screening methods for analgesics
TRANSCRIPT
Pain is a symptom of many diseases
requiring treatment with analgesics.
Analgesics are drugs that selectively
inhibit the perception (sensation) of
the pain.
INTRODUCTION
ANALGESICS
PERIPHERAL
CAUSAL
(Atropine)NON CAUSAL
LOCAL ANESTHETICS
COUNTER IRRITANTS
NARCOTICS
NATURAL (codeine)
SYNTHETIC
(heroin)
SEMI SYNTHETIC
(pethidine)
Endgenousopiates
(enkephalins)
NON NARCOTICS
NSAIDs
(Aspirin, Diclofenac)
CLASSIFICATION OF ANALGESICS
SCREENING METHODS
IN VITRO
• 3H-Naloxone binding assay
• 3H-Bremazocine binding to κ opiate receptors in guinea pig cerebellum
IN VIVO
• HAFFNER’s tail clip method
• Radiant heat method
• Hot plate method
• Tail immersion test
• Electrical stimulation of the tail
• Grid shock test
• Tooth pulp stimulation
• Monkey shock titration test
• Formalin test in rats
IN VITRO TESTS
1) 3H-Naloxone binding assay
PURPOSE AND RATIONALE-
There is a correlation between the in
vivo pharmacological potency of
opiate agonists and antagonists with
their ability to displace radiolabeled
naloxone.
TISSUE PREPARATION
Male wistar rats decapitated and brains removed
Whole brain minus cerebella- weighed, homogenised in 50 vol of ice cold 0.05M Trisbuffer
Homogenate is centrifuged at 40000g, 15min
Supernatent decanted, pellet resuspended in fresh 0.05M Tris buffer
Yields tissue concentration of 10mg/ml
ASSAY
1
• Tubes containing H2O dextrorphan (total binding) or 5 μMlevorphanol (non-specific binding), 2 M NaCl or H2O, 0.5 M Trisbuffer, pH 7.7, drug or vehicle, 3H-naloxone tissue suspension are incubated for 30 min at 37 °C.
2
• The assay is stopped by vacuum filtration through Whatman GF/B filters.
• Washed 3 times with icecold 0.05 M Tris buffer, pH 7
3
• Specific binding is roughly 1% of the total added ligand and 50% of the total bound in the absence of Na+ and 2% of the total added ligand and 65% of the total bound ligand in the presence of Na+ (100 mM).
• The increase in binding is due to an increase in specific binding.
EVALUATION
Data are converted into % stereospecific3H-naloxone binding displaced by the test drug. IC50 values are determined from computer-derived analysis.
The sodium shift is calculated from IC50 values with and without NaCl. High sodium shifts are found with agonists, low values with antagonists and medium values with mixed agonists-antagonists.
IN VIVO TESTS
1) HAFFNER’s tail clip method
PURPOSE AND RATIONALE
The raised tail (Straub phenomenon)
in mice treated with morphine or
similar opioid drugs and found the tail
after drug treatment to be less
sensitive to noxious stimuli.
PROCEDURE
The animals were divided into four groups of sixmice. An artery clip is applied to the root of thetail of mice and the reaction time is noted. Thetest compounds are administered orally to fastedanimals.
The drug is administered 15, 30 or 60 min priortesting. An artery clip is applied to the root of thetail (approximately 1 cm from the body) to inducepain.
The animal quickly responds to this noxiousstimuli by biting the clip or the tail near thelocation of the clip. The time between stimulationonset and response is measured by a stopwatch.
2) EDDY’S HOT PLATE METHOD
PROCEDURE
The animals were divided into four
groups of six mice. They are placed on
Eddy’s hot plate heated to 55°C.
The animal responds by either jumping
or licking the paw. The response time
prior to and after 30, 60, 120 minutes
are taken. The cut off time is 15
seconds.
3) TAIL IMMERSION
METHODPROCEDURE
The animals are divided into four groups
of six mice. The tail is immersed into hot
water of 55°C.
Within a few seconds, the mouse
responds by withdrawing its tail. The
reaction time is noted prior to and after
30, 60, 120, 180 minutes of drug
administration