Korean J Pain.  2007 Jun;20(1):15-20. 10.3344/kjp.2007.20.1.15.

The Effect of Intravenous Lipo-Prostaglandin E1 Injectioin in a Rat Foraminal Stenosis Model

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. painfree@snubh.org
  • 2Department of Anesthesiology and Pain Medicine, Cheju National University Hospital, Jeju, Korea.
  • 3Department of Laboratory Animal Medicine, College of Veterinary Medicine, Konkuk University, Seoul, Korea.

Abstract

BACKGROUND: Lipo-prostaglandin E1 (Lipo-PGE1) has vasodilating and platelet aggregation inhibitory characteristics and it has been used as a treatment for patients with blood flow dysfunction disease. Based on the mechanisms of lumbar spinal stenosis, including veno congestion, neuro-ischemia and mechanical compression, we aimed to study whether intravenous Lipo-PGE1 injection has any therapeutic effect on hyperalgesia in a rat foraminal stenosis model.
METHODS
In this study, twenty male Sprague-Dawley rats were divided into the control (n = 10) and Lipo-PGE(1)(n = 10) groups. A small stainless steel rod was inserted into the L5-6 intervertebral foramen to induce intervertebral foramen stenosis and chronic DRG compression. In the Lipo-PGE1 group, 0.15micron g/kg of Lipo-PGE(1) were injected intravenously via a tail vein for 10 days starting from the 3rd day after operation. Behavioral testing for mechanical and thermal hyperalgesia was performed for 3 weeks after the injections.
RESULTS
From the 10th day after Lipo-PGE(1) injection, the rats in the experimental group showed significant recovery of their mechanical threshold, and this effect was maintained for 3 weeks. No significant differences of the thermal hyperalgesia were observed between the two groups.
CONCLUSIONS
These findings suggest that intravenously injected Lipo-PGE1 may be effective for alleviating neuropathic pain, which isthe main symptom of spinal stenosis, by improving the blood flow dysfunction.

Keyword

hyperalgesia; lipo-PGE(1); spinal stenosis

MeSH Terms

Alprostadil
Animals
Constriction, Pathologic*
Diagnosis-Related Groups
Estrogens, Conjugated (USP)
Humans
Hyperalgesia
Male
Neuralgia
Platelet Aggregation
Rats*
Rats, Sprague-Dawley
Spinal Stenosis
Stainless Steel
Veins
Alprostadil
Estrogens, Conjugated (USP)
Stainless Steel
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