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ABT-639 对 Cav3.2 通道活性的影响及其在炎性痛和神经病理性痛模型小鼠中的镇痛作用。

Effect of ABT-639 on Cav3.2 channel activity and its analgesic actions in mouse models of inflammatory and neuropathic pain.

机构信息

Department of Clinical Neurosciences, Hotchkiss Brain Institute, Alberta Children's Hospital Research Institute, University of Calgary, AB, T2N 4N1, Calgary, Canada.

Department of Clinical Neurosciences, Hotchkiss Brain Institute, Alberta Children's Hospital Research Institute, University of Calgary, AB, T2N 4N1, Calgary, Canada.

出版信息

Eur J Pharmacol. 2024 Mar 15;967:176416. doi: 10.1016/j.ejphar.2024.176416. Epub 2024 Feb 10.

Abstract

Cav3.2 T-type calcium channels are important targets for pain relief in rodent models of inflammatory and neuropathic pain. Even though many T-type channel blockers have been tested in mice, only one molecule, ABT-639, has been tested in phase II clinical studies and did not produce analgesic effects over placebo. Here we examined the effects of ABT-639 on Cav3.2 channel activity in tsA-201 cells and dorsal root ganglion (DRG) neurons, in comparison with another established Cav3.2 inhibitor Z944. These experiments revealed that Z944 mediated ∼100-fold more potent inhibition of Cav3.2 currents than ABT-639, with the latter blocking channel activity by less than 15 percent when applied at a concentration of 30 μM. A slight increase in ABT-639 potency was observed at more depolarized holding potentials, suggesting that this compound may act preferentially on inactivated channels. We tested the effects of both compounds in the Complete Freund's Adjuvant (CFA) model of chronic inflammatory pain, and in partial sciatic nerve injury model of neuropathic pain in mice. In the neuropathic pain model, both Z944 and ABT-639 reversed mechanical hypersensitivity to similar degrees when delivered systemically, but remarkably, when delivered intrathecally, only Z944 was effective. In the CFA model, both compounds reversed thermal hyperalgesia upon systemic delivery, but only Z944 mediated pain relief upon intrathecal delivery, indicating that ABT-639 acts primarily at peripheral sites. ABT-639 lost its analgesic effects in CFA treated Cav3.2 null mice, indicating that these channels are essential for ABT-639-mediated pain relief despite its poor inhibition of Cav3.2 currents.

摘要

Cav3.2 T 型钙通道是炎性和神经性疼痛啮齿动物模型中缓解疼痛的重要靶点。尽管已经在小鼠中测试了许多 T 型通道阻滞剂,但只有一种分子 ABT-639 已在 II 期临床研究中进行了测试,且未产生优于安慰剂的镇痛效果。在这里,我们比较了另一种已建立的 Cav3.2 抑制剂 Z944,研究了 ABT-639 对 tsA-201 细胞和背根神经节 (DRG) 神经元中 Cav3.2 通道活性的影响。这些实验表明,Z944 介导的 Cav3.2 电流抑制作用比 ABT-639 强约 100 倍,当以 30μM 的浓度应用时,后者对通道活性的抑制作用小于 15%。当在更去极化的保持电位下观察到 ABT-639 效力略有增加,表明该化合物可能优先作用于失活的通道。我们在完全弗氏佐剂 (CFA) 慢性炎性疼痛模型和小鼠坐骨神经部分损伤神经病理性疼痛模型中测试了这两种化合物的作用。在神经病理性疼痛模型中,当全身性给予时,Z944 和 ABT-639 均能使机械性超敏反应逆转到相似程度,但令人惊讶的是,当鞘内给予时,只有 Z944 有效。在 CFA 模型中,当全身性给予时,两种化合物均能逆转热痛觉过敏,但只有 Z944 介导鞘内给予时的疼痛缓解,表明 ABT-639 主要作用于外周部位。在 CFA 治疗的 Cav3.2 缺失小鼠中,ABT-639 失去了其镇痛作用,表明尽管 Cav3.2 电流的抑制作用较差,但这些通道对 ABT-639 介导的疼痛缓解至关重要。

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