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Type: Journal article
Title: NaV1.1 inhibition can reduce visceral hypersensitivity
Author: Salvatierra, J.
Castro, J.
Erickson, A.
Li, Q.
Braz, J.
Gilchrist, J.
Grundy, L.
Rychkov, G.Y.
Deiteren, A.
Rais, R.
King, G.F.
Slusher, B.S.
Basbaum, A.
Pasricha, P.J.
Brierley, S.M.
Bosmans, F.
Citation: JCI insight, 2018; 3(11):e121000-1-e121000-13
Publisher: American Society for Clinical Investigation
Issue Date: 2018
ISSN: 2379-3708
Statement of
Juan Salvatierra, Joel Castro, Andelain Erickson, Qian Li, Joao Braz, John Gilchrist, Luke Grundy, Grigori Y. Rychkov, Annemie Deiteren, Rana Rais, Glenn F. King, Barbara S. Slusher, Allan Basbaum, Pankaj J. Pasricha, Stuart M. Brierley, and Frank Bosmans
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.
Keywords: Gastroenterology
Description: Published: June 7, 2018
Rights: Copyright status unknown
DOI: 10.1172/jci.insight.121000
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