TWIK-related
K+ (TREK) channels are potential analgesic
targets. However, selective activators for TREK with both defined
action mechanism and analgesic ability for chronic pain have been
lacking. Here, we report (1S,3R)-3-((4-(6-methylbenzo[d]thiazol-2-yl)phenyl)carbamoyl)cyclopentane-1-carboxylic
acid (C3001a), a selective activator for TREK, against other two-pore
domain K+ (K2P) channels. C3001a binds to the cryptic binding
site formed by P1 and TM4 in TREK-1, as suggested by computational
modeling and experimental analysis. Furthermore, we identify the carboxyl
group of C3001a as a structural determinant for binding to TREK-1/2
and the key residue that defines the subtype selectivity of C3001a.
C3001a targets TREK channels in the peripheral nervous system to reduce
the excitability of nociceptive neurons. In neuropathic pain, C3001a
alleviated spontaneous pain and cold hyperalgesia. In a mouse model
of acute pancreatitis, C3001a alleviated mechanical allodynia and
inflammation. Together, C3001a represents a lead compound which could
advance the rational design of peripherally acting analgesics targeting
K2P channels without opioid-like adverse effects.