The involvement of bradykinin and some other inflammatory mediators in formalin-induced oedema and plasma extravasation was
examined. Formalin was injected in rat paws at two doses, 1.75% or 5%. The lower dose induced the development of an immediate
oedema associated with a progressive accumulation of
125I-labelled albumin in the paws. These changes were suppressed by pretreatment with capsaicin or xylocaine. They were abolished
by RP67580, a NK
1 receptor antagonist, and increased by phosphoramidon or diprotin A. They were not affected by HOE140, a bradykinin B
2 antagonist, captopril, methysergide, mepyramine, indomethacin, ketoprofen or l-
N
G-nitroarginine. The higher dose of formalin induced a swelling of the paws which took place in two phases associated with
two periods of increase in vascular permeability. This oedema was reduced by pretreatment with capsaicin but not with xylocaine.
It was reduced by RP67580 injected before or 30 min after formalin. It was inhibited by mepyramine, methysergide, indomethacin
and NS-398, a cyclooxy-genase-2 inhibitor. It was not modified by HOE140. Its development was similar in normal and kininogen-deficient
rats. We concluded that formalin administered at a low dose induces an oedema which mainly results from a neurogenic inflammation
mediated by neuropeptides such as substance P. At higher doses, formalin induces an oedema which mainly depends on the release
of substance P, prostanoids, 5-hydroxytryptamine and histamine. Bradykinin plays no significant role in the vascular changes
whereas this peptide has been reported to participate in the stimulation of nociceptive afferent neurons. This discrepancy
could be explained by a difference in the threshold of stimulation of the nociceptive neurons and that of the cells of the
vascular walls, or by a formation of kinins in close contact of the neurons.
Key words Oedema - Formalin - Bradykinin - Substance P - NS-398
Received: 29 June 1998 / Accepted: 20 November 1998