Analysis of the effects of a tricyclic antidepressant on secondary sleep disturbance induced by chronic pain in a preclinical model

PLoS One. 2020 Dec 3;15(12):e0243325. doi: 10.1371/journal.pone.0243325. eCollection 2020.

Abstract

Chronic pain and sleep have a bidirectional relationship that promotes a vicious circle making chronic pain more difficult to treat. Therefore, pain and sleep should be treated simultaneously. In our previous study, we suggested that hyperactivation of ascending serotonergic neurons could cause secondary sleep disturbance in chronic pain. This study aimed to demonstrate the effects of a tricyclic antidepressant (amitriptyline) and a selective 5-hydroxy-tryptamine 2A (5-HT2A) antagonist (MDL 100907) that adjust serotonergic transmission, on secondary sleep disturbance induced in a preclinical chronic pain model. We produced a chronic neuropathic pain model by partial sciatic nerve ligation in mice, analyzed their electroencephalogram (EEG) and electromyogram (EMG) using the SleepSign software, and evaluated the sleep condition of the pain model mice after administration of amitriptyline or MDL 100907. Amitriptyline improved thermal hyperalgesia and the amount of sleep, especially non-REM sleep. Time change of normalized power density of δ wave in the nerve ligation group with amitriptyline administration showed a normal pattern that was similar to sham mice. In addition, MDL 100907 normalized sleep condition similar to amitriptyline, without improvement in pain threshold. In conclusion, amitriptyline could improve sleep quantity and quality impaired by chronic pain. 5-HT2A receptor antagonism could partially contribute to this sleep improvement, but is not associated with pain relief.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Amitriptyline / pharmacology*
  • Animals
  • Antidepressive Agents, Tricyclic / pharmacology*
  • Chronic Pain* / complications
  • Chronic Pain* / drug therapy
  • Chronic Pain* / metabolism
  • Chronic Pain* / physiopathology
  • Disease Models, Animal
  • Fluorobenzenes / pharmacology*
  • Male
  • Mice
  • Neuralgia* / complications
  • Neuralgia* / drug therapy
  • Neuralgia* / metabolism
  • Neuralgia* / physiopathology
  • Piperidines / pharmacology*
  • Receptor, Serotonin, 5-HT2A / metabolism
  • Serotonin 5-HT2 Receptor Antagonists / pharmacology*
  • Sleep Wake Disorders* / drug therapy
  • Sleep Wake Disorders* / etiology
  • Sleep Wake Disorders* / metabolism
  • Sleep Wake Disorders* / physiopathology

Substances

  • Antidepressive Agents, Tricyclic
  • Fluorobenzenes
  • Htr2a protein, mouse
  • Piperidines
  • Receptor, Serotonin, 5-HT2A
  • Serotonin 5-HT2 Receptor Antagonists
  • Amitriptyline
  • volinanserin

Grants and funding

HI received grant below. Grant numbers: 26893092 Grant name:Grant-in-Aid for Research Activity start-up from Japan Society for the Promotion of Science Website: https://kaken.nii.ac.jp/ja/ The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.