• Reg Anesth Pain Med · May 2007

    Chronic intrathecal infusion of minocycline prevents the development of spinal-nerve ligation-induced pain in rats.

    • Chia-Shiang Lin, Meei-Ling Tsaur, Chien-Chuan Chen, Tao-Yeuan Wang, Chih-Fu Lin, Yuen-Liang Lai, Tien-Chi Hsu, Yu-Yen Pan, Chen-Hsien Yang, and Jen-Kun Cheng.
    • Department of Anesthesiology, Mackay Memorial Hospital, Taipei, Taiwan.
    • Reg Anesth Pain Med. 2007 May 1;32(3):209-16.

    Background And ObjectivesMinocycline is a second-generation tetracycline with multiple biological effects, including inhibition of microglial activation. Recently, microglial activation has been implicated in the development of nerve injury-induced neuropathic pain. In this study, the authors examined the effects of continuous intrathecal minocycline on the development of neuropathic pain and microglial activation induced by L5/6 spinal-nerve ligation in rats.MethodsUnder isoflurane anesthesia, male Sprague-Dawley rats (200-250 g) received right L5/6 spinal-nerve ligation and intrathecal catheters connected to an infusion pump. Intrathecal saline or minocycline (2 and 6 microg/h) was given continuously after surgery for 7 days (n = 8 per group). The rat right hind paw withdrawal threshold to von Frey filament stimuli and withdrawal latency to radiant heat were determined before surgery and on days 1 to 7 after surgery. Spinal microglial activation was evaluated with OX-42 immunoreactivity on day 7 after surgery.ResultsSpinal-nerve ligation induced mechanical allodynia and thermal hyperalgesia on the affected hind paw of saline-treated rats. Intrathecal minocycline (2 and 6 microg/h) prevented the development of mechanical allodynia and thermal hyperalgesia induced by nerve ligation. It also inhibited nerve ligation-induced microglial activation, as evidenced by decreased OX-42 staining. No obvious histopathologic change was noted after intrathecal minocycline (6 microg/h) infusion.ConclusionsIn this study, the authors demonstrate the preventive effect of continuous intrathecal minocycline on the development of nociceptive behaviors induced by L5/6 spinal-nerve ligation in rats. Further studies are required to examine if continuous intrathecal minocycline could be used safely in the clinical setting.

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