Spinal nerve ligation increases α2-adrenergic receptor G-protein coupling in the spinal cord

Intrathecal and epidural administration of the co-adrenergic receptor agonist clonidine in humans results in analgesia to both acute nociceptive and chronic neuropathic pain. The potency of clonidine increases with hypersensitivity to mechanical stimuli after nerve injury, although the reasons for this change are unknown. In the present study, we tested the hypothesis that peripheral nerve injury alters either spinal alpha(2)-adrenergic receptor-mediated G-protein activity or alpha(2)-adrenergic receptor number. Rats were randomized to left spinal nerve ligation (SNL) or sham surgery. Tactile hypersensitivity in the hindpaw was confirmed and lumbar spinal cords were removed for binding assays. To examine agonist-induced G-protein coupling, [S-35]GTP gamma S binding experiments were performed in spinal cord membranes and sections using norepinephrine as an a,adrenergic agonist. SNL was associated with an increase in maximal efficacy, but not potency, of norepinephrine-stimulated [S-35]GTP gamma S binding in dorsal horn. SNL had no effect on basal [S-35]GTP gamma S binding or on muscarinic cholinergic-stimulated [S-35]GTP gamma S binding. [S-35]GTP gamma S autoradiography showed that this increase in alpha(2)-adrenergic- activated G-proteins occurred both ipsilateral and contralateral to SNL surgery. SNL did not alter total alpha(2)-adrenergic receptor number or affinity to [H-3]rauwolscine binding, and displacement studies with the alpha(2A)-adrenergic antagonist BRL44408 revealed that most of the binding was associated with the alpha(2A)-adrenergic subtype. These data suggest that the increased potency of clonidine in neuropathic pain Could reflect increased efficiency of G-protein coupling from spinal alpha(2)-adrenergic receptors. (c) 2005 Elsevier B.V. All rights reserved.