Drug Discovery Res, Astellas Pharma Inc., 21, Miyukigaoka, Tsukuba-shi, Ibaraki, 305-8585, Japan.
Drug Discovery Res, Astellas Pharma Inc., 21, Miyukigaoka, Tsukuba-shi, Ibaraki, 305-8585, Japan.
Eur J Pharmacol. 2020 Aug 15;881:173194. doi: 10.1016/j.ejphar.2020.173194. Epub 2020 May 21.
Exogenous cannabinoid receptor agonists are clinically effective for treating chronic pain but frequently cause side effects in the central nervous system. Fatty acid amide hydrolase (FAAH) is a primary catabolic enzyme for anandamide, an endogenous cannabinoid agonist. 3-Pyridyl 4-(phenylcarbamoyl)piperidine-1-carboxylate (ASP8477) is a potent and selective FAAH inhibitor that is orally active and able to increase the brain anandamide level and is effective in rat models of neuropathic and osteoarthritis pain without causing motor coordination deficits. In the present study, we examined the pharmacokinetics and pharmacodynamics, analgesic spectrum in pain models, and the anti-nociceptive mechanism of ASP8477. Single and four-week repeated oral administration of ASP8477 ameliorated mechanical allodynia in spinal nerve ligation rats with similar improvement rates. Further, single oral administration of ASP8477 improved thermal hyperalgesia and cold allodynia in chronic constriction nerve injury rats. ASP8477 also restored muscle pressure thresholds in reserpine-induced myalgia rats. This analgesic effect of ASP8477 persisted for at least 4 h, consistent with the inhibitory effect observed in an ex vivo study using rat brain as well as the increasing effect on oleoylethanolamide and palmitoylethanolamide levels but not the ASP8477 concentration in rat brain. ASP8477 also improved α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid (AMPA)-, N-methyl-D-aspartic acid (NMDA)-, prostaglandin E-, prostaglandin F-, and bicuculline-induced allodynia in mice, showing broader analgesic spectra than existing drugs. In contrast, however, ASP8477 did not affect acute pain. These results indicate that the FAAH inhibitor ASP8477 exerts analgesic effects on neuropathic and dysfunctional pain, and its pharmacological properties are suitable for use in treating chronic pain.
外源性大麻素受体激动剂在治疗慢性疼痛方面具有临床疗效,但常引起中枢神经系统副作用。脂肪酸酰胺水解酶(FAAH)是内源性大麻素激动剂大麻二酚的主要代谢酶。3-吡啶基 4-(苯甲酰胺基)哌啶-1-羧酸酯(ASP8477)是一种有效的、选择性的 FAAH 抑制剂,具有口服活性,能够增加大脑中大麻二酚的水平,并在神经病理性疼痛和骨关节炎疼痛的大鼠模型中有效,而不会引起运动协调缺陷。在本研究中,我们研究了 ASP8477 的药代动力学和药效学、疼痛模型中的镇痛谱以及抗伤害作用机制。单次和四周重复口服 ASP8477 可改善脊神经结扎大鼠的机械性痛觉过敏,改善率相似。此外,单次口服 ASP8477 可改善慢性缩窄性神经损伤大鼠的热痛觉过敏和冷触诱发痛觉过敏。ASP8477 还可恢复利血平诱导的肌痛大鼠的肌肉压力阈值。这种 ASP8477 的镇痛作用至少持续 4 小时,与在使用大鼠脑的离体研究中观察到的抑制作用以及对油酸乙醇酰胺和棕榈酸乙醇酰胺水平的增加作用一致,但与大鼠脑内的 ASP8477 浓度无关。ASP8477 还改善了 AMPA、NMDA、前列腺素 E、前列腺素 F 和印防己毒素诱发的小鼠痛觉过敏,表现出比现有药物更广泛的镇痛谱。然而,与现有药物不同的是,ASP8477 对急性疼痛没有影响。这些结果表明,FAAH 抑制剂 ASP8477 对神经病理性和功能障碍性疼痛具有镇痛作用,其药理学特性适合用于治疗慢性疼痛。
Br J Pharmacol. 2006-5
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