PMID- 21167239 OWN - NLM STAT- MEDLINE DCOM- 20110505 LR - 20141120 IS - 1873-5169 (Electronic) IS - 0196-9781 (Linking) VI - 32 IP - 2 DP - 2011 Feb TI - Evidence for the participation of cocaine- and amphetamine-regulated transcript peptide (CART) in the fluoxetine-induced anti-hyperalgesia in neuropathic rats. PG - 317-26 LID - 10.1016/j.peptides.2010.09.030 [doi] AB - Cocaine- and amphetamine-regulated transcript peptide (CART) has a role in chronic pain, and also in the actions of selective serotonin reuptake inhibitors (SSRIs) employed in the treatment of neuropathic pain. Herein, we test the hypothesis that CART may mediate the anti-hyperalgesic effect of the SSRI, fluoxetine, in neuropathic rats. Sciatic nerve in the right hind paw of rat was ligated to induce neuropathic pain, and the paw withdrawal latency was evaluated using Hargreaves apparatus. Fluoxetine [5-25mg/kg, intraperitoneal (ip)] or CART (54-102) [0.1-1.5mug/rat, intracerebroventricular (icv)] dose-dependently attenuated the hyperalgesic response observed in neuropathic rats, indicating anti-nociceptive properties of each agent. The anti-hyperalgesic effect of fluoxetine was potentiated by the subeffective dose of CART, and attenuated by CART-antibody (1:500 dilution; 5mul/rat, icv); CART-antibody had no effect per se. Isobolographic analysis showed a significant synergism between fluoxetine and CART, and antagonism between fluoxetine and CART-antibody. Immunocytochemical labeling with monoclonal antibodies against CART showed drastic increase in CART-immunoreactive fibers in the ventrolateral periaqueductal gray (VLPAG; 116%), dorsal subdivision of dorsal raphe nucleus (DRD; 176%), and locus coeruleus (LC; 733%) of neuropathic animals. Fluoxetine treatment significantly reduced the immunoreactivity in these areas. However, CART-immunoreactive cells and fibers in the arcuate nucleus did not respond to neuropathy or fluoxetine treatments. We suggest that the CART innervation of DRD, LC and VLPAG may be involved in the (i) central processing of neuropathic pain and (ii) fluoxetine-induced anti-hyperalgesic effect in neuropathic pain. CI - Copyright A(c) 2010 Elsevier Inc. All rights reserved. FAU - Upadhya, Manoj A AU - Upadhya MA AD - Department of Pharmaceutical Sciences, Rashtrasant Tukadoji Maharaj Nagpur University Campus, Nagpur 440033, India. FAU - Dandekar, Manoj P AU - Dandekar MP FAU - Kokare, Dadasaheb M AU - Kokare DM FAU - Singru, Praful S AU - Singru PS FAU - Subhedar, Nishikant K AU - Subhedar NK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20101215 PL - United States TA - Peptides JT - Peptides JID - 8008690 RN - 0 (Antibodies) RN - 0 (Nerve Tissue Proteins) RN - 0 (cocaine- and amphetamine-regulated transcript protein) RN - 01K63SUP8D (Fluoxetine) SB - IM MH - Animals MH - Antibodies/immunology/pharmacology MH - Arcuate Nucleus of Hypothalamus/drug effects/metabolism MH - Brain/drug effects/*metabolism MH - Dose-Response Relationship, Drug MH - Drug Interactions/physiology MH - Fluoxetine/administration & dosage/pharmacology/*therapeutic use MH - Hyperalgesia/*drug therapy/metabolism MH - Infusions, Intraventricular MH - Ligation MH - Locus Coeruleus/drug effects/metabolism MH - Male MH - Nerve Fibers/drug effects/metabolism MH - Nerve Tissue Proteins/administration & dosage/immunology/*metabolism/pharmacology/therapeutic use MH - Pain Measurement MH - Periaqueductal Gray/drug effects/metabolism MH - Raphe Nuclei/drug effects/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Sciatic Nerve/surgery EDAT- 2010/12/21 06:00 MHDA- 2011/05/06 06:00 CRDT- 2010/12/21 06:00 PHST- 2010/08/07 00:00 [received] PHST- 2010/09/24 00:00 [revised] PHST- 2010/09/25 00:00 [accepted] PHST- 2010/12/21 06:00 [entrez] PHST- 2010/12/21 06:00 [pubmed] PHST- 2011/05/06 06:00 [medline] AID - S0196-9781(10)00528-0 [pii] AID - 10.1016/j.peptides.2010.09.030 [doi] PST - ppublish SO - Peptides. 2011 Feb;32(2):317-26. doi: 10.1016/j.peptides.2010.09.030. Epub 2010 Dec 15.