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Spinal nerve ligation-induced allodynia is dependent on the NFκ-B-mediated induction of spinal COX-2 and prostaglandin synthesis in the rat

Darren D. O'Rielly, BSc and Christopher W. Loomis, PhD. Neuroscience Program, Faculty of Medicine, 300 Prince Philip Drive, Health Science Centre, St. John's, NF A1B 3V6, Canada

L5/L6 spinal nerve ligation (SNL) induces early, spinal prostaglandin (PG)-dependent allodynia (<10 days after injury), including the increased expression of COX-2 in the ipsilateral lumbar dorsal horn 3 days after SNL. This study investigated the spinal expression of nuclear factor κ-B (NFκ-B; a modulator of COX-2 transcription), its relationship to the induction of COX-2, and the respective contributions of NFκ-B and COX-2 in the development of SNL-induced allodynia. Male, Sprague-Dawley rats (100-140g), fitted with intrathecal (i.t.) catheters, underwent SNL- or sham-surgery. Allodynia was defined as a paw withdrawal threshold (PWT) of ≤4g (baseline ≥15g). The biceps femoris flexor reflex was measured electromyographically, and lumbar segments were analyzed for NFκ-B and COX-2 protein expression. Allodynia and A- and C-fibre hyperexcitability (i.e. decreased activation threshold, increased evoked activity, including windup; p<0.05) were evident 3 days after SNL- but not sham-surgery. NFκ-B expression was increased in the ipsilateral, but not contralateral, dorsal horn of allodynic animals. This was apparent 12h after SNL and remained elevated at 3 days (p<0.05). Sham-surgery had no effect on NFκ-B (p>0.05). The NFκ-B inhibitor, ammonium pyrrolidinedithiocarbamate (PDTC; 100μg i.t.), given immediately after SNL, decreased A- and C-fibre hyperexcitability 3 days later (p<0.05), and prevented the development of allodynia. Hyperexcitability was dose-dependently attenuated by i.t. SC-236 (COX-2 inhibitor), but not SC-560 (COX-1 inhibitor), given 3 days after SNL. Treatment with i.t. COX-inhibitors, immediately after SNL, also prevented the development of allodynia with no apparent effect on NFκ-B activation. These results indicate that: 1) the SNL-induced expression of spinal COX-2 is modulated by NFκ-B; 2) the hyperexcitability/allodynia observed 3 days after SNL is spinal PG-dependent; and 3) spinal COX-2 is primarily responsible for PG synthesis at this time point. While NFκ-B activation is a critical intermediate step, its influence on SNL-induced allodynia reflects the consequent actions of spinal PGs.