Elevated N-methyl-D-aspartate receptor activity contributes to
central sensitization. Our laboratories and others recently reported that
disrupting protein–protein interactions downstream of
N-methyl-D-aspartate receptors suppresses pain. Specifically,
disrupting binding between the enzyme neuronal nitric oxide synthase and either
its upstream (postsynaptic density 95 kDa, PSD95) or downstream (e.g. nitric
oxide synthase 1 adaptor protein, NOS1AP) protein partners suppressed
inflammatory and/or neuropathic pain. However, the lack of a small-molecule
neuronal nitric oxide synthase-NOS1AP inhibitor has hindered efforts to validate
the therapeutic utility of disrupting the neuronal nitric oxide synthase-NOS1AP
interface as an analgesic strategy. We, therefore, evaluated the ability of a
putative small-molecule neuronal nitric oxide synthase-NOS1AP inhibitor ZLc002
to disrupt binding between neuronal nitric oxide synthase and NOS1AP using ex
vivo, in vitro, and purified recombinant systems and asked whether ZLc002 would
suppress inflammatory and neuropathic pain in vivo. In vitro, ZLc002 reduced
co-immunoprecipitation of full-length NOS1AP and neuronal nitric oxide synthase
in cultured neurons and in HEK293T cells co-expressing full-length neuronal
nitric oxide synthase and NOS1AP. However, using a cell-free biochemical binding
assay, ZLc002 failed to disrupt the in vitro binding between His-neuronal nitric
oxide synthase1-299 and glutathione
S-transferase-NOS1AP400-506, protein sequences containing the
required binding domains for this protein–protein interaction, suggesting an
indirect mode of action in intact cells. ZLc002 (4–10 mg/kg i.p.) suppressed
formalin-evoked inflammatory pain in rats and reduced Fos protein-like
immunoreactivity in the lumbar spinal dorsal horn. ZLc002 also suppressed
mechanical and cold allodynia in a mouse model of paclitaxel-induced neuropathic
pain. Anti-allodynic efficacy was sustained for at least four days of once daily
repeated dosing. ZLc002 also synergized with paclitaxel when administered in
combination to reduce breast (4T1) or ovarian (HeyA8) tumor cell line viability
but did not alter tumor cell viability without paclitaxel. Our results verify
that ZLc002 disrupts neuronal nitric oxide synthase-NOS1AP interaction in intact
cells and demonstrate, for the first time, that systemic administration of a
putative small-molecule inhibitor of neuronal nitric oxide synthase-NOS1AP
suppresses inflammatory and neuropathic pain.