Elsevier

Neuroscience

Volume 126, Issue 4, 2004, Pages 1023-1032
Neuroscience

Endogenous neurotensin facilitates visceral nociception and is required for stress-induced antinociception in mice and rats

https://doi.org/10.1016/j.neuroscience.2004.04.034Get rights and content

Abstract

Central neurotensin (NT) administration can both facilitate and inhibit somatic and visceral nociception, depending on the dose and administration site. NT microinjection in the rostroventral medulla facilitates nociception at low doses, while NT antagonist microinjection can markedly attenuate nociception, supporting the hypothesis that endogenous NT facilitates nociception. However, higher doses of NT produce a μ-opioid receptor-independent analgesia, similar to that resulting from various intense stressors. Furthermore, intense stress results in increased NT expression in several hypothalamic nuclei that have been implicated in stress-induced antinociception (SIAN); however, there is little direct evidence that endogenous NT is required for SIAN. We have investigated the role of endogenous NT in both basal visceral nociception and SIAN using both NT knockout mice and pharmacological approaches in rats. Visceral nociception was monitored by measuring visceromotor responses during colorectal distension both prior to and following water avoidance stress. Visceral nociception was significantly attenuated in both NT knockout mice and rats pre-treated with the NT antagonist SR 48692. Disruption of NT signaling also blocked SIAN, revealing a novel stress-induced hyperalgesic response that was significantly greater in female than in male rats. NT was also required for acetic acid-induced hyperalgesia. These results indicate that endogenous NT normally facilitates visceral pain responses, is required for irritant-induced hyperalgesia, and plays a critical role in SIAN.

Section snippets

Animals

Animal protocols were approved by the University of Massachusetts Medical School Institutional Animal Care and Use Committee and were carried out in accordance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals (NIH Publication No. 80-23, revised 1996). Every effort was made to minimize the number of animals used and their suffering.

Mice

Female NT knockout and wild type mice (18–25 g) were generated as described using heterozygous mating pairs after backcrossing

NT signaling facilitates visceral nociception

To examine whether NT signaling is important for nociception during CRD, both NT knockout and wild type mice were subjected to CRD and VMRs were measured (Fig. 1A). The NT/neuromedin N gene is disrupted in the NT knockout mouse line used here and these mice do not express detectable levels of NT or preproneurotensin/neuromedin N mRNA in the either the brain or the gastrointestinal tract (Dobner et al., 2001). The abdominal VMRs to each volume of CRD were significantly lower in NT knockout mice

Discussion

We have used both genetic and pharmacological approaches to demonstrate that NT (and/or neuromedin N) signaling is required for both normal visceral nociception and SIAN in rodents. Visceral pain responses were significantly attenuated in both NT knockout mice and rats pre-treated with the NT antagonist SR 48692, indicating that endogenous NT signaling is required for normal visceral nociception. The disruption of NT signaling had an even more dramatic effect on SIAN, reversing the effect of

Acknowledgements

This work was supported by National Institutes of Health grants DK28565 (R.E.C.) and DK99004 (R.E.C.), a grant from the University of Massachusetts Medical School Genetics Program (P.R.D.), and a Pilot and Feasibility grant from the University of Massachusetts Medical School Diabetes and Endocrinology Research Center 5P30 DK32520 (P.R.D.).

References (59)

  • J.L. Hylden et al.

    Antinociceptive action of intrathecal neurotensin in mice

    Peptides

    (1983)
  • K.D. Kreitel et al.

    The effects of diphenhydramine and SR 142948A on periaqueductal gray neurons and on the interactions between the medial preoptic nucleus and the periaqueductal gray

    Neuroscience

    (2002)
  • H. Maeno et al.

    Comparison of mice deficient in the high- or low-affinity neurotensin receptors, Ntsr1 or Ntsr2, reveals a novel function for Ntsr2 in thermal nociception

    Brain Res

    (2004)
  • V. Miletic et al.

    Neurotensin excites cat spinal neurones located in laminae I–III

    Brain Res

    (1979)
  • J.S. Mogil et al.

    Opioid and nonopiod swim stress-induced analgesiaa parametric analysis in mice

    Physiol Behav

    (1996)
  • H. Monnikes et al.

    Psychological stress-induced accelerated colonic transit in rats involves hypothalamic corticotropin-releasing factor

    Gastroenterology

    (1993)
  • N.S. Morrow et al.

    Effects of intermittent tail shock or water avoidance on proximal colonic motor contractility in rats

    Physiol Behav

    (1997)
  • T.J. Ness et al.

    Colorectal distension as a noxious visceral stimulusphysiological and pharmacological characterization of pseudoaffective reflexes in the rat

    Brain Res

    (1988)
  • A. Remaury et al.

