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卡马西平在骨关节炎治疗中的应用:一种靶向Nav1.7通道的新方法。

Carbamazepine in osteoarthritis treatment: A novel approach targeting Nav1.7 channels.

作者信息

Vaid Rayyan, Sohail Afra, Amir Nabiha

机构信息

Department of Medicine, Karachi Medical and Dental College, Karachi 75500, Pakistan.

出版信息

World J Orthop. 2024 Jun 18;15(6):602-604. doi: 10.5312/wjo.v15.i6.602.

DOI:10.5312/wjo.v15.i6.602
PMID:38947258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212538/
Abstract

Osteoarthritis (OA) presents a growing health concern, with substantial societal and healthcare burdens. Current management focuses on symptom relief, lacking disease-modifying options. Emerging research suggests the sodium channel Nav1.7 as a pivotal target in OA treatment. Preclinical studies demonstrate carbamazepine's efficacy in Nav1.7 blockade, offering significant joint protection in animal models. However, human trials are needed to validate these findings. Carbamazepine's repurposing holds promise for OA management, potentially revolutionizing treatment paradigms. Further research is essential to bridge the gap between preclinical evidence and clinical application, offering hope for improved OA management and enhanced patient quality of life.

摘要

骨关节炎(OA)对健康的影响日益受到关注,给社会和医疗保健带来了沉重负担。目前的治疗重点是缓解症状,缺乏改善病情的选择。新出现的研究表明,钠通道Nav1.7是OA治疗的关键靶点。临床前研究证明卡马西平在阻断Nav1.7方面具有疗效,在动物模型中能提供显著的关节保护。然而,需要进行人体试验来验证这些发现。卡马西平的重新利用有望用于OA管理,可能会彻底改变治疗模式。进一步的研究对于弥合临床前证据与临床应用之间的差距至关重要,有望改善OA管理并提高患者生活质量。

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2
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本文引用的文献

1
Pharmacologic Characterization of LTGO-33, a Selective Small Molecule Inhibitor of the Voltage-Gated Sodium Channel Na1.8 with a Unique Mechanism of Action.LTGO-33 是一种选择性的钠离子通道 Na1.8 小分子抑制剂,具有独特的作用机制。本文对其药理学特性进行了研究。
Mol Pharmacol. 2024 Feb 15;105(3):233-249. doi: 10.1124/molpharm.123.000789.
2
Na1.7 as a chondrocyte regulator and therapeutic target for osteoarthritis.作为软骨细胞调节剂和骨关节炎治疗靶点的 Na1.7。
Nature. 2024 Jan;625(7995):557-565. doi: 10.1038/s41586-023-06888-7. Epub 2024 Jan 3.
3
Structural basis for severe pain caused by mutations in the voltage sensors of sodium channel NaV1.7.电压门控钠离子通道 NaV1.7 突变导致严重疼痛的结构基础。
J Gen Physiol. 2023 Dec 4;155(12). doi: 10.1085/jgp.202313450. Epub 2023 Oct 30.
4
Prevalence of knee osteoarthritis, its determinants, and impact on the quality of life in elderly persons in rural Ballabgarh, Haryana.哈里亚纳邦巴拉布加尔农村地区老年人膝关节骨关节炎的患病率、决定因素及其对生活质量的影响。
J Family Med Prim Care. 2021 Jan;10(1):354-360. doi: 10.4103/jfmpc.jfmpc_1477_20. Epub 2021 Jan 30.
5
Osteoarthritis.骨关节炎
Acta Med Port. 2015 Jan-Feb;28(1):99-106. doi: 10.20344/amp.5477. Epub 2015 Feb 27.
6
Ion channels and osteoarthritic pain: potential for novel analgesics.离子通道与骨关节炎疼痛:新型镇痛药的潜力。
Curr Pain Headache Rep. 2013 Dec;17(12):378. doi: 10.1007/s11916-013-0378-z.