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Letters to the Editor

Reply “Co-analgesics for neuropathic pain in the rat model of spared nerve injury”

Lin, Wen-Yinga,b,c; Sun, Wei-Zenc,*; Yen, Chen-Tunga,*

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Journal of the Chinese Medical Association: December 2019 - Volume 82 - Issue 12 - p 963
doi: 10.1097/JCMA.0000000000000213
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DEAR EDITOR,

We appreciate the recent correspondence by Chih-Jen Hung and Han-Fang Tseng regarding our article1 and welcome this opportunity to address their comments.2

We agree with Hung and Tseng that it is necessary to considered various aspects of the spared nerve injury (SNI) model. Our research team has been using the SNI model for many years. According to our previous published results,3–6 and the first SNI paper by Decosterd and Woolf,7 stable, consistent, and long-lasting mechanical and thermal-evoked pain behaviors developed within 3 days after SNI surgery, in sharp contrast to negative pain behaviors after sham surgery. We tested the drug effects only when the SNI-induced pain behaviors had been well established. Our previous experiments also presented with saline injection in the SNI rats to address the placebo effect.4 In this work, we focused on synergistic effects by the combination of drugs. MPE and AUC were chosen and presented because these indices match clinician’s perspective in managing neuropathic pain patients the best. Thus, we hope our article could provide preclinical reference in neuropathic pain managements.

REFERENCES

1. Lin WY, Cheng YT, Huang YH, Lin FS, Sun WZ, Yen CT. Synergistic symptom-specific effects of ketorolac-tramadol and ketorolac-pregabalin in a rat model of peripheral neuropathy.J Chin Med Assoc201982457–63
2. Tseng HF, Hung CJ. Co-analgesics for neuropathic pain in the rat model of spared nerve injury.J Chin Med Assoc201982:962.
3. Lee KS, Huang YH, Yen CT. Periaqueductal gray stimulation suppresses spontaneous pain behavior in rats.Neurosci Lett201251442–5
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5. Chao TH, Chen JH, Yen CT. Plasticity changes in forebrain activity and functional connectivity during neuropathic pain development in rats with sciatic spared nerve injury.Mol Brain20181155
6. Lin HC, Yen CT. Differential expression of phosphorylated ERK and c-fos of limbic cortices activities in response to tactile allodynia of neuropathic rats.Chin J Physiol201861240–51
7. Decosterd I, Woolf CJ. Spared nerve injury: an animal model of persistent peripheral neuropathic pain.Pain200087149–58
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