Peripheral-type benzodiazepine receptor antagonist is effective in relieving neuropathic pain in mice

Daisuke Kondo1, Hironao Saegusa, Ritsuko Yabe

  • 1Department of Pharmacology and Neurobiology, Tokyo Medical and Dental University, Japan.

Insights

Peripheral-type benzodiazepine receptor (PBR) antagonism alleviates neuropathic pain by reducing neurosteroid synthesis. This suggests PBR plays a key role in spinal nerve injury pain pathways.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Pain Research

Background:

  • Peripheral-type benzodiazepine receptor (PBR) expression is upregulated in spinal nerve injury (SNL).
  • PBR facilitates cholesterol transport for neurosteroid synthesis, impacting pain modulation.
  • Neurosteroids like allopregnanolone modulate GABA(A) receptors, influencing pain perception.

Purpose of the Study:

  • To investigate the causal role of enhanced PBR expression in neuropathic pain.
  • To determine if PBR antagonism reduces pain via altered neurosteroid synthesis.
  • To elucidate the contribution of GABA(A) receptor activation to PBR antagonist effects.

Main Methods:

  • cDNA microarray analysis to assess PBR mRNA expression.
  • Administration of PBR antagonist PK11195 in a mouse spinal nerve injury model.
  • Assessment of mechanical allodynia and thermal hyperalgesia.
  • Evaluation of neurosteroid (allopregnanolone, 3alpha,5alpha-THDOC) effects on PK11195-induced antinociception.

Main Results:

  • PBR mRNA expression was enhanced in mice with SNL.
  • PK11195 significantly reduced SNL-induced mechanical allodynia and thermal hyperalgesia.
  • Allopregnanolone and 3alpha,5alpha-THDOC partially reversed the anti-hyperalgesic effect of PK11195.

Conclusions:

  • Enhanced PBR expression is causally linked to neuropathic pain.
  • PBR antagonism alleviates neuropathic pain, partly through reduced GABA(A) receptor activation.
  • Targeting PBR offers a potential therapeutic strategy for neuropathic pain management.