. Recently, a new spinal mechanism of nociceptor sensitization, retrograde sensitization of the primary sensory neuron, was proposed (8). Induction and maintenance of inflammatory nociceptor sensitization (hypernociception) were shown to depend on spinal cord presynaptic NMDA receptors. In the present study, we have investigated the importance of sodium tetrodotoxin-resistant (TTX-R Na ϩ ) channels, which are characteristic of peripheral nociceptive small C fibers, for the development of hypernociception induced by intrathecal (i.t.) administration of NMDA.Intrathecal administration of prostaglandin E 2 (PGE 2 ), glutamate, and NMDA causes a bilateral long-lasting mechanical paw hypernociception (up to 6 h; refs. 9 and 10). It was previously shown that i.t. induced bilateral hypernociception was ipsilaterally inhibited by local s.c. injection of morphine or dipyrone. The doses of morphine and dipyrone used had no antinociceptive effect on the contralateral paw hypernociception (8, 9). In contrast with inhibitors of prostaglandin synthesis, which prevent the development of nociceptor sensitization, local administration of morphine or dipyrone directly antagonized ongoing hypernociception (10, 11). Peripheral ipsilateral blockade of mechanical hypernociception induced by i.t.-administered mediators constitutes a simple and straightforward behavioral test to show retrograde sensitization of primary sensory neurons.In the present investigation, mechanical hypernociception was measured with an electronic version of the von Frey hair test, in which the force that evokes a behavioral withdrawal is automatically recorded by an electronic pressure meter. Bilateral paw hypernociception was induced by i.t. administration of NMDA or PGE 2 . Pretreatment of the paws with dipyrone or morphine, at doses shown previously to cause antinociception only in the injected paws, was used to show the sensitization of the primary sensory neurons.Several studies have reported that inflammatory stimuli or mediators can significantly increase TTX-R Na ϩ channel NaV1.8 (SNS͞PN3) mRNA expression and enlarge the amplitude of TTX-R Na ϩ channel currents in dorsal root ganglia (DRG;. TTX-R Na ϩ channels are characteristically associated with fine primary sensory fibers (15, 16). By using antisense oligodeoxynucleotides (ODNs) to selectively ''knock down'' the expression of NaV1.8 (a specific and molecularly distinct TTX-R Na channel), it was shown that NaV1.8 present in primary afferent nociceptors contributes to peripheral sensitization induced by local PGE 2 (15,17). In the present study we reduced the expression of NaV1.8 mRNA by successive i.t. injections of specific antisense ODNs and compared the intensity of paw hypernociception induced by i.t. administration of NMDA with control animals (treated with mismatch ODNs followed by i.t. administration of NMDA).
Materials and MethodsAnimals. The experiments were performed on 180-to 200-g male Wistar rats housed in an animal care facility of the University of São Paulo and taken to the testing ...