rat brain demonstrated by receptor autoradiography. J Pharmacol Exp Ther 307:1090–1097
Pandey SC, Roy A, Xu T, Mittal N (2001) Effects of protracted nicotine exposure and withdrawal on the expression and phosphorylation of the CREB gene transcription factor in rat brain. J Neurochem 77:943–952
Picciotto MR, Zoli M (2002) Nicotinic receptors in aging and dementia. J Neurobiol 53:641–655
Polgar E, Hughes DI, Riddell JS, Maxwell DJ, Puskar Z, Todd AJ (2003) Selective loss of spinal GABAergic or glycinergic neurons is not necessary for development of thermal hyperalgesia in the chronic constriction injury model of neuropathic pain. Pain 104:229–239
Polgar E, Gray S, Riddell JS, Todd AJ (2004) Lack of evidence for significant neuronal loss in laminae I-III of the spinal dorsal horn of the rat in the chronic constriction injury model. Pain 111:144–150
Pomerleau OF, Turk DC, Fertig JB (1984) The effects of cigarette smoking on pain and anxiety. Addict Behav 9:265–271
Randall LO, Selitto JJ (1957) A method for measurement of analgesic activity on inflamed tissue. Arch Int Pharmacodyn Ther 111:409–419
Rueter LE, Meyer MD, Decker MW (2000) Spinal mechanisms underlying A-85380-induced effects on acute thermal pain. Brain Res 872:93–101
Springer JE, Azbill RD, Knapp PE (1999) Activation of the caspase-3 apoptotic cascade in traumatic spinal cord injury. Nat Med 5:943–946
Sult SC, Moss RA (1986) The effects of cigarette smoking on the perception of electrical stimulation and cold pressor pain. Addict Behav 11:447–451
Taiwo YO, Coderre TJ, Levine JD (1989) The contribution of training to sensitivity in the nociceptive paw- withdrawal test. Brain Res 487:148–151
Ulrich YM, Hargreaves KM, Flores CM (1997) A comparison of multiple injections versus continuous infusion of nicotine for producing up-regulation of neuronal [3H]-epibatidine binding sites. Neuropharmacology 36:1119–1125
Vincler MA, Eisenach JC (2005) Knock down of the alpha5 nicotinic acetylcholine receptor in spinal nerve-ligated rats alleviates mechanical allodynia. Pharmacol Biochem Behav 80:135–143
Wewers ME, Dhatt RK, Snively TA, Tejwani GA (1999) The effect of chronic administration of nicotine on antinociception, opioid receptor binding and met-enkephalin levels in rats. Brain Res 822:107–113
Whiteside GT, Munglani R (2001) Cell death in the superficial dorsal horn in a model of neuropathic pain. J Neurosci Res 64:168–173
Yaksh TL, Hua XY, Kalcheva I, Nozaki-Taguchi N, Marsala M (1999) The spinal biology in humans and animals of pain states generated by persistent small afferent input. Proc Natl Acad Sci U S A 96:7680–7686
Zimmermann M (2001) Pathobiology of neuropathic pain. Eur J Pharmacol 429:23–37
Acknowledgement
This work was supported by National Institutes of Health grant P01 NS41386.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Josiah, D.T., Vincler, M.A. Impact of chronic nicotine on the development and maintenance of neuropathic hypersensitivity in the rat. Psychopharmacology 188, 152–161 (2006). https://doi.org/10.1007/s00213-006-0481-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00213-006-0481-5