Nana Tsiklauri
Tbilisi State Medical University, Georgia
Title: The study of antinociceptive tolerance to cannabinoids microinjected into central nucleus of amygdala in rheumatoid arthritis model of rats
Biography:
Abstract:
Introduction. Rheumatoid arthritis (RA) is the chronic (long-term) disease, that cause pain and limited motion and function of many joints. It has been discovered that cannabinoid receptors are expressed in the amygdala, and their activity contributes to the dissociative effect of cannabis on pain perception. It has been also shown In our investigations, that repeated microinjection of NSAIDs into central nucleus of amygdala induces development of tolerance to them. Therefore very interesting to figure out if repeated microinjections of cannabinoids into the central nucleus of amygdale could induce tolerance effects to them. There are many studies examining the effects of cannabinoids in relief of acute and chronic inflammatory pain, and many researches try to prove high efficiency and demonstrate new capabilities of these drugs in rheumatoid arthritis treatment. But much less is known about their side effects like tolerance after repeated administration for long-term treatment. Therefore we studied the antinociception and tolerance during chronic pain in rheumatoid arthritis induced by administration of delta-9- tetrahydrocannabinol (Δ9-THC) into the central nucleus of amigdala for five consecutive days.
Methods. We Induced rheumatoid arthritis in rats by immunization, with an emulsion of complete Freund,s adjuvant and type II collagen (CII), into the tail and monitored of arthritis incidence during 5-8 weeks. : After developing arthritis incidence, surgical procedures for streotaxically bilaterally inplant cannulas into central nucleus of amygdala(CeA) . Repeated microinjections by Δ9â€THC During five consecutive days, one times in day and then testing antinociception using the tail-flick (TF) reflex and on the latency of thermal paw withdrawal reflex and mechanical threshold of paw withdrawal.
Results. Microinjection of Δ9â€THC into the central nucleus of amygdala produced antinociception, as detected by increased latencies in the TF and thermal paw and mechanical paw withdrawal threshold tests as compared to the baseline and to the control group that received saline microinjections in CeA.
On subsequent days Δ9â€THC microinjections caused progressively less antinociception i.e., (tolerance), so that by day 5 there was no effect (i.e., injected groups on day 5 were not significantly different from saline microinjections in all tests).
Conclusions. Here we demonstrated that microinjection of Δ9â€THC, injected into the central nucleus of amygdala, induced antinociception in rheumatoid arthritis model of rats and repeated administration of cannabis induced development of tolerance to them.
In this work we have shown that a long-term use of cannabinoids cause development of tolerance toward them, so this is one of the side effects of cannabinoids, and using for treatment these drugs in rheumatoid arthritis is limited.
Acknowlegement. This research was supported by the grant from Shota Rustaveli National Science Foundation of Georgia (YS17-53).