A novel Scaffold for Mode-Selective Inhibition of TRPV1

Pain is estimated to affect about 30% of the world’s population and treatment is challenging because of issues with addiction and withdrawal which accompany many current analgesics. Human TRPV1 is a widely expressed nociceptor and is a desirable target to modulate diverse human pathophysiologies, including pain, obesity, and diabetes, among others. As an analgesic target, human TRPV1 is particularly attractive because it is non-addictive. However, attempts at inhibiting TRPV1-mediated pain pathways have resulted in issues with thermosensing and body temperature misregulation.
 
Professor Wade Van Horn at Arizona State University in conjunction with Professor Pankaj Pasricha at the Mayo Clinic have developed a novel chemical scaffold which shows activation mode selectivity against human TRPV1. This scaffold alters the protein dynamics in a way that allows for mode specific inhibition of TRPV1, while preventing the thermogenic and thermosensing effects that are often seen with TRPV1 inhibition in previous clinical trials.
 
This technology offers a new paradigm for inhibition of TRPV1 that mitigates thermogenic and thermosensing effects that have plagued previous studies and clinical trials.
 
Potential Applications
  • Mode-specific inhibition of TRPV1
    • Analgesics
    • Diabetes treatment
    • Obesity treatment
  • Could be used to isolate, detect and screen for novel TRPV1 compounds with higher binding and fewer off-target effects
Benefits and Advantages
  • Limits the crosstalk with TRPV1 activation modes that give rise to clinical liabilities
  • Influences dynamics in a way that leads to mode-specific inhibition
  • This scaffold can be used to develop next generation mode-specific TRPV1 inhibitors
  • The chemical scaffold mitigates thermogenic and thermosensing on-target effects
    • Outside-out patch-clamp electrophysiology measurements have demonstrated that thermosensitivity is reduced by nearly half (from 110 ± 4 kcal/mol to 48 ± 2kcal/mol)
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