Johnson Michael P, Muhlhauser Mark A, Nisenbaum Eric S, Simmons Rosa M A, Forster Beth M, Knopp Kelly L, Yang Lijuan, Morrow Denise, Li Dominic L, Kennedy Jeffrey D, Swanson Steven, Monn James A
Lilly Research Laboratories, Eli Lilly and Company, Indianapolis, IN, USA.
Br J Pharmacol. 2017 May;174(9):822-835. doi: 10.1111/bph.13740. Epub 2017 Mar 13.
A body of evidence suggests activation of metabotropic glutamate 2/3 (mGlu ) receptors would be an effective analgesic in chronic pain conditions. Thus, the analgesic properties of a novel mGlu receptor agonist prodrug were investigated.
After oral absorption, the prodrug LY2969822 rapidly converts to the brain penetrant, potent and subtype-selective mGlu receptor agonist LY2934747. Behavioural assessments of allodynia, hyperalgesia and nocifensive behaviours were determined in preclinical pain models after administration of LY2969822 0.3-10 mg·kg . In addition, the ability of i.v. LY2934747 to modulate dorsal horn spinal cord wide dynamic range (WDR) neurons in spinal nerve ligated (SNL) rats was assessed.
Following treatment with LY2934747, the spontaneous activity and electrically-evoked wind-up of WDR neurons in rats that had undergone spinal nerve ligation and developed mechanical allodynia were suppressed. In a model of sensitization, orally administered LY2969822 prevented the nociceptive behaviours induced by an intraplantar injection of formalin. The on-target nature of this effect was confirmed by blockade with an mGlu receptor antagonist. LY2969822 prevented capsaicin-induced tactile hypersensitivity, reversed the SNL-induced tactile hypersensitivity and reversed complete Freund's adjuvant - induced mechanical hyperalgesia. The mGlu receptor agonist prodrug demonstrated efficacy in visceral pain models, including a colorectal distension model and partially prevented the nocifensive behaviours in the mouse acetic acid writhing model.
Following oral administration of the prodrug LY2969822, the mGlu receptor agonist LY2934747 was formed and this attenuated pain behaviours across a broad range of preclinical pain models.
大量证据表明,代谢型谷氨酸2/3(mGlu)受体的激活在慢性疼痛状态下会是一种有效的镇痛方法。因此,对一种新型mGlu受体激动剂前药的镇痛特性进行了研究。
口服吸收后,前药LY2969822迅速转化为可穿透脑屏障、强效且亚型选择性的mGlu受体激动剂LY2934747。在给予0.3 - 10 mg·kg的LY2969822后,于临床前疼痛模型中对异常性疼痛、痛觉过敏和伤害性防御行为进行行为学评估。此外,评估了静脉注射LY2934747对脊髓神经结扎(SNL)大鼠背角脊髓广动力范围(WDR)神经元的调节能力。
用LY2934747治疗后,经历脊髓神经结扎并出现机械性异常性疼痛的大鼠中,WDR神经元的自发活动和电诱发的后放电受到抑制。在致敏模型中,口服LY2969822可预防足底注射福尔马林诱导的伤害性防御行为。mGlu受体拮抗剂的阻断证实了这种效应的靶向性质。LY2969822可预防辣椒素诱导的触觉超敏反应,逆转SNL诱导的触觉超敏反应,并逆转完全弗氏佐剂诱导的机械性痛觉过敏。该mGlu受体激动剂前药在内脏疼痛模型中显示出疗效,包括结直肠扩张模型,并部分预防了小鼠醋酸扭体模型中的伤害性防御行为。
口服前药LY2969822后,形成了mGlu受体激动剂LY2934747,这在广泛的临床前疼痛模型中减轻了疼痛行为。