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NEUROREGULATION AND MOTILITY
1Department of Medicine, 2Center for Neurovisceral Sciences and Women's Health, 3Center for Ulcer Research and Education: Digestive Disease Research Center, 5Departments of Physiology, Psychiatry, and Behavioral Sciences, and 6Brain Research Institute, David Geffen School of Medicine at University of California, Los Angeles; 4Veterans Affairs, Greater Los Angeles Healthcare System, Los Angeles, California; and 7GlaxoSmithKline (Neurology and Gastrointestinal Centre for Excellence for Drug Discovery), Harlow, United Kingdom
Submitted 2 November 2007 ; accepted in final form 25 February 2008
Visceral hypersensitivity has been implicated as an important pathophysiological mechanism in functional gastrointestinal disorders. In this study, we investigated whether the sustained visceral hyperalgesia induced by repeated psychological stress in rats involves the activation of CRF1 signaling system using two different antagonists. Male Wistar rats were exposed to 10 consecutive days of water avoidance stress (WAS) or sham stress for 1 h/day, and the visceromotor response to phasic colorectal distension (CRD) was assessed before and after the stress period. Animals were injected subcutaneously with the brain penetrant CRF1 antagonist, CP-154,526, acutely (30 min before the final CRD) or chronically (via osmotic minipump implanted subcutaneously, during stress) or with the peripherally restricted, nonselective CRF1 and CRF2 antagonist, astressin, chronically (15 min before each stress session). Repeated WAS induced visceral hypersensitivity to CRD at 40 and 60 mmHg. CP-154,526 injected acutely significantly reduced stress-induced visceral hyperalgesia at 40 mmHg but not at 60 mmHg. Chronic subcutaneous delivery of astressin reduced the stress-induced visceral hyperalgesia to baseline at all distension pressures. Interestingly, chronically administered CP-154,526 eliminated hyperalgesia and produced responses below baseline at 40 mmHg and 60 mmHg, indicating a hypoalgesic effect of the compound. These data support a major role for CRF1 in both the development and maintenance of visceral hyperalgesia induced by repeated stress and indicate a possible role of peripheral CRF receptors in such mechanisms.
visceral nociception; astressin; CP-154,526; water avoidance
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