Effect of pregabalin on nociceptive thresholds and immune responses in a mouse model of incisional pain
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3344/kjp.2021.34.2.185
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Jung Hyun PARK
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Seung Hee CHO
			        		
			        		;
		        		
		        		
		        		
			        		Rip KIM
			        		
			        		;
		        		
		        		
		        		
			        		Sang Hoon NA
			        		
			        		;
		        		
		        		
		        		
			        		Eun-sun KANG
			        		
			        		;
		        		
		        		
		        		
			        		Mi-young YEOM
			        		
			        		;
		        		
		        		
		        		
			        		Yeon JANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Department of Anesthesiology and Pain Medicine, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Incheon, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Experimental Research Article
 
        	
        	
            
            
            	- From:The Korean Journal of Pain
	            		
	            		 2021;34(2):185-192
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Background:It is known that some analgesics as well as pain can affect the immune system. The aim of this study was to investigate the analgesic effect and immunomodulation of pregabalin (PGB) in a mouse incisional pain model. 
				        	
				        
				        	Methods:A postoperative pain model was induced by hind paw plantar incision in male BALB/c mice. Mice were randomly divided into four groups (n = 8): a salinetreated incision (incision), PGB-treated incision (PGB-incision), sham controls without incision or drug treatment (control), and a PGB-treated control (PGB-control).In the PGB treated groups, PGB was administered intraperitoneally (IP) 30 minutes before and 1 hour after the plantar incision. Changes of the mechanical nociceptive thresholds following incision were investigated. Mice were euthanized for spleen harvesting 12 hours after the plantar incision, and natural killer (NK) cytotoxicity to YAC 1 cells and lymphocyte proliferation responses to phytohemagglutinin were compared among these four groups. 
				        	
				        
				        	Results:Mechanical nociceptive thresholds were decreased after plantar incision and IP PGB administration recovered these decreased mechanical nociceptive thresholds (P < 0.001). NK activity was increased by foot incision, but NK activity in the PGB-incision group was significantly lower than that in the Incision group (P < 0.001). Incisional pain increased splenic lymphocyte proliferation, but PGB did not alter this response. 
				        	
				        
				        	Conclusions:Incisional pain alters cell immunity of the spleen in BALB/c mice. PGB showed antinocieptive effect on mouse incisional pain and attenuates the activation of NK cells in this painful condition. These results suggest that PGB treatment prevents increases in pain induced NK cell activity.