新型阻滞剂 QLS-81 抑制 Nav1.7 通道缓解神经性疼痛。

Inhibition of Nav1.7 channel by a novel blocker QLS-81 for alleviation of neuropathic pain.

机构信息

Department of Pharmacology, School of Pharmacy, Qingdao University, Qingdao, 266073, China.

School of Pharmacy, Fudan University, Shanghai, 201203, China.

出版信息

Acta Pharmacol Sin. 2021 Aug;42(8):1235-1247. doi: 10.1038/s41401-021-00682-9. Epub 2021 Jun 8.

Abstract

Voltage-gated sodium channel Nav1.7 robustly expressed in peripheral nociceptive neurons has been considered as a therapeutic target for chronic pain, but there is no selective Nav1.7 inhibitor available for therapy of chronic pain. Ralfinamide has shown anti-nociceptive activity in animal models of inflammatory and neuropathic pain and is currently under phase III clinical trial for neuropathic pain. Based on ralfinamide, a novel small molecule (S)-2-((3-(4-((2-fluorobenzyl) oxy) phenyl) propyl) amino) propanamide (QLS-81) was synthesized. Here, we report the electrophysiological and pharmacodynamic characterization of QLS-81 as a Nav1.7 channel inhibitor with promising anti-nociceptive activity. In whole-cell recordings of HEK293 cells stably expressing Nav1.7, QLS-81 (IC at 3.5 ± 1.5 μM) was ten-fold more potent than its parent compound ralfinamide (37.1 ± 2.9 μM) in inhibiting Nav1.7 current. QLS-81 inhibition on Nav1.7 current was use-dependent. Application of QLS-81 (10 μM) caused a hyperpolarizing shift of the fast and slow inactivation of Nav1.7 channel about 7.9 mV and 26.6 mV, respectively, and also slowed down the channel fast and slow inactivation recovery. In dissociated mouse DRG neurons, QLS-81 (10 μM) inhibited native Nav current and suppressed depolarizing current pulse-elicited neuronal firing. Administration of QLS-81 (2, 5, 10 mg· kg· d, i.p.) in mice for 10 days dose-dependently alleviated spinal nerve injury-induced neuropathic pain and formalin-induced inflammatory pain. In addition, QLS-81 (10 μM) did not significantly affect ECG in guinea pig heart ex vivo; and administration of QLS-81 (10, 20 mg/kg, i.p.) in mice had no significant effect on spontaneous locomotor activity. Taken together, our results demonstrate that QLS-81, as a novel Nav1.7 inhibitor, is efficacious on chronic pain in mice, and it may hold developmental potential for pain therapy.

摘要

电压门控钠通道 Nav1.7 在周围伤害感受神经元中表达丰富,已被认为是治疗慢性疼痛的治疗靶点,但目前尚无用于治疗慢性疼痛的选择性 Nav1.7 抑制剂。拉法酰胺在炎症性和神经性疼痛的动物模型中显示出抗伤害作用,目前正在进行神经性疼痛的 III 期临床试验。基于拉法酰胺,合成了一种新型小分子(S)-2-((3-(4-((2-氟苄基)氧基)苯基)丙基)氨基)丙酰胺(QLS-81)。在这里,我们报告了 QLS-81 作为 Nav1.7 通道抑制剂的电生理和药效学特征,具有有前景的抗伤害作用。在稳定表达 Nav1.7 的 HEK293 细胞的全细胞记录中,QLS-81(IC 在 3.5±1.5μM 时)在抑制 Nav1.7 电流方面比其母体化合物拉法酰胺(37.1±2.9μM)强 10 倍。QLS-81 对 Nav1.7 电流的抑制具有使用依赖性。应用 QLS-81(10μM)使 Nav1.7 通道的快速和缓慢失活发生约 7.9mV 和 26.6mV 的超极化移位,并且还减慢了通道的快速和缓慢失活恢复。在分离的小鼠 DRG 神经元中,QLS-81(10μM)抑制了内源性 Nav 电流,并抑制了去极化电流脉冲诱发的神经元放电。在小鼠中,QLS-81(2、5、10mg·kg·d,腹腔注射)连续给药 10 天,剂量依赖性地缓解了脊髓神经损伤引起的神经性疼痛和福尔马林引起的炎性疼痛。此外,QLS-81(10μM)在豚鼠离体心脏中对心电图没有显著影响;在小鼠中,QLS-81(10、20mg/kg,腹腔注射)给药对自发运动活动没有显著影响。综上所述,我们的结果表明,QLS-81 作为一种新型的 Nav1.7 抑制剂,在小鼠的慢性疼痛中有效,可能具有治疗疼痛的开发潜力。

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