Endogenous Pain Modulation (EPM) impairment is a significant contributor to chronic pain. Conditioned pain modulation (CPM) testing assesses EPM function. Osteoarthritic (OA) dogs are good translational models, but CPM has not been explored. Our aim was to assess EPM impairment in OA dogs compared to controls using CPM. We hypothesized that CPM testing would demonstrate EPM impairment in OA dogs compared to controls. Dogs with stifle/hip OA and demographically-matched controls were recruited. The pre-conditioning test stimulus, using mechanical/thermal quantitative sensory testing (MQST or TQST), were performed at the metatarsus. A 22N blunt probe (conditioning stimulus) was applied to the contralateral antebrachium for 2 minutes, followed by MQST or TQST (post-conditioning test stimulus). The threshold changes from pre to post-conditioning (∆MQST and ∆TQST) were compared between OA and control dogs. Twenty-four client-owned dogs (OA, n = 11; controls, n = 13) were recruited. The ∆MQST(p < 0.001) and ∆TQST(p < 0.001) increased in control dogs but not OA dogs (∆MQST p = 0.65; ∆TQST p = 0.76). Both ∆MQST(p < 0.001) and ∆TQST(p < 0.001) were different between the OA and control groups. These are the first data showing that EPM impairment is associated with canine OA pain. The spontaneous OA dog model may be used to test drugs that normalize EPM function.

译文

内源性疼痛调节 (EPM) 损伤是慢性疼痛的重要原因。条件性疼痛调节 (CPM) 测试评估EPM功能。骨关节炎 (OA) 犬是很好的翻译模型,但尚未探索CPM。我们的目标是与使用CPM的对照组相比,评估OA犬的EPM损伤。我们假设CPM测试将证明OA犬与对照组相比EPM受损。招募了具有窒息/髋关节OA和人口统计学匹配的对照的狗。使用机械/热定量感官测试 (MQST或TQST) 在meta骨处进行预处理测试刺激。将22N钝探针 (调节刺激) 应用于对侧前臂2  分钟,然后进行MQST或TQST (调节后测试刺激)。在OA和对照犬之间比较了从调节前到调节后的阈值变化 (∆ mqst和 ∆ tqst)。招募了24只客户拥有的狗 (OA,n   =   11; 对照组,n   =   13)。在对照犬中,∆ mqst (p  <  0.001) 和 ∆ tqst (p  <  0.001) 增加,但OA犬不增加 (∆ mqst p   =   0.65; ∆ tqst p   =   0.76)。OA组和对照组的 ∆ mqst (p  <  0.001) 和 ∆ tqst (p  <  0.001) 均不同。这些是第一个数据,表明EPM损伤与犬OA疼痛有关。自发性OA狗模型可用于测试使EPM功能正常化的药物。

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