PMID- 26371891 OWN - NLM STAT- MEDLINE DCOM- 20160920 LR - 20240324 IS - 1918-1523 (Electronic) IS - 1203-6765 (Print) IS - 1203-6765 (Linking) VI - 20 IP - 6 DP - 2015 Nov-Dec TI - Nitrous oxide persistently alleviates pain hypersensitivity in neuropathic rats: A dose-dependent effect. PG - 309-15 LID - 16866 [pii] AB - BACKGROUND: Despite numerous pharmacological approaches, there are no common analgesic drugs that produce meaningful relief for the majority of patients with neuropathic pain. Although nitrous oxide (N2O) is a weak analgesic that acts via opioid-dependent mechanisms, it is also an antagonist of the N-methyl-D-aspartate receptor (NMDAR). The NMDAR plays a critical role in the development of pain sensitization induced by nerve injury. OBJECTIVE: Using the chronic constriction injury of the sciatic nerve in male rats as a preclinical model of neuropathic pain, the first aim of the present study was to evaluate the lowest N2O concentration and the shortest time of N2O postinjury exposure that would produce persistent relief of neuropathic pain. The second aim was to compare the effects of N2O with gabapentin, a reference drug used in human neuropathic pain relief. METHODS: Changes in the nociceptive threshold were evaluated using the paw pressure vocalization test in rats. RESULTS: Among the various N2O concentrations tested, which ranged from 25% to 50%, only 50% N2O single exposure for 1 h 15 min induced a persistent (minimum of three weeks) and significant (60%) reduction in pain hypersensitivity. A single gabapentin dose (75 mg⁄kg to 300 mg⁄kg, intraperitoneally) induced an acute (1 h to 1 h 30 min) dose-dependent effect, but not a persistent effect such as that observed with N2O. CONCLUSIONS: These preclinical results suggest that N2O is advantageous for long-lasting neuropathic pain relief after sciatic nerve injury compared with other drugs used in humans such as gabapentinoids or NMDAR antagonists. The present preclinical study provides a rationale for developing comparative clinical studies. FAU - Ben Boujema, Meric AU - Ben Boujema M FAU - Laboureyras, Emilie AU - Laboureyras E FAU - Pype, Jan AU - Pype J FAU - Bessiere, Baptiste AU - Bessiere B FAU - Simonnet, Guy AU - Simonnet G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20150915 PL - United States TA - Pain Res Manag JT - Pain research & management JID - 9612504 RN - 0 (Amines) RN - 0 (Analgesics) RN - 0 (Cyclohexanecarboxylic Acids) RN - 56-12-2 (gamma-Aminobutyric Acid) RN - 6CW7F3G59X (Gabapentin) RN - K50XQU1029 (Nitrous Oxide) SB - IM MH - Amines/therapeutic use MH - Analgesics/*therapeutic use MH - Animals MH - Cyclohexanecarboxylic Acids/therapeutic use MH - Disease Models, Animal MH - Dose-Response Relationship, Drug MH - Gabapentin MH - Hyperalgesia/*drug therapy/etiology MH - Male MH - Neuralgia/*drug therapy/*physiopathology MH - Nitrous Oxide/*therapeutic use MH - Pain Measurement MH - Pain Threshold/*drug effects MH - Rats MH - Rats, Sprague-Dawley MH - Time Factors MH - Treatment Outcome MH - gamma-Aminobutyric Acid/therapeutic use PMC - PMC4676501 EDAT- 2015/09/16 06:00 MHDA- 2016/09/22 06:00 PMCR- 2015/11/01 CRDT- 2015/09/16 06:00 PHST- 2015/09/16 06:00 [entrez] PHST- 2015/09/16 06:00 [pubmed] PHST- 2016/09/22 06:00 [medline] PHST- 2015/11/01 00:00 [pmc-release] AID - 16866 [pii] AID - prm-20-309 [pii] AID - 10.1155/2015/809059 [doi] PST - ppublish SO - Pain Res Manag. 2015 Nov-Dec;20(6):309-15. doi: 10.1155/2015/809059. Epub 2015 Sep 15.