Skip to main content
Top
Published in: Journal of Anesthesia 2/2012

01-04-2012 | Original Article

The antinociceptive effect of intrathecal tramadol in rats: the role of alpha 2-adrenoceptors in the spinal cord

Authors: Cai Li, Shu-Qin Chen, Bing-Xue Chen, Wen-Qi Huang, Ke-Xuan Liu

Published in: Journal of Anesthesia | Issue 2/2012

Login to get access

Abstract

Purposes

The alpha 2 (α2)-adrenoceptor is highly important in the antinociception of tramadol administered systemically and intrathecally. However, it is unclear whether tramadol at the spinal level exerts an antinociceptive effect by directly binding with α2-adrenoceptors in the spinal cord. This study was conducted to investigate the relationship between α2-adrenoceptors and the antinociception of tramadol at the spinal level.

Methods

The rat formalin test was designed to determine whether the intrathecal α2-adrenoceptor antagonist yohimbine could reverse the antinociceptive effect of intrathecal tramadol. The binding affinity of tramadol for α2-adrenoceptors in the spinal cord was determined by radioligand binding assay using the labeled α2-adrenoceptor antagonist [3H]-yohimbine.

Results

The nociceptive test showed that intrathecal tramadol induced significant antinociception whereas pretreatment with intrathecal yohimbine partially reversed this antinociception. Scatchard analysis of the binding data showed [3H]-yohimbine had high affinity (K d = 1.79 nM) for the α2-adrenoceptor in the rat spinal cord, and that tramadol inhibited specific binding of [3H]-yohimbine with the spinal cord membranes with a high affinity constant (K i = 34.14 μM) and an IC50 of 68.25 μM, which indicated that tramadol was much less potent than [3H]-yohimbine at binding with α2-adrenoceptors of the spinal cord.

