Institut de Pharmacologie Moléculaire et Cellulaire (IPMC), UMR 6097 CNRS/Université de Nice-Sophia Antipolis (UNS), 660, route des Lucioles, 06560 Valbonne, France.
Pharmacol Ther. 2010 Dec;128(3):549-58. doi: 10.1016/j.pharmthera.2010.08.006. Epub 2010 Aug 31.
Tissue acidosis is a common feature of many painful conditions. Protons are indeed among the first factors released by injured tissues, inducing a local pH fall that depolarizes peripheral free terminals of nociceptors and leads to pain. ASICs are excitatory cation channels directly gated by extracellular protons that are expressed in the nervous system. In sensory neurons, they act as "chemo-electrical" transducers and are involved in somatic and visceral nociception. Two highly specific inhibitory peptides isolated from animal venoms have considerably helped in the understanding of the physiological roles of these channels in pain. At the peripheral level, ASIC3 is important for inflammatory pain. Its expression and its activity are potentiated by several pain mediators present in the "inflammatory soup" that sensitize nociceptors. ASICs have also been involved in some aspects of mechanosensation and mechanonociception, notably in the gastrointestinal tract, but the underlying mechanisms remain to be determined. At the central level, ASIC1a is largely expressed in spinal cord neurons where it has been proposed to participate in the processing of noxious stimuli and in central sensitization. Blocking ASIC1a in the spinal cord also produces a potent analgesia in a broad range of pain conditions through activation of the opiate system. Targeting ASIC channels at different levels of the nervous system could therefore be an interesting strategy for the relief of pain.
组织酸中毒是许多疼痛病症的共同特征。质子确实是受伤组织释放的第一批因素之一,导致局部 pH 值下降,使伤害感受器的外周游离末梢去极化,并导致疼痛。ASICs 是由细胞外质子直接门控的兴奋性阳离子通道,在神经系统中表达。在感觉神经元中,它们作为“化学-电气”转换器,参与躯体和内脏疼痛。从动物毒液中分离出的两种高度特异性抑制肽在理解这些通道在疼痛中的生理作用方面有很大帮助。在周围水平,ASIC3 对炎症性疼痛很重要。几种存在于“炎症汤”中的疼痛介质会增强其表达和活性,使伤害感受器敏感。ASICs 也参与了一些机械感觉和机械性疼痛的方面,特别是在胃肠道中,但潜在的机制仍有待确定。在中枢水平,ASIC1a 主要在脊髓神经元中表达,据推测它参与了有害刺激的处理和中枢敏化。通过激活阿片系统,在脊髓中阻断 ASIC1a 也能在广泛的疼痛情况下产生强大的镇痛作用。因此,在神经系统的不同水平靶向 ASIC 通道可能是缓解疼痛的一种有趣策略。
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