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  4. Sub-anaesthetic dose of propofol attenuates mechanical allodynia in chronic post-ischaemic pain via regulation of PTEN/PI3K/IL-6 signalling

Sub-anaesthetic dose of propofol attenuates mechanical allodynia in chronic post-ischaemic pain via regulation of PTEN/PI3K/IL-6 signalling

Molecular Pain, 2023 · DOI: 10.1177/17448069231185232 · Published: January 1, 2023

AnesthesiologyPain ManagementGenetics

Simple Explanation

This study investigates the effects of propofol, an anesthetic drug, on chronic pain using a mouse model of complex regional pain syndrome (CRPS). The chronic post-ischaemic pain (CPIP) model was used. The researchers found that a low dose of propofol could reduce pain in mice with CPIP, both when given before and after the condition was induced. This suggests propofol could be useful for preventing and treating CRPS pain. The study also explored how propofol works, finding it affects specific molecular pathways (PTEN/PI3K/AKT/IL-6) in the spinal cord, reducing inflammation and pain signals.

Study Duration
Not specified
Participants
Age-matched 6–10 weeks old male C57BL/6N mice weighing 20–23 g
Evidence Level
Not specified

Key Findings

  • 1
    Propofol attenuates mechanical allodynia induced by CPIP in mice, both when administered pre-emptively and post-operatively.
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    Propofol modulates the PTEN/PI3K/AKT signaling pathway by increasing active PTEN and reducing phosphorylated PI3K, phosphorylated AKT, and IL-6 expression in the spinal dorsal horn.
  • 3
    Inhibition of PTEN with bpV abolishes the analgesic effects produced by propofol in CPIP mice, confirming the PTEN-dependent mechanism.

Research Summary

This study investigates the preventive and therapeutic effects of a sub-anesthetic dose of propofol on chronic post-ischemic pain (CPIP) in mice, a model for complex regional pain syndrome (CRPS). The research demonstrates that propofol effectively reduces mechanical allodynia associated with CPIP by modulating the PTEN/PI3K/AKT signaling pathway and reducing IL-6 expression in the spinal cord. The findings suggest that propofol has potential as a therapeutic agent for managing CRPS-related pain, with a mechanism involving the upregulation of PTEN and downregulation of PI3K/AKT/IL-6.

Practical Implications

Potential CRPS Treatment

Propofol could be a viable therapeutic option for managing CRPS, especially in the acute phase.

Preventive Analgesia

Pre-emptive administration of propofol may prevent the development of chronic pain in conditions like CRPS.

Targeted Molecular Therapy

The PTEN/PI3K/AKT/IL-6 pathway represents a potential target for developing new analgesics for chronic pain conditions.

Study Limitations

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