Abstract
Purpose
Several observational studies suggest that estrogens could bias pain perception. To evaluate the influence of estrogenic impregnation on pain expression, a prospective, randomized, controlled, blinded study was conducted in a Sprague–Dawley rat model of surgically induced osteoarthritis (OA).
Methods
Female rats were ovariectomized and pre-emptive 17β-estradiol (0.025 mg, 90-day release time) or placebo pellets were installed subcutaneously during the OVX procedures. Thirty-five days after, OA was surgically induced on both 17β-estradiol (OA-E) and placebo (OA-P) groups. Mechanical hypersensitivity was assessed by static weight-bearing (SWB) and paw withdrawal threshold (PWT) tests. Mass spectrometry coupled with high-performance liquid chromatography (HPLC–MS) was performed to quantify the spinal pronociceptive neuropeptides substance P (SP), calcitonin gene-related peptide (CGRP), bradykinin (BK), somatostatin (SST), and dynorphin-A (Dyn-A).
Results
Compared to control, ovariectomized rats presented higher SP (P = 0.009) and CGRP (P = 0.017) concentrations. OA induction increased the spinal level of SP (+ 33%, P < 0.020) and decreased the release of BK (− 20%, (P < 0.037)). The OA-E rats at functional assessment put more % body weight on the affected hind limb than OA-P rats at D7 (P = 0.027) and D56 (P = 0.033), and showed higher PWT at D56 (P = 0.009), suggesting an analgesic and anti-allodynic effect of 17β-estradiol. Interestingly, the 17β-estradiol treatment counteracted the increase of spinal concentration of Dyn-A (P < 0.016) and CGRP (P < 0.018).
Conclusion
These results clearly indicate that 17β-estradiol interfers with the development of central sensitization and confirm that gender dimorphism should be considered when looking at pain evaluation.
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Data availability
All data are available.
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Funding
This work was sponsored, in part, by Discovery grants (#441651–2013, Eric Troncy; #386637–2010, Francis Beaudry) supporting salaries, and a Collaborative Research and Development grant (#RDCPJ 491953–2016, Eric Troncy, in partnership with ArthroLab Inc.) supporting operations and salaries, from the Natural Sciences and Engineering Research Council of Canada, as well as by an ongoing New Opportunities Fund grant (#9483, Eric Troncy), a Leader Opportunity Fund grant (#24601, Eric Troncy), and supporting pain/function equipment as well as mass spectrometry infrastructure (#36706, Francis Beaudry) from the Canada Foundation for Innovation and the Fonds de recherche du Québec. This study was also supported, in part, by a Pilot Study grant (Serge Marchand, Eric Troncy, Roger Lecomte) from the Quebec Pain Research Network of the Fonds de recherche du Québec – Santé (FRQS), and the Chair in Osteoarthritis (Jean-Pierre Pelletier, Johanne Martel-Pelletier) of the Université de Montréal.
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J. P. P., J. M. P., B. L., R. L., S. M., and E. T. conceived and designed the research. S. K. A., C. O., E. B., M. G., M. F., A. D., M. M., A. B., I. G., and B. L. conducted the experiments. C. O., E. B., M. G., F. B., and E. T. performed the data analysis. S. K. A., C. O., E. B., and E. T. wrote the manuscript. All authors read and approved the manuscript. All authors declare that all data were generated in-house and that no paper mill was used.
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The study was conducted in accordance with principles outlined in the current Guide to the Care and Use of Experimental Animals published by the Canadian Council on Animal Care and the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health, complying with the ARRIVE guidelines.
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Keita-Alassane, S., Otis, C., Bouet, E. et al. Estrogenic impregnation alters pain expression: analysis through functional neuropeptidomics in a surgical rat model of osteoarthritis. Naunyn-Schmiedeberg's Arch Pharmacol 395, 703–715 (2022). https://doi.org/10.1007/s00210-022-02231-5
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DOI: https://doi.org/10.1007/s00210-022-02231-5