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Pharmacological Inhibition of the Voltage-Gated Sodium Channel NaV1.7 Alleviates Chronic Visceral Pain in a Rodent Model of Irritable Bowel Syndrome.


ABSTRACT: The human nociceptor-specific voltage-gated sodium channel 1.7 (hNaV1.7) is critical for sensing various types of somatic pain, but it appears not to play a primary role in acute visceral pain. However, its role in chronic visceral pain remains to be determined. We used assay-guided fractionation to isolate a novel hNaV1.7 inhibitor, Tsp1a, from tarantula venom. Tsp1a is 28-residue peptide that potently inhibits hNaV1.7 (IC50 = 10 nM), with greater than 100-fold selectivity over hNaV1.3-hNaV1.6, 45-fold selectivity over hNaV1.1, and 24-fold selectivity over hNaV1.2. Tsp1a is a gating modifier that inhibits NaV1.7 by inducing a hyperpolarizing shift in the voltage-dependence of channel inactivation and slowing recovery from fast inactivation. NMR studies revealed that Tsp1a adopts a classical knottin fold, and like many knottin peptides, it is exceptionally stable in human serum. Remarkably, intracolonic administration of Tsp1a completely reversed chronic visceral hypersensitivity in a mouse model of irritable bowel syndrome. The ability of Tsp1a to reduce visceral hypersensitivity in a model of irritable bowel syndrome suggests that pharmacological inhibition of hNaV1.7 at peripheral sensory nerve endings might be a viable approach for eliciting analgesia in patients suffering from chronic visceral pain.

SUBMITTER: Jiang Y 

PROVIDER: S-EPMC8369682 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature

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Pharmacological Inhibition of the Voltage-Gated Sodium Channel Na<sub>V</sub>1.7 Alleviates Chronic Visceral Pain in a Rodent Model of Irritable Bowel Syndrome.

Jiang Yan Y   Castro Joel J   Blomster Linda V LV   Agwa Akello J AJ   Maddern Jessica J   Schober Gudrun G   Herzig Volker V   Chow Chun Yuen CY   Cardoso Fernanda C FC   Demétrio De Souza França Paula P   Gonzales Junior J   Schroeder Christina I CI   Esche Steffen S   Reiner Thomas T   Brierley Stuart M SM   King Glenn F GF  

ACS pharmacology & translational science 20210607 4


The human nociceptor-specific voltage-gated sodium channel 1.7 (hNa<sub>V</sub>1.7) is critical for sensing various types of somatic pain, but it appears not to play a primary role in acute visceral pain. However, its role in chronic visceral pain remains to be determined. We used assay-guided fractionation to isolate a novel hNa<sub>V</sub>1.7 inhibitor, Tsp1a, from tarantula venom. Tsp1a is 28-residue peptide that potently inhibits hNa<sub>V</sub>1.7 (IC<sub>50</sub> = 10 nM), with greater tha  ...[more]

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