Skip to main content
Log in

Estrogenic impregnation alters pain expression: analysis through functional neuropeptidomics in a surgical rat model of osteoarthritis

  • Original Article
  • Published:
Naunyn-Schmiedeberg's Archives of Pharmacology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

Data availability

All data are available.

References

  • Aloisi AM (2003) Gonadal hormones and sex differences in pain reactivity. Clin J Pain 19:168–174

    Article  PubMed  Google Scholar 

  • Amandusson A, Blomqvist A (2001) Estrogen receptors can regulate pain sensitivity. Possible explanation of certain chronic pain conditions. Lakartidningen 98:1774–1778

    CAS  PubMed  Google Scholar 

  • Amandusson A, Blomqvist A (2013) Estrogenic influences in pain processing. Front Neuroendocrinol 34:329–349

    Article  CAS  PubMed  Google Scholar 

  • Amandusson A, Hermanson O, Blomqvist A (1995) Estrogen receptor-like immunoreactivity in the medullary and spinal dorsal horn of the female rat. Neurosci Lett 196:25–28

    Article  CAS  PubMed  Google Scholar 

  • Averbeck B, Rudolphi K, Michaelis M (2004) Osteoarthritic mice exhibit enhanced prostaglandin E2 and unchanged calcitonin gene-related peptide release in a novel isolated knee joint model. J Rheumatol 31:2013–2020

    CAS  PubMed  Google Scholar 

  • Beatty WW, Fessler RG (1977) Gonadectomy and sensitivity to electric shock in the rat. Physiol Behav 19:1–6

    Article  CAS  PubMed  Google Scholar 

  • Beery AK (2018) Inclusion of females does not increase variabilityin rodent research studies. Curr Opin Behav Sci 23:143–149

    Article  PubMed  PubMed Central  Google Scholar 

  • Bereiter DA, Barker DJ (1980) Hormone-induced enlargement of receptive fields in trigeminal mechanoreceptive neurons. I. Time course, hormone, sex and modality specificity. Brain Res 184:395–410

    Article  CAS  PubMed  Google Scholar 

  • Berkley KJ (1997) Sex differences in pain. Behav Brain Sci 20: 371–380; discussion 435–513

  • Bradshaw HB, Berkley KJ (2002) Estrogen replacement reverses ovariectomy-induced vaginal hyperalgesia in the rat. Maturitas 41:157–165

    Article  CAS  PubMed  Google Scholar 

  • Carlson CS, Guilak F, Vail TP, Gardin JF, Kraus VB (2002) Synovial fluid biomarker levels predict articular cartilage damage following complete medial meniscectomy in the canine knee. J Orthop Res 20:92–100

    Article  PubMed  Google Scholar 

  • Ceccarelli I, Fiorenzani P, Massafra C, Aloisi AM (2003) Long-term ovariectomy changes formalin-induced licking in female rats: the role of estrogens. Reprod Biol Endocrinol 1:24

    Article  PubMed  PubMed Central  Google Scholar 

  • Chen BL, Li YQ, Xie DH, He QL, Yang XX (2012) Blocking TNF-alpha with infliximab alleviates ovariectomy induced mechanical and thermal hyperalgesia in rats. Neurol Sci 33:527–533

    Article  PubMed  Google Scholar 

  • Chen Q, Zhang W, Sadana N, Chen X (2021) Estrogen receptors in pain modulation: cellular signaling. Biol Sex Differ 12:22

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Colombo C, Butler M, Hickman L, Selwyn M, Chart J, Steinetz B (1983) A new model of osteoarthritis in rabbits. II. Evaluation of anti-osteoarthritic effects of selected antirheumatic drugs administered systemically. Arthritis Rheum 26:1132–1139

    Article  CAS  PubMed  Google Scholar 

  • Coulombe MA, Spooner MF, Gaumond I, Carrier JC, Marchand S (2011) Estrogen receptors beta and alpha have specific pro- and anti-nociceptive actions. Neuroscience 184:172–182

    Article  CAS  PubMed  Google Scholar 

  • Craft RM, Ulibarri C, Leitl MD, Sumner JE (2008) Dose- and time-dependent estradiol modulation of morphine antinociception in adult female rats. Eur J Pain 12:472–479

