title: The kinin B1 receptor antagonist SSR240612 reverses tactile and cold allodynia in an experimental rat model of insulin resistance.
abstract: OBJECTIVE
  Diabetes causes sensory polyneuropathy with associated pain in the form of tactile allodynia and thermal hyperalgesia which are often intractable and resistant to current therapy. This study tested the beneficial effects of the non-peptide and orally active kinin B(1) receptor antagonist SSR240612 against tactile and cold allodynia in a rat model of insulin resistance.
  
  
  METHODS
  Rats were fed with 10% D-glucose for 12 weeks and effects of orally administered SSR240612 (0.3-30 mg kg(-1)) were determined on the development of tactile and cold allodynia. Possible interference of SSR240612 with vascular oxidative stress and pancreatic function was also addressed.
  
  
  RESULTS
  Glucose-fed rats exhibited tactile and cold allodynia, increases in systolic blood pressure and higher plasma levels of insulin and glucose, at 12 weeks. SSR240612 blocked tactile and cold allodynia at 3 h (ID(50)=5.5 and 7.1 mg kg(-1), respectively) in glucose-fed rats but had no effect in control rats. The antagonist (10 mg kg(-1)) had no effect on plasma glucose and insulin, insulin resistance (HOMA index) and aortic superoxide anion production in glucose-fed rats.
  
  
  CONCLUSIONS
  We provide the first evidence that the B(1) receptors are involved in allodynia in an experimental rat model of insulin resistance. Allodynia was alleviated by SSR240612 most likely through a direct inhibition of B(1) receptors affecting spinal cord and/or sensory nerve excitation. Thus, orally active non-peptide B(1) receptor antagonists should have clinical therapeutic potential in the treatment of sensory polyneuropathy.
authors.affiliation: Department of Physiology, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
authors.forename: J P
authors.initials: JP
authors.lastname: Dias
authors.forename: M A
authors.initials: MA
authors.lastname: Ismael
authors.forename: M
authors.initials: M
authors.lastname: Pilon
authors.forename: J
authors.initials: J
authors.lastname: de Champlain
authors.forename: B
authors.initials: B
authors.lastname: Ferrari
authors.forename: P
authors.initials: P
authors.lastname: Carayon
authors.forename: R
authors.initials: R
authors.lastname: Couture
mesh_terms: D018712:Analgesics, Non-Narcotic / Q000627:therapeutic use*; D000818:Animals; D001013:Aorta, Thoracic / Q000378:metabolism; D001786:Blood Glucose / Q000032:analysis; D065169:Bradykinin B1 Receptor Antagonists; D003080:Cold Temperature; D004149:Dioxoles / Q000627:therapeutic use*; D004195:Disease Models, Animal; D006358:Hot Temperature; D006930:Hyperalgesia / Q000188:drug therapy*; D007328:Insulin / Q000097:blood; D007333:Insulin Resistance / Q000502:physiology*; D008297:Male; D018384:Oxidative Stress / Q000187:drug effects; D010146:Pain / Q000188:drug therapy* / Q000378:metabolism / Q000503:physiopathology; D051381:Rats; D017207:Rats, Sprague-Dawley; D013449:Sulfonamides / Q000627:therapeutic use*; D013481:Superoxides / Q000378:metabolism; D014110:Touch
chemical_list: C487113:2-((3-(1,3-benzodioxol-5-yl)-3-(((6-methoxy-2-naphthyl)sulfonyl)amino)propanoyl)amino)-3-(4-((2,6-dimethylpiperidinyl)methyl)phenyl)-N-isopropyl-N-methylpropanamide; D018712:Analgesics, Non-Narcotic; D001786:Blood Glucose; D065169:Bradykinin B1 Receptor Antagonists; D004149:Dioxoles; D007328:Insulin; D013449:Sulfonamides; D013481:Superoxides