Naguib M, Diaz P, Xu J J, Astruc-Diaz F, Craig S, Vivas-Mejia P, Brown D L
1Department of Anesthesiology and Pain Medicine, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.
Br J Pharmacol. 2008 Dec;155(7):1104-16. doi: 10.1038/bjp.2008.340. Epub 2008 Sep 1.
There is growing interest in using cannabinoid type 2 (CB(2)) receptor agonists for the treatment of neuropathic pain. In this report, we describe the pharmacological characteristics of MDA7 (1-[(3-benzyl-3-methyl-2,3-dihydro-1-benzofuran-6-yl)carbonyl]piperidine), a novel CB(2) receptor agonist.
We characterized the pharmacological profile of MDA7 by using radioligand-binding assays and in vitro functional assays at human cannabinoid type 1 (CB(1)) and CB(2) receptors. In vitro functional assays were performed at rat CB(1) and CB(2) receptors. The effects of MDA7 in reversing neuropathic pain were assessed in spinal nerve ligation and paclitaxel-induced neuropathy models in rats.
MDA7 exhibited selectivity and agonist affinity at human and rat CB(2) receptors. MDA7 treatment attenuated tactile allodynia produced by spinal nerve ligation or by paclitaxel in a dose-related manner. These effects were selectively antagonized by a CB(2) receptor antagonist but not by CB(1) or opioid receptor antagonists. MDA7 did not affect rat locomotor activity.
MDA7, a novel selective CB(2) agonist, was effective in suppressing neuropathic nociception in two rat models without affecting locomotor behaviour. These results confirm the potential for CB(2) agonists in the treatment of neuropathic pain.
使用2型大麻素(CB(2))受体激动剂治疗神经性疼痛的兴趣与日俱增。在本报告中,我们描述了新型CB(2)受体激动剂MDA7(1-[(3-苄基-3-甲基-2,3-二氢-1-苯并呋喃-6-基)羰基]哌啶)的药理学特性。
我们通过放射性配体结合试验以及在人1型大麻素(CB(1))和CB(2)受体上进行体外功能试验,对MDA7的药理学特征进行了表征。体外功能试验在大鼠CB(1)和CB(2)受体上进行。在大鼠的脊神经结扎和紫杉醇诱导的神经病变模型中评估了MDA7在逆转神经性疼痛方面的作用。
MDA7在人和大鼠CB(2)受体上表现出选择性和激动剂亲和力。MDA7治疗以剂量相关的方式减轻了由脊神经结扎或紫杉醇引起的触觉异常性疼痛。这些作用被CB(2)受体拮抗剂选择性拮抗,但不被CB(1)或阿片受体拮抗剂拮抗。MDA7不影响大鼠的运动活性。
新型选择性CB(2)激动剂MDA7在两种大鼠模型中有效抑制神经性伤害感受,且不影响运动行为。这些结果证实了CB(2)激动剂在治疗神经性疼痛方面的潜力。