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Published on: October 6, 2022
The nociceptin/orphanin FQ receptor system as a target to alleviate cancer-induced bone pain in rats: Model
Sonny H J Sliepen1,2, Johanna Korioth1, Thomas Christoph1
1Grünenthal Innovation, Grünenthal GmbH, Aachen, Germany.
Background And Purpose:
Cancer-induced bone pain remains inadequately controlled, and current standard of care analgesics is accompanied by several side effects. Nociceptin/orphanin FQ peptide (NOP) receptor agonists have demonstrated broad analgesic properties in rodent neuropathic and inflammatory pain models. Here, we investigate the analgesic potential of NOP receptor activation in a rodent cancer-induced bone pain model.
Experimental Approach:
Model validation by intratibial inoculation in male Sprague Dawley rats was performed with varying MRMT-1/Luc2 cell quantities (0.5-1.5 × 106 ·ml-1 ) and a behavioural battery (>14 days post-surgery) including evoked and non-evoked readouts: paw pressure test, cold plate, von Frey, open field, and weight distribution. Anti-allodynic potential of the endogenous NOP receptor ligand nociceptin (i.t.) and NOP receptor agonist Ro65-6570 ( i.p.) was tested using von Frey filaments, followed by a combination experiment with Ro65-6570 and the NOP receptor antagonist J-113397 (i.p.). Plasma cytokine levels and NOP receptor gene expression in dorsal root ganglion (DRG, L4-L6) and bone marrow were examined.
Key Results:
Inoculation with 1.5 × 106 ·ml-1 of MRMT-1/Luc2 cells resulted in a robust and progressive pain-related phenotype. Nociceptin and Ro65-6570 treatment inhibited cancer-induced mechanical allodynia. J-113397 selectively antagonized the effect of Ro65-6570. MRMT-1/Luc2-bearing animals demonstrated elevated plasma cytokine levels of IL-4, IL-5, IL-6 and IL-10 plus unaltered NOP-r gene expression in DRG and reduced expression in bone marrow.
Conclusion And Implications:
Nociceptin and Ro65-6570 selectively and dose-dependently reversed cancer-induced bone pain-like behaviour. The NOP receptor system may be a potential target for cancer-induced bone pain treatment.
Linked Articles:
This article is part of a themed issue on The molecular pharmacology of bone and cancer-elated bone diseases. To view the other articles in this section visit http://onlinelibrary.wiley.com/doi/10.1111/bph.v178.9/issuetoc.
Insights
Nociceptin/orphanin FQ peptide (NOP) receptor agonists effectively reversed cancer-induced bone pain in a rodent model. This suggests the NOP receptor system is a promising therapeutic target for managing bone pain associated with cancer.
Area of Science:
- Pharmacology
- Pain Research
- Oncology
Background:
- Cancer-induced bone pain is a significant clinical challenge with limited effective treatments.
- Current analgesics often cause severe side effects.
- Nociceptin/orphanin FQ peptide (NOP) receptor agonists show promise for pain management.
Purpose of the Study:
- To investigate the analgesic potential of NOP receptor activation in a rodent model of cancer-induced bone pain.
- To validate a rat model of cancer-induced bone pain.
- To assess the efficacy of NOP receptor agonists and antagonists.
Main Methods:
- A cancer-induced bone pain model was established in rats using MRMT-1/Luc2 cell inoculation.
- Behavioral tests (paw pressure, cold plate, von Frey, open field, weight distribution) were used to assess pain phenotypes.
- The effects of nociceptin and the NOP receptor agonist Ro65-6570 were evaluated, along with the antagonist J-113397.
- Plasma cytokine levels and NOP receptor gene expression in the dorsal root ganglion and bone marrow were analyzed.
Main Results:
- MRMT-1/Luc2 cell inoculation induced a progressive pain phenotype in rats.
- Nociceptin and Ro65-6570 significantly inhibited cancer-induced mechanical allodynia.
- The NOP receptor antagonist J-113397 selectively blocked the analgesic effects of Ro65-6570.
- Elevated plasma levels of IL-4, IL-5, IL-6, and IL-10 were observed in tumor-bearing animals.
Conclusions:
- NOP receptor activation, via nociceptin or Ro65-6570, selectively reversed cancer-induced bone pain behaviors.
- The NOP receptor system represents a potential therapeutic target for treating cancer-induced bone pain.
- Further research into NOP receptor modulation could lead to novel pain management strategies.
Related Concept Videos
Nociception
Analgesia and Pain Management