    Article  CAS  PubMed  Google Scholar 

  • de Kruijf M, Stolk L, Zillikens MC, de Rijke YB, Bierma-Zeinstra SM, Hofman A, Huygen FJ, Uitterlinden AG, van Meurs JB (2016) Lower sex hormone levels are associated with more chronic musculoskeletal pain in community-dwelling elderly women. Pain 157:1425–1431

    Article  PubMed  CAS  Google Scholar 

  • Deslypere JP, Verdonck L, Vermeulen A (1985) Fat tissue: a steroid reservoir and site of steroid metabolism. J Clin Endocrinol Metab 61:564–570

    Article  CAS  PubMed  Google Scholar 

  • Dovey JL, Vasudevan N (2020) Does GPER1 play a role in sexual dimorphism? Front Endocrinol (Lausanne) 11: 595895

  • Fenton A, Panay N (2016) Estrogen, menopause and joints. Climacteric 19:107–108

    Article  PubMed  Google Scholar 

  • Fillingim RB, Ness TJ (2000) Sex-related hormonal influences on pain and analgesic responses. Neurosci Biobehav Rev 24:485–501

    Article  CAS  PubMed  Google Scholar 

  • Fischer L, Torres-Chavez KE, Clemente-Napimoga JT, Jorge D, Arsati F, de Arruda Veiga MC, Tambeli CH (2008) The influence of sex and ovarian hormones on temporomandibular joint nociception in rats. J Pain 9:630–638

    Article  CAS  PubMed  Google Scholar 

  • Gaumond I, Arsenault P, Marchand S (2002) The role of sex hormones on formalin-induced nociceptive responses. Brain Res 958:139–145

    Article  CAS  PubMed  Google Scholar 

  • Gaumond I, Arsenault P, Marchand S (2005) Specificity of female and male sex hormones on excitatory and inhibitory phases of formalin-induced nociceptive responses. Brain Res 1052:105–111

    Article  CAS  PubMed  Google Scholar 

  • Gervais JA, Otis C, Lussier B, Guillot M, Martel-Pelletier J, Pelletier JP, Beaudry F, Troncy E (2019) Osteoarthritic pain model influences functional outcomes and spinal neuropeptidomics: a pilot study in female rats. Can J Vet Res 83:133–141

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hall JM, Couse JF, Korach KS (2001) The multifaceted mechanisms of estradiol and estrogen receptor signaling. J Biol Chem 276:36869–36872

    Article  CAS  PubMed  Google Scholar 

  • Ham KD, Loeser RF, Lindgren BR, Carlson CS (2002) Effects of long-term estrogen replacement therapy on osteoarthritis severity in cynomolgus monkeys. Arthritis Rheum 46:1956–1964

    Article  CAS  PubMed  Google Scholar 

  • Hayami T, Pickarski M, Zhuo Y, Wesolowski GA, Rodan GA, le Duong T (2006) Characterization of articular cartilage and subchondral bone changes in the rat anterior cruciate ligament transection and meniscectomized models of osteoarthritis. Bone 38:234–243

    Article  PubMed  Google Scholar 

  • Huang JG, Xia C, Zheng XP, Yi TT, Wang XY, Song G, Zhang B (2011) 17beta-estradiol promotes cell proliferation in rat osteoarthritis model chondrocytes via PI3K/Akt pathway. Cell Mol Biol Lett 16:564–575

    CAS  PubMed  PubMed Central  Google Scholar 

  • Hunter DJ, McDougall JJ, Keefe FJ (2008) The symptoms of osteoarthritis and the genesis of pain. Rheum Dis Clin North Am 34:623–643

    Article  PubMed  PubMed Central  Google Scholar 

  • Kelly MJ, Loose MD, Ronnekleiv OK (1992) Estrogen suppresses mu-opioid- and GABAB-mediated hyperpolarization of hypothalamic arcuate neurons. J Neurosci 12:2745–2750

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kuba T, Kemen LM, Quinones-Jenab V (2005) Estradiol administration mediates the inflammatory response to formalin in female rats. Brain Res 1047:119–122