Conclusion

The results suggested that, with very weak binding affinity for α2-adrenoceptors, the antinociception of intrathecal tramadol is partially related to α2-adrenoceptors, and its intrathecal antinociception may mainly involve its indirect activation of α2-adrenoceptors in the spinal cord.
Literature
1.
go back to reference Mimami K. Recent evidences in the pharmacological mechanisms of the tramadol. Masui. 2005;54:1224–33.PubMed Mimami K. Recent evidences in the pharmacological mechanisms of the tramadol. Masui. 2005;54:1224–33.PubMed
2.
go back to reference Raffa RB, Friderichs E, Reimann W, Shank RP. Opioid and non-opioid components independently contribute to the mechanism of action of tramadol, an “atypical” opioid analgesic. J Pharmacol Exp Ther. 1992;260:275–85.PubMed Raffa RB, Friderichs E, Reimann W, Shank RP. Opioid and non-opioid components independently contribute to the mechanism of action of tramadol, an “atypical” opioid analgesic. J Pharmacol Exp Ther. 1992;260:275–85.PubMed
3.
go back to reference Kayser V, Besson JM, Guilbaud G. Evidence for a noradrenergic component in the antinociceptive effect of the analgesic agent tramadol in an animal model of clinical pain, the arthritic rat. Eur J Pharmacol. 1992;224:83–8.PubMedCrossRef Kayser V, Besson JM, Guilbaud G. Evidence for a noradrenergic component in the antinociceptive effect of the analgesic agent tramadol in an animal model of clinical pain, the arthritic rat. Eur J Pharmacol. 1992;224:83–8.PubMedCrossRef
4.
go back to reference Driessen B, Reimann W, Giertz H. Effects of the central analgesic tramadol on the uptake and release of noradrenaline and dopamine in vitro. Br J Pharmacol. 1993;108:806–10.PubMed Driessen B, Reimann W, Giertz H. Effects of the central analgesic tramadol on the uptake and release of noradrenaline and dopamine in vitro. Br J Pharmacol. 1993;108:806–10.PubMed
5.
go back to reference Bamigbade TA, Davidson C, Langford RM, Stamford JA. Actions of tramadol, its enantiomers and principal metabolite, O-desmethyltramadol, on serotonin (5-HT) efflux and uptake in the rat dorsal raphe nucleus. Br J Anaesth. 1997;79:352–7.PubMed Bamigbade TA, Davidson C, Langford RM, Stamford JA. Actions of tramadol, its enantiomers and principal metabolite, O-desmethyltramadol, on serotonin (5-HT) efflux and uptake in the rat dorsal raphe nucleus. Br J Anaesth. 1997;79:352–7.PubMed
6.
go back to reference Demiraran Y, Kocaman B, Akman RY. A comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in children. Br J Anaesth. 2005;95:510–3.PubMedCrossRef Demiraran Y, Kocaman B, Akman RY. A comparison of the postoperative analgesic efficacy of single-dose epidural tramadol versus morphine in children. Br J Anaesth. 2005;95:510–3.PubMedCrossRef
7.
go back to reference Zenz M, Zenner D. Tramadol or ketamine for caudal analgesia? Br J Anaesth. 2000;85:805–7.PubMed Zenz M, Zenner D. Tramadol or ketamine for caudal analgesia? Br J Anaesth. 2000;85:805–7.PubMed
8.
go back to reference Alhashemi JA, Kaki AM. Effect of intrathecal tramadol administration on postoperative pain after transurethral resection of prostate. Br J Anaesth. 2003;91:536–40.PubMedCrossRef Alhashemi JA, Kaki AM. Effect of intrathecal tramadol administration on postoperative pain after transurethral resection of prostate. Br J Anaesth. 2003;91:536–40.PubMedCrossRef
9.
go back to reference Desmeules JA, Piguet V, Collart L, Dayer P. Contribution of monoaminergic modulation to the analgesic effect of tramadol. Br J Clin Pharmacol. 1996;41:7–12.PubMedCrossRef Desmeules JA, Piguet V, Collart L, Dayer P. Contribution of monoaminergic modulation to the analgesic effect of tramadol. Br J Clin Pharmacol. 1996;41:7–12.PubMedCrossRef
10.
go back to reference Asano T, Dohi S, Ohta S, Shimonaka H. Antinociception by epidural and systemic α2-adrenoceptor agonists and their binding affinity in rat spinal cord and brain. Anesth Analg. 2000;90:400–7.PubMed Asano T, Dohi S, Ohta S, Shimonaka H. Antinociception by epidural and systemic α2-adrenoceptor agonists and their binding affinity in rat spinal cord and brain. Anesth Analg. 2000;90:400–7.PubMed
11.
go back to reference Granados-Soto V, Argüelles CF. Synergic antinociceptive interaction between tramadol and gabapentin after local, spinal and systemic administration. Pharmacology. 2005;74:200–8.PubMedCrossRef Granados-Soto V, Argüelles CF. Synergic antinociceptive interaction between tramadol and gabapentin after local, spinal and systemic administration. Pharmacology. 2005;74:200–8.PubMedCrossRef
12.
go back to reference Dubuisson D, Dennis SG. The formalin test: a quantitative study of the analgesic effects of morphine, meperidine, and brain stem stimulation in rats and cats. Pain. 1977;4:161–74.PubMedCrossRef Dubuisson D, Dennis SG. The formalin test: a quantitative study of the analgesic effects of morphine, meperidine, and brain stem stimulation in rats and cats. Pain. 1977;4:161–74.PubMedCrossRef