    Targeted inactivation of the neurotensin type 1 receptor reveals its role in body temperature control and feeding behavior but not in analgesia

    Brain Res

    (2002)
  • M.-T. Romero et al.

    Gender differences in two forms of cold-water swim analgesia

    Physiol Behav

    (1986)
  • M.-T. Romero et al.

    Modulation of gender-specific effects upon swim analgesia in gonadectomized rats

    Physiol Behav

    (1987)
  • G.C. Rossi et al.

    Mu and delta opioid synergy between the periaqueductal gray and the rostroventral medulla

    Brain Res

    (1994)
  • K.A. Seta et al.

    Cold water swim stress increases the expression of neurotensin mRNA in the lateral hypothalamus and medial preoptic regions of the rat brain

    Mol Brain Res

    (2001)
  • L.K. Singh et al.

    Acute immobilization stress triggers skin mast cell degranulation via corticotropin releasing hormone, neurotensin, and substance Pa link to neurogenic skin disorders

    Brain Behav Immun

    (1999)
  • S.A. Tershner et al.

    Antinociception produced by mu opioid receptor activation in the amygdala is partly dependent on activation of mu opioid and neurotensin receptors in the ventral periaqueductal gray

    Brain Res

    (2000)
  • B.M. Tyler et al.

    In vivo studies with low doses of levocabastine and diphenhydramine, but not pyrilamine, antagonize neurotensin-mediated antinociception

    Brain Res

    (1998)
  • B.M. Tyler et al.

    Specific gene blockade shows that peptide nucleic acids readily enter neuronal cells in vivo

    FEBS Lett

    (1998)
  • M.O. Urban et al.

    Participation of central descending nociceptive facilitatory systems in secondary hyperalgesia produced by mustard oil

    Brain Res

    (1996)
  • M.O. Urban et al.

    Localization of the antinociceptive and antianalgesic effects of neurotensin within the rostral and ventromedial medulla

    Neurosci Lett

    (1994)
  • Cited by (48)

    • Substance P and neurotensin in the limbic system: Their roles in reinforcement and memory consolidation

      2018, Neuroscience and Biobehavioral Reviews
      Citation Excerpt :

      The role of NT has been shown in stress-induced analgesia, as well (Gui et al., 2004). However, in the absence of stress NTergic transmission facilitates visceral nociception: NT knockout mice showed an attenuated visceral nociception and i.p. injection of NT antagonist SR 48692 decreased nociception (Gui et al., 2004). NT is involved in the regulation of anxiety.

    • Role of CRF1 receptor in post-incisional plasma extravasation and nociceptive responses in mice

      2017, Toxicology and Applied Pharmacology
      Citation Excerpt :

      It is well known that CRF/CRF1 receptor is involved in the activation of HPA during acute and chronic stress (Papadimitriou and Priftis, 2009; Zelena et al., 2005). CRF/CRF1 receptor stimulates ACTH and glucocorticoid release, which could be responsible of the analgesia describe in visceral and somatic pain models in response to potent and/or long-lasting stressors (Butler and Finn, 2009; Gui et al., 2004; Koolhaas et al., 2011; Larauche et al., 2012). In mice with CRF1 receptor gene deletion (KO) we have demonstrated an increased response in visceral pain without changes in somatic pain.

    • Targeting the cannabinoid system for pain relief?

      2013, Acta Anaesthesiologica Taiwanica
      Citation Excerpt :

      Moreover, both orexin and substance P were released after LH activation, so it will be interesting to examine if there are interactions between these two neuropeptide systems during SIA. Similarly, neurotensin was also suggested to be involved in SIA.159 It will also be interesting to see if neurotensin plays a role in endocannabinoid-mediated SIA.

    • Neurotensin and neurotensin receptors: Characteristic, structure-activity relationship and pain modulation - A review

      2013, European Journal of Pharmacology
      Citation Excerpt :

      Although many studies clearly indicate the predominant involvement of NTS2 receptor (Gully et al., 1995; Dubuc et al., 1999), the NTS1 receptor subtype signaling is required for at least some aspects of NT-induced analgesia (Gui et al., 2004). Gui et al. (2004) as an example of this fact indicates studies in which NTS1 knockout mice displayed defects in NT-induced analgesia in the hot plate test. Additionally, NT analog NT69L has been reported to cause a rapid and persistent antinociceptive effect as determined by the hot plate test (St-Gelais et al., 2006).

    • Neurotensin/Neuromedin N

      2013, Handbook of Biologically Active Peptides
    View all citing articles on Scopus
    1

    Present address: Department of Pathology, University of Illinois at Chicago College of Medicine, 1819 West Polk St, Chicago, IL 60612, USA.

    View full text