Background
Burn injury causes nociceptive behaviors, and inflammation-related pathologic pain can lead to glial cell activation. Hypothesis tested was that burn injury activates glial cells, and cannabinoid receptor 1 (CB1R) antagonist, AM251, will decrease burn pain.
Methods
Anesthetized rats received 0.75cm2 third degree burn on dorsal hind paw. Vehicle or AM251 30 μg intrathecally (older rats, n = 6/group) or, either vehicle, 0.1 or 1.0 mg/kg intraperitoneally (younger rats, n = 6/group), started immediate postburn, was administered for 7 days. Mechanical allodynia and thermal hyperalgesia were tested on ventral paw for 14 days. Microglial and astroglial activity were assessed by immunocytochemistry.
Results
Allodynia, observed on burn side from day 1–14, was significantly (p < 0.05) attenuated by intrathecal and intraperitoneal AM251 (1 mg/kg) starting from 3 to 14 days. Hyperalgesia, observed from day 3–12, was completely (p < 0.05) reversed by intrathecal and intraperitoneal AM251 (1 mg/kg). AM251 0.1 mg/kg had no effect. Microglial activity (n = 3/time point) increased (p < 0.05) 18.5 ± 7.5 and 12.3 ± 1.6 (mean +/− SD) fold at 7 and 14 days, respectively. Astroglial activity (n = 4/time point) increased 2.9 ± 0.3 fold at day 7 only. Glial activities were unaltered by AM251.
Conclusion
AM251 inhibited nociceptive behaviors after burn even beyond 7-day period of administration. Although many studies have documented the utility of CB1R agonists, this study indicates that endogenous cannabinoids may have an unexpected pronociceptive effect during development of burn pain, explaining why CB1R antagonist, AM251 improves nociceptive behaviors. The decreased nociception with AM251 without altering glial activity indicates that AM251 acts further downstream of activated glial cells.