Genetic deletion of the adenosine A2A receptor in mice reduces the changes in spinal cord NMDA receptor binding and glucose uptake caused by a nociceptive stimulus

Mice lacking the adenosine A_2A receptor are less sensitive to nociceptive stimuli, and A_2A receptor antagonists have antinociceptive effects. We have previously shown a marked reduction in the behavioural responses to formalin injection in A_2A receptor knockout mice. This may be due to the presence of pronociceptive A_2A receptors on sensory nerves, and if so spinal cords from A_2A receptor knockout mice may have altered neurochemical responses to a nociceptive stimulus. We tested this hypothesis by studying two parameters known to change with spinal cord activity, NMDA glutamate receptor binding and [¹⁴C]-2-deoxyglucose uptake, following intraplantar formalin injection in wild-type and A_2A receptor knockout mice. In naïve untreated A_2A knockout mice [¹⁴C]-2-deoxyglucose uptake in all regions of the spinal cord was significantly lower compared to the wild-type, similar to the reduced NMDA receptor binding that we have previously observed. Following formalin treatment, there was an decrease in [³H]-MK801 binding to NMDA receptors and an increase in [¹⁴C]-2-deoxyglucose uptake in the spinal cords of wild-type mice, and these changes were significantly reduced in the A_2A knockout mice. In addition to altered behavioural responses, there are therefore corresponding reductions in spinal cord neurochemical changes induced by formalin in mice lacking adenosine A_2A receptors. These observations support the hypothesis that activation of A_2A receptors enhances nociceptive input into the spinal cord and suggests a possible role for A_2A antagonists as analgesics.