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Holzer, P.
The pharmacological challenge to tame the transient receptor potential vanilloid-1 (TRPV1) nocisensor.
BRIT J PHARMACOL. 2008; 155(8): 1145-1162. Doi: 10.1038/bjp.2008.351 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Holzer Peter
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Abstract:
The transient receptor potential vanilloid-1 (TRPV1) cation channel is a receptor that is activated by heat (>42 degrees C), acidosis (pH<6) and a variety of chemicals among which capsaicin is the best known. With these properties, TRPV1 has emerged as a polymodal nocisensor of nociceptive afferent neurones, although some non-neuronal cells and neurones in the brain also express TRPV1. The activity of TRPV1 is controlled by a multitude of regulatory mechanisms that either cause sensitization or desensitization of the channel. As many proalgesic pathways converge on TRPV1 and this nocisensor is upregulated and sensitized by inflammation and injury, TRPV1 is thought to be a central transducer of hyperalgesia and a prime target for the pharmacological control of pain. As a consequence, TRPV1 agonists causing defunctionalization of sensory neurones and a large number of TRPV1 blockers have been developed, some of which are in clinical trials. A major drawback of many TRPV1 antagonists is their potential to cause hyperthermia, and their long-term use may carry further risks because TRPV1 has important physiological functions in the peripheral and central nervous system. The challenge, therefore, is to pharmacologically differentiate between the physiological and pathological implications of TRPV1. There are several possibilities to focus therapy specifically on those TRPV1 channels that contribute to disease processes. These approaches include (i) site-specific TRPV1 antagonists, (ii) modality-specific TRPV1 antagonists, (iii) uncompetitive TRPV1 (open channel) blockers, (iv) drugs interfering with TRPV1 sensitization, (v) drugs interfering with intracellular trafficking of TRPV1 and (vi) TRPV1 agonists for local administration.
Find related publications in this database (using NLM MeSH Indexing)
Animals -
Body Temperature Regulation -
Humans -
Hyperalgesia - physiopathology
Inflammation - physiopathology
Pain - physiopathology
Pain Measurement -
TRPV Cation Channels - drug effects

Find related publications in this database (Keywords)
CGRP
calcitonin gene-related peptide
DRG
dorsal root ganglion
PIP2
phosphatidylinositol-4,5-bisphosphate
RNA
ribonucleic acid
TRP
transient receptor potential
TRPV1
transient receptor potential vanilloid-1
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