Title
Effect of a peripheral NMDA receptor antagonist on glutamate-evoked masseter muscle pain and mechanical sensitization in women
Date Issued
01 June 2007
Access level
metadata only access
Resource Type
journal article
Author(s)
Cairns B.E.
Ernberg M.
Wang K.
Sessle B.J.
Arendt-Nielsen L.
Svensson P.
University of Aarhus
Abstract
Aims: To test the hypothesis that local injection of the N-methyl-D-aspartate (NMDA) receptor antagonist ketamine would significantly attenuate glutamate-evoked masseter mechanical sensitization and muscle pain in healthy young women either taking oral contraceptives (W+OC) or not taking oral contraceptives (W-OC). Methods: Experimental pain was evoked in 47 healthy female subjects (W+OC, n = 25; W-OC, n = 22) by 2 injections of glutamate (0.2 mL, 1 mol/L) into the masseter muscle. A first injection of glutamate alone was followed by a second injection, 35 minutes later, of glutamate combined with ketamine (0, 1, or 10 mmol/L). Evoked pain intensity was scored on a 10-cm electronic visual analog scale (VAS). Distribution of perceived pain was drawn on a lateral view of the face (pain drawing). Masseter muscle pressure pain thresholds (PPT) and pressure-pain tolerances (PPTOL) were determined bilaterally before and at regular time intervals after injections. Analyses of variance (ANOVA) were used to test the data. Results: There were no main effects of ketamine on any of the VAS pain parameters or on the pain drawing (ANOVAs: P > .055). Furthermore, there were no differences in PPT, PPTOL, VAS peak pain, duration, overall VAS pain, or pain drawing when W-OC were compared with W+OC (ANOVAs: P > .087). Repeated injection of glutamate alone significantly decreased PPT and PPTOL (ANOVAs: P < .001); however, this effect was not significantly attenuated by ketamine. Conclusions: Peripherally administered ketamine had no effect on glutamate-evoked masseter muscle pain and sensitization in healthy young women, which contrasts with recent observations in healthy young men. Further studies will be needed to reveal the mechanisms that underlie this apparent sex-related difference in ketamine-mediated analgesia.
Start page
216
End page
224
Volume
21
Issue
3
Language
English
OCDE Knowledge area
Neurología clínica
Scopus EID
2-s2.0-34547934830
PubMed ID
Source
Journal of Orofacial Pain
ISSN of the container
10646655
Sponsor(s)
National Institute of Dental and Craniofacial Research - R01DE015420.
Sources of information: Directorio de Producción Científica Scopus