Substance P content of the skin, neurogenic inflammation and numbers of C-fibres following capsaicin application to a cutaneous nerve in the rabbit.

The long-term effects of applying capsaicin briefly to a cutaneous nerve in the rabbit have been assessed 10 days after treatment. No changes in C-fibre numbers were seen in treated saphenous nerves and the average ratio of C-fibres to A-fibres was close to 7 in both control and treated nerves. However, the substance P content of the skin innervated by the saphenous nerve fell by 46% after capsaicin treatment compared with a fall of 65% after nerve section. Plasma extravasation in response to 7.5% mustard oil applied to the skin was also reduced following capsaicin treatment (by 43%) and following denervation (by 47%), although the response to 25% mustard oil was unaffected by previous capsaicin treatment. Thus, as in other species that have been examined (notably the rat), brief capsaicin treatment of rabbit skin nerves leads to a reduction in a neurogenic inflammatory response and in substance P content of the skin. However, unlike the rat, there is no degeneration of C-fibres. In the rabbit it is therefore possible to separate the neurotoxic, degenerative action of capsaicin from its ability to deplete substance P. The question of whether a similar dissociation between neurotoxic and other actions could be achieved in the rat by using lower capsaicin concentrations remains to be answered.