    Article  CAS  PubMed  Google Scholar 

  • Laverty S, Girard CA, Williams JM, Hunziker EB, Pritzker KP (2010) The OARSI histopathology initiative—recommendations for histological assessments of osteoarthritis in the rabbit. Osteoarthritis Cartilage 18(Suppl 3):S53-65

    Article  PubMed  Google Scholar 

  • Li L, Fan X, Warner M, Xu XJ, Gustafsson JA, Wiesenfeld-Hallin Z (2009) Ablation of estrogen receptor alpha or beta eliminates sex differences in mechanical pain threshold in normal and inflamed mice. Pain 143:37–40

    Article  CAS  PubMed  Google Scholar 

  • Ma B, Yu LH, Fan J, Cong B, He P, Ni X, Burnstock G (2011) Estrogen modulation of peripheral pain signal transduction: involvement of P2X(3) receptors. Purinergic Signal 7:73–83

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Malfait AM (2016) Osteoarthritis year in review 2015: biology. Osteoarthritis Cartilage 24:21–26

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Maneix L, Servent A, Poree B, Ollitrault D, Branly T, Bigot N, Boujrad N, Flouriot G, Demoor M, Boumediene K, Moslemi S, Galera P (2014) Up-regulation of type II collagen gene by 17beta-estradiol in articular chondrocytes involves Sp1/3, Sox-9, and estrogen receptor alpha. J Mol Med (berl) 92:1179–1200

    Article  CAS  Google Scholar 

  • Mannino CA, South SM, Quinones-Jenab V, Inturrisi CE (2007) Estradiol replacement in ovariectomized rats is antihyperalgesic in the formalin test. J Pain 8:334–342

    Article  CAS  PubMed  Google Scholar 

  • Marks HE, Hobbs SH (1972) Changes in stimulus reactivity following gonadectomy in male and female rats of different ages. Physiol Behav 8:1113–1119

    Article  CAS  PubMed  Google Scholar 

  • Martin VT (2009) Ovarian hormones and pain response: a review of clinical and basic science studies. Gend Med 6(Suppl 2):168–192

    Article  PubMed  Google Scholar 

  • Melchior M, Poisbeau P, Gaumond I, Marchand S (2016) Insights into the mechanisms and the emergence of sex-differences in pain. Neuroscience 338:63–80

    Article  CAS  PubMed  Google Scholar 

  • Mogil JS (2012) Sex differences in pain and pain inhibition: multiple explanations of a controversial phenomenon. Nat Rev Neurosci 13:859–866

    Article  CAS  PubMed  Google Scholar 

  • Otis C, Gervais J, Guillot M, Gervais JA, Gauvin D, Pethel C, Authier S, Dansereau MA, Sarret P, Martel-Pelletier J, Pelletier JP, Beaudry F, Troncy E (2016) Concurrent validity of different functional and neuroproteomic pain assessment methods in the rat osteoarthritis monosodium iodoacetate (MIA) model. Arthritis Res Ther 18:150

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Otis C, Guillot M, Moreau M, Martel-Pelletier J, Pelletier JP, Beaudry F, Troncy E (2017) Spinal neuropeptide modulation, functional assessment and cartilage lesions in a monosodium iodoacetate rat model of osteoarthritis. Neuropeptides 65:56–62

    Article  CAS  PubMed  Google Scholar 

  • Otis C, Guillot M, Moreau M, Pelletier JP, Beaudry F, Troncy E (2019) Sensitivity of functional targeted neuropeptide evaluation in testing pregabalin analgesic efficacy in a rat model of osteoarthritis pain. Clin Exp Pharmacol Physiol 46:723–733

    Article  CAS  PubMed  Google Scholar 

  • Pajot J, Ressot C, Ngom I, Woda A (2003) Gonadectomy induces site-specific differences in nociception in rats. Pain 104:367–373

    Article  CAS  PubMed  Google Scholar 

  • Papka RE, Srinivasan B, Miller KE, Hayashi S (1997) Localization of estrogen receptor protein and estrogen receptor messenger RNA in peripheral autonomic and sensory neurons. Neuroscience 79:1153–1163

