PMID- 28663110 OWN - NLM STAT- MEDLINE DCOM- 20180501 LR - 20180501 IS - 1873-507X (Electronic) IS - 0031-9384 (Linking) VI - 179 DP - 2017 Oct 1 TI - Sucrose and naltrexone prevent increased pain sensitivity and impaired long-term memory induced by repetitive neonatal noxious stimulation: Role of BDNF and beta-endorphin. PG - 213-219 LID - S0031-9384(17)30186-5 [pii] LID - 10.1016/j.physbeh.2017.06.015 [doi] AB - Pain in neonates is associated with short and long-term adverse outcomes. Data demonstrated that long-term consequences of untreated pain are linked to the plasticity of the neonate's brain. Sucrose is effective and safe for reducing painful procedures from single events. However, the mechanism of sucrose-induced analgesia is not fully understood. The role of the opioid system in this analgesia using the opioid receptor antagonist Naltrexone was investigated, plus the long-term effects on learning and memory formation during adulthood. Pain was induced in rat pups via needle pricks of the paws. Sucrose solution and/or naltrexone were administered before the pricks. All treatments started on day one of birth and continued for two weeks. At the end of 8weeks, behavioral studies were conducted to test spatial learning and memory using radial arm water maze (RAWM), and pain threshold via foot-withdrawal response to a hot plate. The hippocampus was dissected; levels of brain derived neurotrophic factor (BDNF) and endorphins were assessed using ELISA. Acute repetitive neonatal pain increased pain sensitivity later in life, while naltrexone with sucrose decreased pain sensitivity. Naltrexone and/or sucrose prevented neonatal pain induced impairment of long-term memory, while neonatal pain decreased levels of BDNF in the hippocampus; this decrease was averted by sucrose and naltrexone. Sucrose with naltrexone significantly increased beta-endorphin levels in noxiously stimulated rats. In conclusion, naltrexone and sucrose can reverse increased pain sensitivity and impaired long-term memory induced by acute repetitive neonatal pain probably by normalizing BDNF expression and increasing beta-endorphin levels. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Nuseir, Khawla Q AU - Nuseir KQ AD - Department of clinical pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. Electronic address: kqnuseir@just.edu.jo. FAU - Alzoubi, Karem H AU - Alzoubi KH AD - Department of clinical pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. FAU - Alhusban, Ahmed AU - Alhusban A AD - Department of clinical pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. FAU - Bawaane, Areej AU - Bawaane A AD - Department of clinical pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. FAU - Al-Azzani, Mohammed AU - Al-Azzani M AD - Department of clinical pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. FAU - Khabour, Omar F AU - Khabour OF AD - Department of medical laboratory sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, Jordan. LA - eng PT - Journal Article DEP - 20170627 PL - United States TA - Physiol Behav JT - Physiology & behavior JID - 0151504 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 0 (Dietary Sucrose) RN - 0 (Narcotic Antagonists) RN - 5S6W795CQM (Naltrexone) RN - 60617-12-1 (beta-Endorphin) SB - IM MH - Animals MH - Animals, Newborn MH - Brain-Derived Neurotrophic Factor/metabolism MH - Dietary Sucrose/*administration & dosage MH - Hippocampus/drug effects/*growth & development/metabolism MH - Male MH - Maze Learning/drug effects/physiology MH - Memory, Long-Term/drug effects/physiology MH - Naltrexone/*pharmacology MH - Narcotic Antagonists/*pharmacology MH - Pain/*metabolism/psychology MH - *Pain Management MH - Pain Threshold/drug effects/physiology MH - Random Allocation MH - Rats, Wistar MH - Spatial Memory/drug effects/physiology MH - beta-Endorphin/metabolism OTO - NOTNLM OT - BDNF OT - Cognition OT - Endorphins OT - Hippocampus OT - Memory OT - Pain OT - Sucrose EDAT- 2017/07/01 06:00 MHDA- 2018/05/02 06:00 CRDT- 2017/07/01 06:00 PHST- 2017/01/04 00:00 [received] PHST- 2017/06/13 00:00 [revised] PHST- 2017/06/25 00:00 [accepted] PHST- 2017/07/01 06:00 [pubmed] PHST- 2018/05/02 06:00 [medline] PHST- 2017/07/01 06:00 [entrez] AID - S0031-9384(17)30186-5 [pii] AID - 10.1016/j.physbeh.2017.06.015 [doi] PST - ppublish SO - Physiol Behav. 2017 Oct 1;179:213-219. doi: 10.1016/j.physbeh.2017.06.015. Epub 2017 Jun 27.