Abstract
Despite immense advances in the treatment strategies, management of neuropathic pain remains unsatisfactory. Piracetam is a prototype of nootropic drugs, used to improve cognitive impairment. The present study was designed to investigate the effect of piracetam on peripheral neuropathic pain in rats. Neuropathic pain was induced by the chronic constriction injury of the sciatic nerve. Following this, piracetam was intraperitoneally administered for 2 weeks in doses of 50, 100 and 200 mg/kg, and pain was assessed by employing the behavioural tests for thermal hyperalgesia (hot plate and tail flick tests) and cold allodynia (acetone test). After the induction of neuropathic pain, significant development of thermal hyperalgesia and cold allodynia was observed. The administration of piracetam (50 mg/kg) did not have any significant effect on all the behavioural tests. Further, piracetam (100 mg/kg) also had no effect on the hot plate and tail flick tests; however it significantly decreased the paw withdrawal duration in the acetone test. Piracetam in a dose of 200 mg/kg significantly modulated neuropathic pain as observed from the increased hot plate and tail flick latencies, and decreased paw withdrawal duration (in acetone test). Therefore, the present study suggests the potential use of piracetam in the treatment of neuropathic pain, which merits further clinical investigation.
Similar content being viewed by others
References
Ossipov MH, Lopez Y, Nichols ML, Bian D, Porreca F (1995) The loss of antinociceptive efficacy of spinal morphine in rats with nerve ligation injury is prevented by reducing spinal afferent drive. Neurosci Lett 199:87–90
Bleeker CP, Bremer RC, Dongelmans DA, van Dongen RT, Crul BJ (2001) Inefficacy of high-dose transdermal fentanyl in a patient with neuropathic pain, a case report. Eur J Pain 5:325–329
Onghena P, Van Houdenhove B (1992) Antidepressant-induced analgesia in chronic non-malignant pain: a meta-analysis of 39 placebo-controlled studies. Pain 49:205–220
Arner S, Lindblom U, Meyerson BA, Molander C (1990) Prolonged relief of neuralgia after regional anesthetic blocks: a call for further experimental and systematic clinical studies. Pain 43:287–297
Rowbotham MC, Reisner-Keller LA, Fields HL (1991) Both intravenous lidocaine and morphine reduce the pain of post-herpetic neuralgia. Neurology 41:1024–1028
Davis KD, Treede RD, Raja SN, Meyer RA, Campbell JN (1991) Topical application of clonidine relieves hyperalgesia in patients with sympathetically maintained pain. Pain 47:309–317
Bridges D, Thompson SW, Rice AS (2001) Mechanisms of neuropathic pain. Br J Anaesth 87:12–26
Bennett GJ, Xie YK (1988) A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man. Pain 33:87–107
Seltzer Z, Dubner R, Shir Y (1990) A novel behavioral model of neuropathic pain disorders produced in rats by partial sciatic nerve injury. Pain 43:205–218
Kim SH, Chung JM (1992) An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat. Pain 50:355–363
Decosterd I, Woolf CJ (2000) Spared nerve injury: an animal model of persistent peripheral neuropathic pain. Pain 87:149–158
Fox A, Gentry C, Patel S, Kesingland A, Bevan S (2003) Comparative activity of the anti-convulsants oxcarbazepine, carbamazepine, lamotrigine and gabapentin in a model of neuropathic pain in the rat and guinea-pig. Pain 105:355–362
Dowdall T, Robinson I, Meert TF (2005) Comparison of five different rat models of peripheral nerve injury. Pharmacol Biochem Behav 80:93–108
Croisile B, Trillet M, Fondarai J, Laurent B, Mauguiere F, Billardon M (1993) Longterm and high-dose piracetam treatment of Alzheimer’s disease. Neurology 43:301–305
Waegemans T, Wilsher CR, Danniau A, Ferris SH, Kurz A, Winblad B (2002) Clinical efficacy of piracetam in cognitive impairment: a meta-analysis. Dement Geriatr Cogn Disord 13:217–224
Giurgea CE (1982) The nootropic concept and its prospective implications. Drug Dev Res 2:441–446
Genkova-Papazova MG, Lazarova-Bakarova MB (1996) Piracetam and fipexide prevent PTZ-kindling-provoked amnesia in rats. Eur Neuropsychopharmacol 6:285–290