    Article  CAS  PubMed  Google Scholar 

  • Ramos-Colon CN, Lee YS, Remesic M, Hall SM, LaVigne J, Davis P, Sandweiss AJ, McIntosh MI, Hanson J, Largent-Milnes TM, Vanderah TW, Streicher J, Porreca F, Hruby VJ (2016) Structure-activity relationships of [des-Arg7]dynorphin A analogues at the kappa opioid receptor. J Med Chem 59:10291–10298

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Riley JL 3rd, Robinson ME, Wise EA, Price D (1999) A meta-analytic review of pain perception across the menstrual cycle. Pain 81:225–235

    Article  PubMed  Google Scholar 

  • Roman-Blas JA, Castaneda S, Largo R, Herrero-Beaumont G (2009) Osteoarthritis associated with estrogen deficiency. Arthritis Res Ther 11:241

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Sagar DR, Staniaszek LE, Okine BN, Woodhams S, Norris LM, Pearson RG, Garle MJ, Alexander SP, Bennett AJ, Barrett DA, Kendall DA, Scammell BE, Chapman V (2010) Tonic modulation of spinal hyperexcitability by the endocannabinoid receptor system in a rat model of osteoarthritis pain. Arthritis Rheum 62:3666–3676

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sagar DR, Burston JJ, Hathway GJ, Woodhams SG, Pearson RG, Bennett AJ, Kendall DA, Scammell BE, Chapman V (2011) The contribution of spinal glial cells to chronic pain behaviour in the monosodium iodoacetate model of osteoarthritic pain. Mol Pain 7:88

    Article  PubMed  PubMed Central  Google Scholar 

  • Saidi M, Beaudry F (2017) Targeted high-resolution quadrupole-Orbitrap mass spectrometry analyses reveal a significant reduction of tachykinin and opioid neuropeptides level in PC1 and PC2 mutant mouse spinal cords. Neuropeptides 65:37–44

    Article  CAS  PubMed  Google Scholar 

  • Saleh TM, Saleh MC (2001) Inhibitory effect of 17beta-estradiol in the parabrachial nucleus is mediated by GABA. Brain Res 911:116–124

    Article  CAS  PubMed  Google Scholar 

  • Schaible HG, Schmidt RF, Willis WD (1987) Convergent inputs from articular, cutaneous and muscle receptors onto ascending tract cells in the cat spinal cord. Exp Brain Res 66:479–488

    Article  CAS  PubMed  Google Scholar 

  • Sharma G, Prossnitz ER (2017) G-protein-coupled estrogen receptor (GPER) and sex-specific metabolic homeostasis. Adv Exp Med Biol 1043:427–453

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Shibata K, Takeda M, Ito A, Takeda M, Sagai H (1998) Ovariectomy-induced hyperalgesia and antinociceptive effect of elcatonin, a synthetic eel calcitonin. Pharmacol Biochem Behav 60:371–376

    Article  CAS  PubMed  Google Scholar 

  • Shughrue PJ, Lane MV, Merchenthaler I (1997) Comparative distribution of estrogen receptor-alpha and -beta mRNA in the rat central nervous system. J Comp Neurol 388:507–525

    Article  CAS  PubMed  Google Scholar 

  • Silva A, Araujo P, Zager A, Tufik S, Andersen ML (2011) Sex differences in sleep pattern of rats in an experimental model of osteoarthritis. Eur J Pain 15:545–553

    Article  PubMed  Google Scholar 

  • Simerly RB, Chang C, Muramatsu M, Swanson LW (1990) Distribution of androgen and estrogen receptor mRNA-containing cells in the rat brain: an in situ hybridization study. J Comp Neurol 294:76–95

    Article  CAS  PubMed  Google Scholar 

  • Sniekers YH, Weinans H, Bierma-Zeinstra SM, van Leeuwen JP, van Osch GJ (2008) Animal models for osteoarthritis: the effect of ovariectomy and estrogen treatment — a systematic approach. Osteoarthritis Cartilage 16:533–541

    Article  CAS  PubMed  Google Scholar 

  • Srikanth VK, Fryer JL, Zhai G, Winzenberg TM, Hosmer D, Jones G (2005) A meta-analysis of sex differences prevalence, incidence and severity of osteoarthritis. Osteoarthritis Cartilage 13:769–781

