Early life vincristine exposure evokes mechanical pain hypersensitivity in the developing rat

Katie A Schappacher1,2, Lauren Styczynski1, Mark L Baccei1

  • 1Pain Research Center, Department of Anesthesiology, University of Cincinnati College of Medicine, Cincinnati, OH, USA.

Pain
|July 20, 2017
PubMed

Insights

High-dose vincristine (VNC) in young rats caused long-lasting mechanical pain sensitivity, impacting nerve fibers. This study establishes a model for chemotherapy-induced neuropathic pain in early life.

Area of Science:

  • Neuroscience
  • Developmental Biology
  • Pharmacology

Background:

  • Vincristine (VNC) is a key chemotherapy for pediatric cancers like acute lymphoblastic leukemia.
  • Clinical data indicates VNC can cause peripheral neuropathy in children, but its lifelong impact on pain sensitivity is not well understood.
  • A lack of early-life animal models for chemotherapy-induced neuropathic pain hinders research.

Purpose of the Study:

  • To investigate the long-term effects of early-life vincristine (VNC) exposure on pain sensitivity in developing rats.
  • To establish an animal model for studying chemotherapy-induced neuropathic pain originating in early life.

Main Methods:

  • Rats were exposed to vincristine (VNC) at postnatal days 11-21.
  • Mechanical and thermal pain sensitivity were assessed at various ages.
  • Intraepidermal nerve fiber density was analyzed.

Main Results:

  • High-dose VNC (60 μg/kg) induced mechanical hypersensitivity from adolescence into adulthood.
  • This hypersensitivity included static and dynamic mechanical allodynia.
  • Thermal pain sensitivity remained unaffected, suggesting a selective impact on mechanical pain.
  • VNC treatment reduced intraepidermal nerve fiber density in hind paw skin.

Conclusions:

  • Neonatal high-dose VNC exposure selectively causes persistent mechanical hypersensitivity.
  • Aberrant sensory input during early development can lead to long-lasting pain processing alterations.
  • This study provides a valuable model for investigating early-life chemotherapy-induced neuropathic pain.

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