Muller WE, Eckert GP, Eckert A (1999) Piracetam: novelty in a unique mode of action. Pharmacopsychiatry 32:2–9
Winblad B (2005) Piracetam: a review of pharmacological properties and clinical uses. CNS Drug Rev 11:169–182
Hakkrainen H, Hakamies L (1928) Piracetam in the treatment of post-concussional syndrome. Eur Neurol 17:50–55
Nickolson V, Wolthuis O (1976) Effect of the acquisition: enhancing drug piracetam on rat cerebral energy metabolism. Biochem Pharmacol 25:2241–2244
Tacconi M, Wurtman R (1986) Piracetam: physiological disposition and mechanism of action. In: Fahn S et al. (eds) Advances in neurology, vol 43. Raven Press, NY
Buresova O, Bures J (1976) Piracetam induced facilitation of interhemispheric transfer of visual information in rats. Psychopharmacologia 46:93–102
Dimond SJ, Scammell RE, Pryce IG, Huws D, Gray C (1979) Some effects of piracetam on chronic schizophrenia. Psychopharmacologia 64:341–348
Okuyama S, Aihara H (1988) Actions of nootropic drugs on transcallosal response of rats. Neuropharmacology 27:67–72
Keil U, Scherping I, Hauptmann S, Schuessel K, Eckert A, Muller WE (2006) Piracetam improves mitochondrial dysfunction following oxidative stress. Br J Pharmacol 147:199–208
Abdel-Salam OME (2006) Vinpocetine and piracetam exert antinociceptive effect in visceral pain model in mice. Pharmacol Rep 58:680–691
Micov A, Tomic M, Popovic B, Stepanovic-Petrovic R (2010) The antihyperalgesic effect of levetiracetam in an inflammatory model of pain in rats: mechanism of action. Br J Pharmacol 161:384–392
Nikolova M, Petrova L, Dushkova R (1984) Effect of piracetam in models of experimental inflammation. Int J Tissue React 6:17–21
Mehta AK, Halder S, Khanna N, Tandon OP, Singh UR, Sharma KK (2012) Role of NMDA and opioid receptors in neuropathic pain induced by chronic constriction injury of sciatic nerve in rats. J Basic Clin Physiol Pharmacol 23:49–55
Mehta AK, Halder S, Khanna N, Tandon OP, Sharma KK (2012) Antagonism of stimulation-produced analgesia by naloxone and NMDA: role of opioid and NMDA receptors. Hum Exp Toxicol 31:51–56
Mehta AK, Tripathi CD (2014) Commiphora mukul attenuates peripheral neuropathic pain induced by chronic constriction injury of sciatic nerve in rats. Nutr Neurosci. doi:10.1179/1476830513Y.0000000104
Yaksh TL, Tyce GM (1979) Microinjection of morphine into periaqueductal gray evokes the release of serotonin from spinal cord. Brain Res 171:176–181
D’Amour FE, Smith DL (1941) A method for determining loss of pain sensation. J Pharmacol Exp Ther 72:74–79
Dickenson AH, Chapman V, Green GM (1997) The pharmacology of excitatory and inhibitory amino acid mediated events in the transmission and modulation of pain in the spinal cord. Gen Pharmacol 28:633–638
Parsons CG (2001) NMDA receptors as targets for drug action in neuropathic pain. Eur J Pharmacol 429:71–78
Carlton JM, Dougherty PM, Pover CM, Coggeshall RE (1991) Neuroma formation and numbers of axons in a rat model of experimental peripheral neuropathy. Neurosci Lett 131:88–92
Basbaum AI, Gautron M, Jazat F, Mayes M, Guibaud G (1991) The spectrum of fiber loss in a model of neuropathic pain in the rat: an electron microscopic study. Pain 47:359–367
Hains BC, Saab CY, Klein JP, Craner MJ, Waxman SG (2004) Altered sodium channel expression in second-order spinal sensory neurons contributes to pain after peripheral nerve injury. J Neurosci 24:4832–4839
Harris JA, Corsi M, Quartaroli M, Arban R, Bentivoglio M (1996) Upregulation of spinal glutamate receptors in chronic pain. Neuroscience 74:7–12
Croul S, Radzievsky A, Sverstuik A, Murray M (1998) NK1, NMDA, 5HT1a, and 5HT2 receptor binding sites in the rat lumbar spinal cord: modulation following sciatic nerve crush. Exp Neurol 154:66–79
Navarro SA, Serafim KG, Mizokami SS, Hohmann MS, Casagrande R, Verri WA Jr (2013) Analgesic activity of piracetam: effect on cytokine production and oxidative stress. Pharmacol Biochem Behav 105:183–192
Khanna N, Malhotra RS, Mehta AK, Garg GR, Halder S, Sharma KK (2011) Interaction of morphine and potassium channel openers on experimental models of pain in mice. Fundam Clin Pharmacol 25:479–484
