1. NaV1.1 inhibition can reduce visceral hypersensitivity.
- Author
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Salvatierra J, Castro J, Erickson A, Li Q, Braz J, Gilchrist J, Grundy L, Rychkov GY, Deiteren A, Rais R, King GF, Slusher BS, Basbaum A, Pasricha PJ, Brierley SM, and Bosmans F
- Subjects
- Animals, Chronic Pain diagnosis, Chronic Pain etiology, Chronic Pain pathology, Colon innervation, Colon pathology, Disease Models, Animal, Dose-Response Relationship, Drug, Drug Evaluation, Preclinical, Drug Stability, Ganglia, Spinal cytology, Humans, Irritable Bowel Syndrome chemically induced, Irritable Bowel Syndrome pathology, Male, Maximum Tolerated Dose, Mice, NAV1.1 Voltage-Gated Sodium Channel metabolism, Nociceptors drug effects, Nociceptors metabolism, Pain Measurement, Trinitrobenzenesulfonic Acid administration & dosage, Trinitrobenzenesulfonic Acid toxicity, Visceral Pain diagnosis, Visceral Pain etiology, Visceral Pain pathology, Chronic Pain drug therapy, Colon drug effects, Irritable Bowel Syndrome complications, Visceral Pain drug therapy, Voltage-Gated Sodium Channel Blockers administration & dosage
- Abstract
Functional bowel disorder patients can suffer from chronic abdominal pain, likely due to visceral hypersensitivity to mechanical stimuli. As there is only a limited understanding of the basis of chronic visceral hypersensitivity (CVH), drug-based management strategies are ill defined, vary considerably, and include NSAIDs, opioids, and even anticonvulsants. We previously reported that the 1.1 subtype of the voltage-gated sodium (NaV; NaV1.1) channel family regulates the excitability of sensory nerve fibers that transmit a mechanical pain message to the spinal cord. Herein, we investigated whether this channel subtype also underlies the abdominal pain that occurs with CVH. We demonstrate that NaV1.1 is functionally upregulated under CVH conditions and that inhibiting channel function reduces mechanical pain in 3 mechanistically distinct mouse models of chronic pain. In particular, we use a small molecule to show that selective NaV1.1 inhibition (a) decreases sodium currents in colon-innervating dorsal root ganglion neurons, (b) reduces colonic nociceptor mechanical responses, and (c) normalizes the enhanced visceromotor response to distension observed in 2 mouse models of irritable bowel syndrome. These results provide support for a relationship between NaV1.1 and chronic abdominal pain associated with functional bowel disorders.
- Published
- 2018
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