Westlund K N, Zhang L P, Ma F, Nesemeier R, Ruiz J C, Ostertag E M, Crawford J S, Babinski K, Marcinkiewicz M M
Department of Physiology, University of Kentucky, Lexington, KY 40506, United States.
Department of Biology, University of Kentucky, Lexington, KY 40506, United States; Transposagen Biopharmaceuticals Inc., 535 West Second Street, Lexington, KY 40508, United States.
Neuroscience. 2014 Mar 14;262:165-75. doi: 10.1016/j.neuroscience.2013.12.043. Epub 2014 Jan 3.
Acute and chronic pain resulting from injury, surgery, or disease afflicts >100 million Americans each year, having a severe impact on mood, mental health, and quality of life. The lack of structural and functional information for most ion channels, many of which play key roles in the detection and transmission of noxious stimuli, means that there remain unidentified therapeutic targets for pain management. This study focuses on the transient receptor potential canonical subfamily 4 (TRPC4) ion channel, which is involved in the tissue-specific and stimulus-dependent regulation of intracellular Ca²⁺ signaling. Rats with a transposon-mediated TRPC4-knockout mutation displayed tolerance to visceral pain induced by colonic mustard oil (MO) exposure, but not somatic or neuropathic pain stimuli. Moreover, wild-type rats treated with a selective TRPC4 antagonist (ML-204) prior to MO exposure mimicked the behavioral responses observed in TRPC4-knockout rats. Significantly, ML-204 inhibited visceral pain-related behavior in a dose-dependent manner without noticeable adverse effects. These data provide evidence that TRPC4 is required for detection and/or transmission of colonic MO visceral pain sensation. In the future, inhibitors of TRPC4 signaling may provide a highly promising path for the development of first-in-class therapeutics for this visceral pain, which may have fewer side effects and less addictive potential than opioid derivatives.
由损伤、手术或疾病引起的急慢性疼痛每年折磨着超过1亿美国人,对情绪、心理健康和生活质量产生严重影响。大多数离子通道缺乏结构和功能信息,其中许多在有害刺激的检测和传递中起关键作用,这意味着疼痛管理仍有未确定的治疗靶点。本研究聚焦于瞬时受体电位香草酸亚家族4(TRPC4)离子通道,其参与细胞内Ca²⁺信号的组织特异性和刺激依赖性调节。具有转座子介导的TRPC4基因敲除突变的大鼠对结肠芥子油(MO)暴露诱导的内脏疼痛表现出耐受性,但对躯体或神经性疼痛刺激无耐受性。此外,在MO暴露前用选择性TRPC4拮抗剂(ML-204)处理的野生型大鼠模拟了在TRPC4基因敲除大鼠中观察到的行为反应。值得注意的是,ML-204以剂量依赖性方式抑制内脏疼痛相关行为,且无明显不良反应。这些数据证明TRPC4是结肠MO内脏痛觉检测和/或传递所必需的。未来,TRPC4信号抑制剂可能为开发针对这种内脏疼痛的一流疗法提供一条极具前景的途径,这种疗法可能比阿片类衍生物副作用更少、成瘾潜力更小。
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