Khanna N, Malhotra RS, Mehta AK, Garg GR, Halder S, Sharma KK (2010) Potassium channel openers exhibit cross-tolerance with morphine in two experimental models of pain. West Indian Med J 59:473–478
Schaible HG, Schmidt RF (1983) Responses of fine medial articular nerve afferents to passive movements of knee joints. J Neurophysiol 49:1118–1126
Perl ER (1996) Cutaneous polymodal receptors: characteristics and plasticity. Prog Brain Res 113:21–37
Treede RD (1999) Transduction and transmission properties of primary nociceptive afferents. Ross Fiziol Zh Im I M Sechenova 85:205–211
Koltzenburg M (2000) Neural mechanisms of cutaneous nociceptive pain. Clin J Pain 16:S131–S138
Belmonte C, Viana F (2008) Molecular and cellular limits to somatosensory specificity. Mol Pain 4:14
Beissner F, Brandau A, Henke C, Felden L, Baumgärtner U, Treede RD, Oertel BG, Lötsch J (2010) Quick discrimination of A(delta) and C fiber mediated pain based on three verbal descriptors. PLoS One 5:e12944
Gong D, Geng C, Jiang L, Aoki Y, Nakano M, Zhong L (2012) Effect of pyrroloquinoline quinone on neuropathic pain following chronic constriction injury of the sciatic nerve in rats. Eur J Pharmacol 697:53–58
Wagner R, Janjigian M, Myers RR (1998) Anti-inflammatory interleukin-10 therapy in CCI neuropathy decreases thermal hyperalgesia, macrophage recruitment, and endoneural TNF α expression. Pain 74:35–42
Cui JG, Holmin S, Mathiesen T, Meyerson B, Linderoth B (2000) Possible role of inflammatory mediators in tactile hypersensitivity in rat model of mono-neuropathy. Pain 88:239–248
Naik AK, Tandan SK, Dudhgaonkar SP, Jadhav SH, Kataria M, Prakash VR, Kumar D (2006) Role of oxidative stress in pathophysiology of peripheral neuropathy and modulation by N-acetyl-l-cysteine in rats. Eur J Pain 10:573–579
Wagner R, Heckman HM, Myers RR (1998) Wallerian degeneration and hyperalgesia after peripheral nerve injury are glutathione-dependent. Pain 77:173–179
Kim HK, Park SK, Zhou JL, Taglialatela G, Chung K, Coggeshall RE, Chung JM (2004) Reactive oxygen species (ROS) play an important role in a rat model of neuropathic pain. Pain 111:116–124
Park ES, Gao X, Chung JM, Chung K (2006) Levels of mitochondrial reactive oxygen species increase in rat neuropathic spinal dorsal horn neurons. Neurosci Lett 391:108–111
Kumar A, Meena S, Kalonia H, Gupta A, Kumar P (2011) Effect of nitric oxide in protective effect of melatonin against chronic constriction sciatic nerve injury induced neuropathic pain in rats. Indian J Exp Biol 49:664–671
Isacchi B, Fabbri V, Galeotti N, Bergonzi MC, Karioti A, Ghelardini C, Vannucchi MG, Bilia AR (2011) Salvianolic acid B and its liposomal formulations: anti-hyperalgesic activity in the treatment of neuropathic pain. Eur J Pharm Sci 44:552–558
Kaulaskar S, Bhutada P, Rahigude A, Jain D, Harle U (2012) Effects of naringenin on allodynia and hyperalgesia in rats with chronic constriction injury-induced neuropathic pain. Zhong Xi Yi Jie He Xue Bao 10:1482–1489
Twining CM, Sloane EM, Milligan ED, Chacur M, Martin D, Poole S, Marsh H, Maier SF, Watkins LR (2004) Peri-sciatic pro-inflammatory cytokines, reactive oxygen species, and complement induce mirror-image neuropathic pain in rats. Pain 110:299–309
Guedes RP, Bosco LD, Teixeira CM, Arrujo AS, Llesuy S, Bello-kkein A, Ribeiro MF, Partata WA (2006) Neuropathic pain modifies antioxidant activity in rat spinal cord. Neurochem Res 31:603–609
Rashid MH, Ueda H (2002) Nonopioid and neuropathy-specific analgesic action of the nootropic drug nefiracetam in mice. J Pharmacol Exp Ther 303:226–231
Acknowledgments
The authors would like to thank Dr. Prem Suman for her invaluable guidance. The study has been funded by the Science and Engineering Research Board, Department of Science and Technology, Government of India, New Delhi.
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mehta, A.K., Bhati, Y., Tripathi, C.D. et al. Analgesic Effect of Piracetam on Peripheral Neuropathic Pain Induced by Chronic Constriction Injury of Sciatic Nerve in Rats. Neurochem Res 39, 1433–1439 (2014). https://doi.org/10.1007/s11064-014-1329-8
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11064-014-1329-8