Korean J Pain.  2021 Apr;34(2):185-192. 10.3344/kjp.2021.34.2.185.

Effect of pregabalin on nociceptive thresholds and immune responses in a mouse model of incisional pain

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
  • 2Department of Anesthesiology and Pain Medicine, Catholic Medical Center, College of Medicine, The Catholic University of Korea, Seoul, Korea
  • 3Institute for Bio-Medical Convergence, The Catholic University of Korea, Incheon St. Mary’s Hospital, Incheon, Korea

Abstract

Background
It is known that some analgesics as well as pain can affect the immune system. The aim of this study was to investigate the analgesic effect and immunomodulation of pregabalin (PGB) in a mouse incisional pain model.
Methods
A postoperative pain model was induced by hind paw plantar incision in male BALB/c mice. Mice were randomly divided into four groups (n = 8): a salinetreated incision (incision), PGB-treated incision (PGB-incision), sham controls without incision or drug treatment (control), and a PGB-treated control (PGB-control). In the PGB treated groups, PGB was administered intraperitoneally (IP) 30 minutes before and 1 hour after the plantar incision. Changes of the mechanical nociceptive thresholds following incision were investigated. Mice were euthanized for spleen harvesting 12 hours after the plantar incision, and natural killer (NK) cytotoxicity to YAC 1 cells and lymphocyte proliferation responses to phytohemagglutinin were compared among these four groups.
Results
Mechanical nociceptive thresholds were decreased after plantar incision and IP PGB administration recovered these decreased mechanical nociceptive thresholds (P < 0.001). NK activity was increased by foot incision, but NK activity in the PGB-incision group was significantly lower than that in the Incision group (P < 0.001). Incisional pain increased splenic lymphocyte proliferation, but PGB did not alter this response.
Conclusions
Incisional pain alters cell immunity of the spleen in BALB/c mice. PGB showed antinocieptive effect on mouse incisional pain and attenuates the activation of NK cells in this painful condition. These results suggest that PGB treatment prevents increases in pain induced NK cell activity.

Keyword

Analgesics; Immunity; Cellular; Immunomodulation; Killer Cells; Natural; Mice; Pain; Postoperative; Pregabalin; Spleen
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