Analgesic Effects of 1st Generation Anti-histamines in Mice

  • Takahashi Mebae
    Division of Molecular Regulation, Tohoku University Graduate School of Dentistry Division of Pediatric Dentistry, Tohoku University Graduate School of Dentistry
  • Shima Kazuhiro
    Division of Molecular Regulation, Tohoku University Graduate School of Dentistry
  • Tsuchiya Masahiro
    Tohoku Fukushi University
  • Hagiwara Yoshihiro
    Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine
  • Mizoguchi Hirokazu
    Department of Physiology and Anatomy, Tohoku Pharmaceutical University
  • Sakurada Shinobu
    Department of Physiology and Anatomy, Tohoku Pharmaceutical University
  • Sugawara Shunji
    Division of Molecular Regulation, Tohoku University Graduate School of Dentistry
  • Fujita Takuo
    Katsuragi Hospital and Calcium Research Institute
  • Tadano Takeshi
    Department of Health Care Medical Research Venture Business Laboratory, Kanazawa University
  • Watanabe Makoto
    Tohoku Fukushi University
  • Fukumoto Satoshi
    Division of Pediatric Dentistry, Tohoku University Graduate School of Dentistry
  • Endo Yasuo
    Division of Molecular Regulation, Tohoku University Graduate School of Dentistry

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抄録

Pain is sensed, transmitted, and modified by a variety of mediators and receptors. Histamine is a well-known mediator of pain. In addition to their anti-histaminic effects, the classical, or 1st generation, anti-histamines (1st AHs) possess, to various degrees, anti-muscarinic, anti-serotonergic, anti-adrenergic, and other pharmacologic effects. Although there have been attempts to use 1st AHs as analgesics and/or analgesic adjuvants, the advent of non-steroidal anti-inflammatory drugs (NSAIDs) discouraged such trials. We previously reported that in patients with temporomandibular disorders, osteoporosis, and/or osteoarthritis, the analgesic effects of certain 1st AHs (chlorpheniramine and diphenhydramine) are superior to those of the NSAIDs flurbiprofen and indomethacin. Here, we compared analgesic effects among 1st AHs and NSAIDs against responses shown by mice to intraperitoneally injected 0.7% acetic acid. Since 1st AHs are water soluble, we selected water-soluble NSAIDs. For direct comparison, drugs were intravenously injected 30 min before the above tests. Histamine-H1-receptor-deficient (H1R-KO) mice were used for evaluating H1-receptor-independent effects. The tested 1st AHs (especially cyproheptadine) displayed or tended to display analgesic effects comparable to those of NSAIDs in normal and H1R-KO mice. Our data suggest that the anti-serotonergic and/or anti-adrenergic effects of 1st AHs make important contributions to their analgesic effects. Moreover, combination of a 1st AH with an NSAID (cyclooxygenase-1 inhibitor) produced remarkably potent analgesic effects. We propose that a 1st AH, by itself or in combination with a cyclooxygenase-1 inhibitor, should undergo testing to evaluate its usefulness in analgesia.

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