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Elucidation of the underlying mechanism of acetaminophen in the brain and spinal cord

Research Project

Project/Area Number 15K15566
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionNiigata University

Principal Investigator

Tatsuro Kohno  新潟大学, 医歯学系, 准教授 (00313536)

Project Period (FY) 2015-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥3,510,000 (Direct Cost: ¥2,700,000、Indirect Cost: ¥810,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywordsアセトアミノフェン / 脊髄後角 / 脊髄前角ニューロン / 鎮痛機序
Outline of Final Research Achievements

The widely used analgesic acetaminophen is metabolized to N-acylphenolamine (AM404), which induces analgesia by acting directly on TRPV1 or CB1 receptors in the brain. Although these receptors are also abundant in the spinal cord, no previous studies have reported analgesic effects of acetaminophen or AM404 mediated by the spinal cord dorsal horn. We used in vivo and in vitro whole-cell patch-clamp recordings of dorsal horn neurons to assess excitatory synaptic transmission. Intravenous acetaminophen decreased peripheral pinch-induced excitatory responses in the dorsal horn. Direct application of AM404 decreased glutamate release from C primary afferent terminals. We determined that these phenomena were mediated by TRPV1, but not CB1 receptors. Our results suggest that the acetaminophen metabolite AM404 induces analgesia directly via TRPV1 receptors expressed on C-fibers in the spinal dorsal horn and suggest a mechanism by which acetaminophen induces analgesia.

Report

(3 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2017 2016

All Journal Article (1 results) (of which Peer Reviewed: 1 results) Presentation (2 results)

  • [Journal Article] Acetaminophen metabolite AM404 induces analgesia via TRPV1 receptors expressed on the primary afferent terminals of C-fibers in the spinal dorsal horn2017

    • Author(s)
      Nobuko Ohashi, Daisuke Uta, Mika Sasaki, Masayuki Ohashi, Yoshinori Kamiya, Tatsuro Kohno
    • Journal Title

      Anesthesiology

      Volume: 印刷中

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Presentation] アセトアミノフェンは脊髄レベルで鎮痛効果を発揮する2017

    • Author(s)
      河野達郎
    • Organizer
      第39回日本疼痛学会
    • Place of Presentation
      神戸国際会議場(兵庫県神戸市)
    • Year and Date
      2017-06-16
    • Related Report
      2016 Annual Research Report
  • [Presentation] アセトアミノフェンの脊髄後角ニューロンにおける鎮痛機序2016

    • Author(s)
      大橋宣子
    • Organizer
      日本麻酔科学会第63回学術集会
    • Place of Presentation
      福岡国際会議場(福岡県福岡市)
    • Year and Date
      2016-05-26
    • Related Report
      2016 Annual Research Report

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Published: 2015-04-16   Modified: 2018-03-22  

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