Systemic and intrathecal baclofen produce bladder antinociception in rats.


Journal

BMC urology
ISSN: 1471-2490
Titre abrégé: BMC Urol
Pays: England
ID NLM: 100968571

Informations de publication

Date de publication:
04 Oct 2021
Historique:
received: 20 04 2021
accepted: 08 09 2021
entrez: 5 10 2021
pubmed: 6 10 2021
medline: 19 2 2022
Statut: epublish

Résumé

Baclofen, a clinically available GABA A series of experiments examined the effects of systemic and spinally administered baclofen on bladder nociception in female anesthetized rats. Models of bladder nociception included those which employed neonatal and adult bladder inflammation to produce bladder hypersensitivity. Cumulative intraperitoneal dosing (1-8 mg/kg IP) and cumulative intrathecal dosing (10-160 ng IT) of baclofen led to dose-dependent inhibition of visceromotor responses (VMRs) to urinary bladder distension (UBD) in all tested models. There were no differences in the magnitude of the analgesic effects of baclofen as a function of inflammation versus no inflammation treatments. Hemodynamic (pressor) responses to UBD were similarly inhibited by IT baclofen as well as UBD-evoked excitatory responses of spinal dorsal horn neurons. The GABA These data provide support for a clinical trial of baclofen as a non-opioid treatment of human bladder pain.

Sections du résumé

BACKGROUND BACKGROUND
Baclofen, a clinically available GABA
METHODS METHODS
A series of experiments examined the effects of systemic and spinally administered baclofen on bladder nociception in female anesthetized rats. Models of bladder nociception included those which employed neonatal and adult bladder inflammation to produce bladder hypersensitivity.
RESULTS RESULTS
Cumulative intraperitoneal dosing (1-8 mg/kg IP) and cumulative intrathecal dosing (10-160 ng IT) of baclofen led to dose-dependent inhibition of visceromotor responses (VMRs) to urinary bladder distension (UBD) in all tested models. There were no differences in the magnitude of the analgesic effects of baclofen as a function of inflammation versus no inflammation treatments. Hemodynamic (pressor) responses to UBD were similarly inhibited by IT baclofen as well as UBD-evoked excitatory responses of spinal dorsal horn neurons. The GABA
CONCLUSIONS CONCLUSIONS
These data provide support for a clinical trial of baclofen as a non-opioid treatment of human bladder pain.

Identifiants

pubmed: 34607587
doi: 10.1186/s12894-021-00899-0
pii: 10.1186/s12894-021-00899-0
pmc: PMC8489106
doi:

Substances chimiques

GABA-B Receptor Agonists 0
Baclofen H789N3FKE8

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

139

Subventions

Organisme : NIDDK NIH HHS
ID : R01 DK051413
Pays : United States
Organisme : NIDDK NIH HHS
ID : DK51413
Pays : United States

Informations de copyright

© 2021. The Author(s).

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Auteurs

Timothy J Ness (TJ)

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, BMR2-208, 901 19th Street South, Birmingham, AL, 35294, USA. tness@uabmc.edu.

Alan Randich (A)

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, BMR2-208, 901 19th Street South, Birmingham, AL, 35294, USA.

Xin Su (X)

Medtronics, Inc., Minneapolis, MN, USA.

Cary DeWitte (C)

Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, BMR2-208, 901 19th Street South, Birmingham, AL, 35294, USA.

Keith Hildebrand (K)

Medtronics, Inc., Minneapolis, MN, USA.

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Classifications MeSH