Rapid broad-spectrum analgesia through activation of peroxisome proliferator-activated receptor-alpha

J Pharmacol Exp Ther. 2006 Dec;319(3):1051-61. doi: 10.1124/jpet.106.111385. Epub 2006 Sep 22.

Abstract

Severe pain remains a major area of unmet medical need. Here we report that agonists of the nuclear receptor PPAR-alpha (peroxisome proliferator-activated receptor-alpha) suppress pain behaviors induced in mice by chemical tissue injury, nerve damage, or inflammation. The PPAR-alpha agonists GW7647 [2-(4-(2-(1-cyclohexanebutyl)-3-cyclohexylureido)ethyl)phenylthio)-2-methylpropionic acid], Wy-14643 [4-chloro-6-(2,3-xylidino)-2-pyrimidinylthioacetic acid], and palmitoylethanolamide (PEA) reduced nocifensive behaviors elicited in mice by intraplantar (i.pl.) injection of formalin or i.p. injection of magnesium sulfate. These effects were absent in PPAR-alpha-null mice yet occurred within minutes of agonist administration in wild-type mice, suggesting that they were mediated through a transcription-independent mechanism. Consistent with this hypothesis, blockade of calcium-operated IK(ca) (K(Ca)3.1) and BK(ca) (K(Ca)1.1) potassium channels prevented the effects of GW7647 and PEA in the formalin test. Three observations suggest that PPAR-alpha agonists may inhibit nocifensive responses by acting on peripheral PPAR-alpha. (i) PEA reduced formalin-induced pain at i.pl. doses that produced no increase in systemic PEA levels; (ii) PPAR-alpha was expressed in dorsal root ganglia neurons of wild-type but not PPAR-alpha-null mice; and (ii) GW7647 and PEA prevented formalin-induced firing of spinal cord nociceptive neurons in rats. In addition to modulating nociception, GW7647 and PEA reduced hyperalgesic responses in the chronic constriction injury model of neuropathic pain; these effects were also contingent on PPAR-alpha expression and were observed following either acute or subchronic PPAR-alpha agonist administration. Finally, acute administration of GW7647 and PEA reduced hyperalgesic responses in the complete Freund's adjuvant and carrageenan models of inflammatory pain. Our results suggest that PPAR-alpha agonists may represent a novel class of analgesics.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics / pharmacology*
  • Animals
  • DNA, Complementary / biosynthesis
  • DNA, Complementary / genetics
  • Drug Tolerance
  • Fenofibrate / analogs & derivatives
  • Fenofibrate / pharmacology
  • Formaldehyde
  • Hyperalgesia / drug therapy
  • Hypolipidemic Agents / pharmacology
  • Immunoblotting
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Nociceptors / drug effects
  • PPAR alpha / agonists*
  • PPAR alpha / genetics
  • Pain Measurement / drug effects
  • Potassium Channels, Calcium-Activated / physiology
  • RNA / isolation & purification
  • Rats
  • Rats, Sprague-Dawley
  • Sciatica / drug therapy

Substances

  • Analgesics
  • DNA, Complementary
  • Hypolipidemic Agents
  • PPAR alpha
  • Potassium Channels, Calcium-Activated
  • Formaldehyde
  • RNA
  • fenofibric acid
  • Fenofibrate