    Article  PubMed  Google Scholar 

  • Stoffel EC, Ulibarri CM, Folk JE, Rice KC, Craft RM (2005) Gonadal hormone modulation of mu, kappa, and delta opioid antinociception in male and female rats. J Pain 6:261–274

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stoop R, Buma P, van der Kraan PM, Hollander AP, Billinghurst RC, Meijers TH, Poole AR, van den Berg WB (2001) Type II collagen degradation in articular cartilage fibrillation after anterior cruciate ligament transection in rats. Osteoarthritis Cartilage 9:308–315

    Article  CAS  PubMed  Google Scholar 

  • Stumpf WE, Sar M, Keefer DA (1975) Anatomical distribution of estrogen in the central nervous system of mouse, rat, tree shrew, and squirrel monkey. Adv Biosci 15:77–88

    CAS  PubMed  Google Scholar 

  • Sun Y, Leng P, Guo P, Gao H, Liu Y, Li C, Li Z, Zhang H (2021) G protein coupled estrogen receptor attenuates mechanical stress-mediated apoptosis of chondrocyte in osteoarthritis via suppression of Piezo1. Mol Med 27:96

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Suokas AK, Walsh DA, McWilliams DF, Condon L, Moreton B, Wylde V, Arendt-Nielsen L, Zhang W (2012) Quantitative sensory testing in painful osteoarthritis: a systematic review and meta-analysis. Osteoarthritis Cartilage 20:1075–1085

    Article  CAS  PubMed  Google Scholar 

  • Taleghany N, Sarajari S, DonCarlos LL, Gollapudi L, Oblinger MM (1999) Differential expression of estrogen receptor alpha and beta in rat dorsal root ganglion neurons. J Neurosci Res 57:603–615

    Article  CAS  PubMed  Google Scholar 

  • Walter H, Kawashima A, Nebelung W, Neumann W, Roessner A (1998) Immunohistochemical analysis of several proteolytic enzymes as parameters of cartilage degradation. Pathol Res Pract 194:73–81

    Article  CAS  PubMed  Google Scholar 

  • Watt FE (2018) Musculoskeletal pain and menopause. Post Reprod Health 24:34–43

    Article  PubMed  Google Scholar 

  • Xiao YP, Tian FM, Dai MW, Wang WY, Shao LT, Zhang L (2016) Are estrogen-related drugs new alternatives for the management of osteoarthritis? Arthritis Res Ther 18:151

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Xu ZZ, Chen QY, Deng SY, Zhang M, Tan CY, Yang W, Ma KT, Li L, Si JQ, Zhu LC (2019) 17beta-estradiol attenuates neuropathic pain caused by spared nerve injury by upregulating CIC-3 in the dorsal root ganglion of ovariectomized rats. Front Neurosci 13:1205

    Article  PubMed  PubMed Central  Google Scholar 

  • Yoshida A, Morihara T, Matsuda K, Sakamoto H, Arai Y, Kida Y, Kawata M, Kubo T (2012) Immunohistochemical analysis of the effects of estrogen on intraarticular neurogenic inflammation in a rat anterior cruciate ligament transection model of osteoarthritis. Connect Tissue Res 53:197–206

    Article  CAS  PubMed  Google Scholar 

  • Zhang W, Wu H, Xu Q, Chen S, Sun L, Jiao C, Wang L, Fu F, Feng Y, Qian X, Chen X (2020) Estrogen modulation of pain perception with a novel 17beta-estradiol pretreatment regime in ovariectomized rats. Biol Sex Differ 11:2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

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.

Author information

Authors and Affiliations

Authors

Contributions

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.

Corresponding author

Correspondence to Eric Troncy.

Ethics declarations

Ethics approval

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.

Consent to participate

Not applicable.

Competing interests

The authors declare no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Sokhna Keita-Alassane and Colombe Otis are recognized as first coauthors.

Supplementary Information

Below is the link to the electronic supplementary material.

Supplementary file1 (XLSX 47 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00210-022-02231-5

Keywords

Navigation