Laughing Gas Relieves Pain by Selectively Releasing Specific Enkephalins in the Brain

Nitrous oxide selectively increased met-enkephalin and met-enkephalin-Arg-Phe in brain CSF without affecting beta-endorphin, leu-enkephalin, or dynorphin.

Finck, A D et al.·Anesthesia and analgesia·1995·Moderate EvidenceAnimal StudyAnimal Study
RPEP-00320Animal StudyModerate Evidence1995RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Animal Study
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Nitrous oxide selectively increased met-enkephalin and met-enkephalin-Arg-Phe in third ventricular CSF without affecting beta-endorphin, leu-enkephalin, or dynorphin.

Key Numbers

How They Did This

Eight acclimated dogs with chronically implanted third ventricle cannulae. CSF samples collected before and during nitrous oxide exposure. Five opioid peptides measured by radioimmunoassay.

Why This Research Matters

The mechanism of nitrous oxide analgesia has been debated for decades. This study provides the most direct evidence that it works through selective enkephalin release, resolving a long-standing controversy.

The Bigger Picture

Nitrous oxide is one of the most widely used anesthetics. Finally understanding its mechanism — selective enkephalin release — could help develop better versions or alternatives.

What This Study Doesn't Tell Us

Animal study in dogs. CSF collection from the third ventricle may not reflect peptide changes in all brain regions. Only acute exposure was tested.

Questions This Raises

  • ?Could the selective enkephalin release be enhanced for better analgesia?
  • ?Do other anesthetic gases work through similar opioid mechanisms?

Trust & Context

Key Stat:
Selective release Only met-enkephalin and met-ENK-Arg-Phe increased — the other three opioid peptides were completely unaffected
Evidence Grade:
Moderate — animal study with direct CSF measurement. Provides the most direct evidence to date for nitrous oxide's opioid mechanism.
Study Age:
Published in 1995 (31 years ago). This finding is now widely accepted as part of nitrous oxide's analgesic mechanism.
Original Title:
Nitrous oxide selectively releases Met5-enkephalin and Met5-enkephalin-Arg6-Phe7 into canine third ventricular cerebrospinal fluid.
Published In:
Anesthesia and analgesia, 80(4), 664-70 (1995)
Database ID:
RPEP-00320

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / Observational
Case Report / Animal StudyOne case or non-human subjects
This study

Tests effects in animals (usually mice or rats), not humans.

What do these levels mean? →

Frequently Asked Questions

How does laughing gas stop pain?

This study shows nitrous oxide selectively triggers the release of specific natural painkillers (met-enkephalin) in the brain. It doesn't broadly activate the opioid system — just these particular peptides.

Is this why naloxone can reverse nitrous oxide effects?

Yes — since nitrous oxide works by releasing enkephalins (which act on opioid receptors), blocking those receptors with naloxone partially reverses the pain relief, confirming the opioid mechanism.

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Cite This Study

RPEP-00320·https://rethinkpeptides.com/research/RPEP-00320

APA

Finck, A D; Samaniego, E; Ngai, S H. (1995). Nitrous oxide selectively releases Met5-enkephalin and Met5-enkephalin-Arg6-Phe7 into canine third ventricular cerebrospinal fluid.. Anesthesia and analgesia, 80(4), 664-70.

MLA

Finck, A D, et al. "Nitrous oxide selectively releases Met5-enkephalin and Met5-enkephalin-Arg6-Phe7 into canine third ventricular cerebrospinal fluid.." Anesthesia and analgesia, 1995.

RethinkPeptides

RethinkPeptides Research Database. "Nitrous oxide selectively releases Met5-enkephalin and Met5-..." RPEP-00320. Retrieved from https://rethinkpeptides.com/research/finck-1995-nitrous-oxide-selectively-releases

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.