13.
go back to reference Abbott F, Franklin K, Westbrook R. The formalin test: scoring properties of the first and second phases of the pain response in rats. Pain. 1995;60:91–102.PubMedCrossRef Abbott F, Franklin K, Westbrook R. The formalin test: scoring properties of the first and second phases of the pain response in rats. Pain. 1995;60:91–102.PubMedCrossRef
14.
go back to reference Yaksh TL, Harry GL. Simple method for rapid removal of rat spinal cord. Brain Res Bull. 1981;6:449–50.PubMedCrossRef Yaksh TL, Harry GL. Simple method for rapid removal of rat spinal cord. Brain Res Bull. 1981;6:449–50.PubMedCrossRef
15.
go back to reference Cheng YC, Prusoff WH. Relationship between the inhibition constant (KI) and the concentration of inhibitor which causes 50% inhibition (I50) of an enzymatic reaction. Biochem Pharmacol. 1973;22:3099–102.PubMedCrossRef Cheng YC, Prusoff WH. Relationship between the inhibition constant (KI) and the concentration of inhibitor which causes 50% inhibition (I50) of an enzymatic reaction. Biochem Pharmacol. 1973;22:3099–102.PubMedCrossRef
16.
go back to reference Rosenthal HE. A graphic method for the determination and presentation of binding parameters in a complex system. Anal Biochem. 1967;20:525–32.PubMedCrossRef Rosenthal HE. A graphic method for the determination and presentation of binding parameters in a complex system. Anal Biochem. 1967;20:525–32.PubMedCrossRef
17.
go back to reference Bernatzky G, Jurna I. Intrathecal injection of codeine, buprenorphine, tilidine, tramadol and nefopam depresses the tail-flick response in rats. Eur J Pharmacol. 1986;120:75–80.PubMedCrossRef Bernatzky G, Jurna I. Intrathecal injection of codeine, buprenorphine, tilidine, tramadol and nefopam depresses the tail-flick response in rats. Eur J Pharmacol. 1986;120:75–80.PubMedCrossRef
18.
go back to reference Yanarates O, Dogrul A, Yildirim V, Sahin A, Sizlan A, Seyrek M, Akgül O, Kozak O, Kurt E, Aypar U. Spinal 5-HT7 receptors play an important role in the antinociceptive and antihyperalgesic effects of tramadol and its metabolite, O-desmethyltramadol, via activation of descending serotonergic pathways. Anesthesiology. 2010;112:696–710.PubMedCrossRef Yanarates O, Dogrul A, Yildirim V, Sahin A, Sizlan A, Seyrek M, Akgül O, Kozak O, Kurt E, Aypar U. Spinal 5-HT7 receptors play an important role in the antinociceptive and antihyperalgesic effects of tramadol and its metabolite, O-desmethyltramadol, via activation of descending serotonergic pathways. Anesthesiology. 2010;112:696–710.PubMedCrossRef
19.
go back to reference Reimann W, Hennies HH. Inhibition of spinal noradrenaline uptake in rats by the centrally acting analgesic tramadol. Biochem Pharmacol. 1994;47:2289–93.PubMedCrossRef Reimann W, Hennies HH. Inhibition of spinal noradrenaline uptake in rats by the centrally acting analgesic tramadol. Biochem Pharmacol. 1994;47:2289–93.PubMedCrossRef
20.
go back to reference Headley PM. Noradrenergic receptors in the dorsal horn of the spinal cord. In: Besson JM, Guilbaud G, editors. In towards the use of noradrenergic agonists for the treatment of pain. Amsterdam: Elsevier; 1992. p. 169–81. Headley PM. Noradrenergic receptors in the dorsal horn of the spinal cord. In: Besson JM, Guilbaud G, editors. In towards the use of noradrenergic agonists for the treatment of pain. Amsterdam: Elsevier; 1992. p. 169–81.
21.
22.
go back to reference Proudfit HK. Behavioural pharmacology of noradrenergic descending system. In: Besson JM, Guilbaud G, editors. In towards the use of noradrenergic agonists for the treatment of pain. Amsterdam: Elsevier; 1992. p. 119–37. Proudfit HK. Behavioural pharmacology of noradrenergic descending system. In: Besson JM, Guilbaud G, editors. In towards the use of noradrenergic agonists for the treatment of pain. Amsterdam: Elsevier; 1992. p. 119–37.
23.
go back to reference Koga A, Fujita T, Totoki T, Kumamoto E. Tramadol produces outward currents by activating mu-opioid receptors in adult rat substantia gelatinosa neurones. Br J Pharmacol. 2005;145:602–7.PubMedCrossRef Koga A, Fujita T, Totoki T, Kumamoto E. Tramadol produces outward currents by activating mu-opioid receptors in adult rat substantia gelatinosa neurones. Br J Pharmacol. 2005;145:602–7.PubMedCrossRef
Metadata
Title
The antinociceptive effect of intrathecal tramadol in rats: the role of alpha 2-adrenoceptors in the spinal cord
Authors
Cai Li
Shu-Qin Chen
Bing-Xue Chen
Wen-Qi Huang
Ke-Xuan Liu
Publication date
01-04-2012
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 2/2012
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-011-1267-4

Other articles of this Issue 2/2012

Journal of Anesthesia 2/2012 Go to the issue