CAPSAICIN - ACTIONS ON NOCICEPTIVE C-FIBERS AND THERAPEUTIC POTENTIAL

被引:216
作者
LYNN, B
机构
[1] Department of Physiology, University College London
关键词
C-fibre; Capsaicin; Pain; Polymodal nociceptor; Post-herpetic neuralgia;
D O I
10.1016/0304-3959(90)91110-5
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Recent work on the excitatory action of capsaicin on somatic and visceral afferent neurones shows that depolarization is selective for C-fibre polymodal nociceptor afferents and involves opening a non-selective cation channel. Exposure to significantly suprathreshold amounts of capsaicin causes permanent degeneration of C-fibre afferents in adult rats. Functional changes in rats (hypalgesia, diminished neurogenic inflammation) are likely to be a direct consequence of the loss of C-fibre nociceptors and so are the reductions in neuropeptide levels that follow adult capsaicin treatment. Clinical trials of topical capsaicin treatment for post-herpetic neuralgia have yielded promising results. The selective nature of the action of capsaicin in reducing just C-nociceptor activity may make it particularly useful for treating pain states triggered by C-fibre input. © 1990.
引用
收藏
页码:61 / 69
页数:9
相关论文
共 84 条
[1]   EFFECTS OF CAPSAICIN APPLIED LOCALLY TO ADULT PERIPHERAL-NERVE .2. ANATOMY AND ENZYME AND PEPTIDE CHEMISTRY OF PERIPHERAL-NERVE AND SPINAL-CORD [J].
AINSWORTH, A ;
HALL, P ;
WALL, PD ;
ALLT, G ;
MACKENZIE, ML ;
GIBSON, S ;
POLAK, JM .
PAIN, 1981, 11 (03) :379-388
[2]   TOPICAL CAPSAICIN PRETREATMENT INHIBITS AXON REFLEX VASODILATATION CAUSED BY SOMATOSTATIN AND VASOACTIVE INTESTINAL POLYPEPTIDE IN HUMAN-SKIN [J].
ANAND, P ;
BLOOM, SR ;
MCGREGOR, GP .
BRITISH JOURNAL OF PHARMACOLOGY, 1983, 78 (04) :665-669
[3]   SOME RAT SENSORY NEURONS IN CULTURE EXPRESS CHARACTERISTICS OF DIFFERENTIATED PAIN SENSORY CELLS [J].
BACCAGLINI, PI ;
HOGAN, PG .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA-BIOLOGICAL SCIENCES, 1983, 80 (02) :594-598
[4]   THE EFFECTS OF LOCALLY APPLIED CAPSAICIN ON CONDUCTION IN CUTANEOUS NERVES IN 4 MAMMALIAN-SPECIES [J].
BARANOWSKI, R ;
LYNN, B ;
PINI, A .
BRITISH JOURNAL OF PHARMACOLOGY, 1986, 89 (02) :267-276
[5]  
BARNES PJ, 1986, LANCET, V1, P242
[6]   TREATMENT OF CHRONIC POSTHERPETIC NEURALGIA WITH TOPICAL CAPSAICIN - A PRELIMINARY-STUDY [J].
BERNSTEIN, JE ;
BICKERS, DR ;
DAHL, MV ;
ROSHAL, JY .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1987, 17 (01) :93-96
[7]   TOPICAL CAPSAICIN TREATMENT OF CHRONIC POSTHERPETIC NEURALGIA [J].
BERNSTEIN, JE ;
KORMAN, NJ ;
BICKERS, DR ;
DAHL, MV ;
MILLIKAN, LE .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1989, 21 (02) :265-270
[8]   INHIBITION OF AXON REFLEX VASODILATATION BY TOPICALLY APPLIED CAPSAICIN [J].
BERNSTEIN, JE ;
SWIFT, RM ;
SOLTANI, K ;
LORINCZ, AL .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1981, 76 (05) :394-395
[9]  
BERNSTEIN JE, 1989, MED TIMES, V117, P113
[10]  
BEVAN S, 1988, J PHYSIOL-LONDON, V398, pP28