Walker K, Bowes M, Panesar M, Davis A, Gentry C, Kesingland A, Gasparini F, Spooren W, Stoehr N, Pagano A, Flor P J, Vranesic I, Lingenhoehl K, Johnson E C, Varney M, Urban L, Kuhn R
Nervous System Research, Novartis Pharma AG, CH-4002, Basle, Switzerland.
Neuropharmacology. 2001;40(1):1-9. doi: 10.1016/s0028-3908(00)00113-1.
The excitatory neurotransmitter, glutamate, is particularly important in the transmission of pain information in the nervous system through the activation of ionotropic and metabotropic glutamate receptors. A potent, subtype-selective antagonist of the metabotropic glutamate-5 (mGlu5) receptor, 2-methyl-6-(phenylethynyl)-pyridine (MPEP), has now been discovered that has effective anti-hyperalgesic effects in models of inflammatory pain. MPEP did not affect rotarod locomotor performance, or normal responses to noxious mechanical or thermal stimulation in naïve rats. However, in models of inflammatory pain, systemic administration of MPEP produced effective reversal of mechanical hyperalgesia without affecting inflammatory oedema. In contrast to the non-steroidal anti-inflammatory drugs, indomethacin and diclofenac, the maximal anti-hyperalgesic effects of orally administered MPEP were observed without acute erosion of the gastric mucosa. In contrast to its effects in models of inflammatory pain, MPEP did not produce significant reversal of mechanical hyperalgesia in a rat model of neuropathic pain.
兴奋性神经递质谷氨酸在神经系统中通过激活离子型和代谢型谷氨酸受体来传递疼痛信息方面尤为重要。现已发现一种强效的、代谢型谷氨酸-5(mGlu5)受体亚型选择性拮抗剂2-甲基-6-(苯乙炔基)吡啶(MPEP),它在炎性疼痛模型中具有有效的抗痛觉过敏作用。MPEP不影响幼稚大鼠的转棒运动能力,也不影响其对有害机械或热刺激的正常反应。然而,在炎性疼痛模型中,全身性给予MPEP可有效逆转机械性痛觉过敏,而不影响炎性水肿。与非甾体抗炎药吲哚美辛和双氯芬酸不同,口服MPEP在不引起胃黏膜急性糜烂的情况下即可观察到最大抗痛觉过敏作用。与它在炎性疼痛模型中的作用相反,MPEP在神经性疼痛大鼠模型中并未显著逆转机械性痛觉过敏。