ISSN : 1226-9654
It is very important to develop effective method to relieve neuropathic pain which may be produced by nerve or tissue injury. This study was conducted to determine interaction between opioid and NMDA systems in the modulation of sympathetically independent neuropathic pain. Under halothane anesthesia, the tibial and sural nerves of male Sprague-Dawley rats were ligated and cut. Fourteen days after injury, the rats were reanesthesized by urethane and subjected to iontophoretic experiment. Opioid agonists such as DAMGO (µ), DALDA (δ), and bremazocine (K) were ejected microiontophoretically. MK-801, an NMDA antagonist, was injected intravenously. Microiontophoretically ejected DAMGO more robustly inhibited the responses of dorsal horn neurons to external stimulation compared to DALDA or bremazocine. Furthermore, iontophoretically ejected DAMGO enhanced the inhibitory effects of intravenously injected MK-801. The results suggest that opioid system may interact with NMDA system in modulation of neuropathic pain, depending on receptor subtypes.