Peripherally Selective Cannabinoid 1 Receptor (CB1R) Agonists for the Treatment of Neuropathic Pain

Alleviation of neuropathic pain by cannabinoids is limited by their central nervous system (CNS) side effects. Indole and indene compounds were engineered for high hCB1R affinity, peripheral selectivity, metabolic stability, and in vivo efficacy. An epithelial cell line assay identified candidates with <1% blood-brain barrier penetration for testing in a rat neuropathy induced by unilateral sciatic nerve entrapment (SNE). The SNE-induced mechanical allodynia was reversibly suppressed, partially or completely, after intraperitoneal or oral administration of several indenes. At doses that relieve neuropathy symptoms, the indenes completely lacked, while the brain-permeant CB1R agonist HU-210 (1) exhibited strong CNS side effects, in catalepsy, hypothermia, and motor incoordination assays. Pharmacokinetic findings of ∼0.001 cerebrospinal fluid:plasma ratio further supported limited CNS penetration. Pretreatment with selective CB1R or CB2R blockers suggested mainly CB1R contribution to an indene's antiallodynic effects. Therefore, this class of CB1R agonists holds promise as a viable treatment for neuropathic pain.

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:59

Enthalten in:

Journal of medicinal chemistry - 59(2016), 16 vom: 25. Aug., Seite 7525-43

Sprache:

Englisch

Beteiligte Personen:

Seltzman, Herbert H [VerfasserIn]
Shiner, Craig [VerfasserIn]
Hirt, Erin E [VerfasserIn]
Gilliam, Anne F [VerfasserIn]
Thomas, Brian F [VerfasserIn]
Maitra, Rangan [VerfasserIn]
Snyder, Rod [VerfasserIn]
Black, Sherry L [VerfasserIn]
Patel, Purvi R [VerfasserIn]
Mulpuri, Yatendra [VerfasserIn]
Spigelman, Igor [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Receptor, Cannabinoid, CB1
Receptor, Cannabinoid, CB2
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Anmerkungen:

Date Completed 06.06.2017

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1021/acs.jmedchem.6b00516

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM26304131X