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. 2011 Jul;106(1):274-9.
doi: 10.1152/jn.00141.2011. Epub 2011 May 11.

Abnormal muscle afferent function in a model of Taxol chemotherapy-induced painful neuropathy

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Abnormal muscle afferent function in a model of Taxol chemotherapy-induced painful neuropathy

Xiaojie Chen et al. J Neurophysiol. 2011 Jul.

Abstract

Despite muscle pain being a well-described symptom in patients with diverse forms of peripheral neuropathy, the role of neuropathic mechanisms in muscle pain have received remarkably little attention. We have recently demonstrated in a well-established model of chemotherapy-induced painful neuropathy (CIPN) that the anti-tumor drug paclitaxel (Taxol) produces mechanical hyperalgesia in skeletal muscle, of similar time course to and with shared mechanism with cutaneous symptoms. In the present study, we evaluated muscle afferent neuron function in this rat model of CIPN. The mechanical threshold of muscle afferents in rats exposed to paclitaxel was not significantly different from the mechanical threshold of muscle afferents in control animals (P = 0.07). However, paclitaxel did produce a marked increase in the number of action potentials elicited by prolonged suprathreshold fixed intensity mechanical stimulation and a marked increase in the conduction velocity. In addition, the interspike interval (ISI) analysis (to evaluate the temporal characteristics of the response of afferents to sustained mechanical stimulation) showed a significant difference in rats treated with paclitaxel; there was a significantly greater ISI percentage of paclitaxel-treated muscle afferents with 0.01- and 0.02-s ISI. In contrast, an analysis of variability of neuronal firing over time (CV2 analysis) showed no effect of paclitaxel administration. These effects of paclitaxel on muscle afferent function contrast with the previously reported effects of paclitaxel on the function of cutaneous nociceptors.

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Figures

Fig. 1.
Fig. 1.
Mechanical threshold of muscle afferents. Mechanical threshold in afferents innervating the gastrocnemius muscle of paclitaxel-treated rats were not significantly different from the threshold in afferents from naïve control rats. Scattergram of mechanical thresholds of individual muscle afferents from naïve control and paclitaxel-treated rats is also shown.
Fig. 2.
Fig. 2.
Response of muscle afferents to a sustained mechanical stimulus. The responses of afferents innervating the gastrocnemius muscle of paclitaxel-treated rats to mechanical stimuli (60-s suprathreshold 10-g von Frey hair, n = 31) were significantly higher than those of control rats (n = 40; *P < 0.05). Scattergram of individual responses of muscle afferents from naïve control and paclitaxel-treated rats is also shown.
Fig. 3.
Fig. 3.
Interspike interval (ISI) distribution of muscle afferents in response to sustained mechanical stimuli. No significant differences were observed in the ISI distribution of muscle afferents (from 0 to 0.28 s, in 0.01-s bin width, and >0.29 s), from control and paclitaxel-treated rats, in response to mechanical stimulation (60-s suprathreshold 10-g von Frey hair). *P < 0.05.
Fig. 4.
Fig. 4.
Conduction velocity in muscle afferents. Mean conduction velocities from paclitaxel-treated rats (2.09 ± 0.17 m/s, n = 31) were significantly greater than from naïve rats (1.25 ± 0.11 m/s, n = 40; Student's t-test, *P < 0.05). Scattergram of conduction velocities of muscle afferents in naïve control and paclitaxel-treated rats is also shown.
Fig. 5.
Fig. 5.
Paclitaxel treatment stress shifts muscle afferent conduction velocity frequency distribution. A plot of frequency distribution of conduction velocity indicates that there is a shift to faster conducting fibers in paclitaxel-treated rats. Graph overlay shows smoothing curve of data (6th order polynomial, 4 neighbor averaging) to illustrate shift in conduction velocity distribution.

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