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  4. Effects of Combined Shinbaro and Celecoxib in a Complete Freund’s Adjuvant-Induced Inflammatory Pain Mouse Model

Effects of Combined Shinbaro and Celecoxib in a Complete Freund’s Adjuvant-Induced Inflammatory Pain Mouse Model

Journal of Inflammation Research, 2025 · DOI: https://doi.org/10.2147/JIR.S500345 · Published: February 17, 2025

Alternative MedicineImmunologyPain Management

Simple Explanation

This study investigated whether combining Shinbaro (an herbal medicine) and celecoxib (an anti-inflammatory drug) could enhance pain relief in mice with induced inflammatory pain. The researchers modeled inflammatory pain in mice by injecting a substance called CFA into their paw. The results showed that the combination was more effective than either treatment alone in reducing pain and swelling. The combined treatment also decreased inflammatory cells in the affected area and reduced the activity of cells in the spinal cord that contribute to ongoing pain. These findings suggest that this combination could be a more potent approach to treating inflammatory pain, potentially allowing for lower doses of celecoxib and reducing the risk of side effects.

Study Duration
7 days
Participants
66 mice
Evidence Level
Level 2: Animal Study

Key Findings

  • 1
    The combination of Shinbaro and celecoxib synergistically reduced mechanical hyperalgesia and paw edema in mice with CFA-induced inflammatory pain.
  • 2
    The combination therapy attenuated the infiltration of macrophages into the hind paw, which is associated with reduced inflammation.
  • 3
    The combined treatment inhibited the activation of microglia and astrocytes in the spinal cord, reducing the expression of pro-inflammatory cytokines and mediators.

Research Summary

This study investigated the synergistic effects of combining Shinbaro and celecoxib in a mouse model of CFA-induced inflammatory pain. The results demonstrated that the combination therapy effectively reduced pain sensitivity, paw edema, and macrophage infiltration, while also inhibiting glial cell activation and pro-inflammatory cytokine expression in the spinal cord. The findings suggest that this combination may offer a more effective and safer approach to managing inflammatory pain with reduced side effects compared to conventional therapies.

Practical Implications

Enhanced Pain Management

The combination of Shinbaro and celecoxib may offer a more effective approach to managing inflammatory pain compared to using either medication alone.

Reduced Side Effects

The synergistic effect of the combination therapy could potentially allow for lower doses of celecoxib, reducing the risk of side effects associated with long-term NSAID use.

Expanded Treatment Options

This combination therapy may provide a viable treatment option for patients with inflammatory pain, expanding the range of available treatment approaches.

Study Limitations

  • 1
    The mechanisms underlying the synergistic effect of the combination therapy were not fully elucidated.
  • 2
    The impact of Shinbaro on the pharmacokinetic profile of celecoxib was not investigated.
  • 3
    The pharmacological action of the combination therapy warrants further investigation.

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