Anti-allodynic efficacy of the chi-conopeptide, Xen2174, in rats with neuropathic pain

Pain. 2005 Nov;118(1-2):112-24. doi: 10.1016/j.pain.2005.08.002. Epub 2005 Sep 9.

Abstract

Xen2174 is a structural analogue of Mr1A, a chi-conopeptide recently isolated from the venom of the marine cone snail, Conus marmoreus. Although both chi-conopeptides are highly selective inhibitors of the norepinephrine transporter (NET), Xen2174 has superior chemical stability relative to Mr1A. It is well-known that tricyclic antidepressants (TCAs) are also potent NET inhibitors, but their poor selectivity relative to other monoamine transporters and various G-protein-coupled receptors, results in dose-limiting side-effects in vivo. As TCAs and the alpha(2)-adrenoceptor agonist, clonidine, have established efficacy for the relief of neuropathic pain, this study examined whether intrathecal (i.t.) Xen2174 alleviated mechanical allodynia in rats with either a chronic constriction injury of the sciatic nerve (CCI-rats) or an L5/L6 spinal-nerve injury. The anti-allodynic responses of i.t. Mr1A and i.t. morphine were also investigated in CCI-rats. Paw withdrawal thresholds were assessed using calibrated von Frey filaments. Bolus doses of i.t. Xen2174 produced dose-dependent relief of mechanical allodynia in CCI-rats and in spinal nerve-ligated rats. Dose-dependent anti-allodynic effects were also produced by i.t. bolus doses of Mr1A and morphine in CCI-rats, but a pronounced 'ceiling' effect was observed for i.t. morphine. The side-effect profiles were mild for both chi-conopeptides with an absence of sedation. Confirming the noradrenergic mechanism of action, i.t. co-administration of yohimbine (100 nmol) with Xen2174 (10 nmol) abolished Xen2174s anti-allodynic actions. Xen2174 appears to be a promising candidate for development as a novel therapeutic for i.t. administration to patients with persistent neuropathic pain.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics, Opioid / pharmacology
  • Analgesics, Opioid / therapeutic use
  • Animals
  • Conotoxins / pharmacology
  • Conotoxins / therapeutic use*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Injections, Spinal
  • Male
  • Morphine / pharmacology
  • Morphine / therapeutic use
  • Neuralgia / drug therapy*
  • Neuralgia / physiopathology
  • Neuralgia / prevention & control
  • Norepinephrine Plasma Membrane Transport Proteins / drug effects
  • Norepinephrine Plasma Membrane Transport Proteins / physiology
  • Peptides / pharmacology
  • Peptides / therapeutic use*
  • Physical Stimulation
  • Rats
  • Rats, Sprague-Dawley
  • Sciatic Neuropathy / drug therapy
  • Sciatic Neuropathy / physiopathology
  • Sciatic Neuropathy / prevention & control
  • Spinal Nerves / physiopathology

Substances

  • Analgesics, Opioid
  • Conotoxins
  • Norepinephrine Plasma Membrane Transport Proteins
  • Peptides
  • Xen2174
  • chi-conopeptide MrIA, Conus
  • Morphine