2016
DOI: 10.3390/ph9030052
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TRPV1: A Target for Rational Drug Design

Abstract: Transient Receptor Potential Vanilloid 1 (TRPV1) is a non-selective, Ca2+ permeable cation channel activated by noxious heat, and chemical ligands, such as capsaicin and resiniferatoxin (RTX). Many compounds have been developed that either activate or inhibit TRPV1, but none of them are in routine clinical practice. This review will discuss the rationale for antagonists and agonists of TRPV1 for pain relief and other conditions, and strategies to develop new, better drugs to target this ion channel, using the … Show more

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Cited by 100 publications
(95 citation statements)
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References 158 publications
(221 reference statements)
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“…So far, the results have been disappointing. In general, efficacy of TRPV1 antagonists in clinically-relevant pain conditions in humans has been modest, and there are two problematic adverse on-target effects seen with many of the compounds: reduced sensitivity to noxious heat, potentially leading to accidental burns, and an increase in body temperature, likely reflecting participation by TRPV1 channels in normal temperature regulation 139141 . These issues, along with modest efficacy, have resulted in discontinuation of most programs.…”
Section: Ion Channels As Drug Targetsmentioning
confidence: 99%
See 1 more Smart Citation
“…So far, the results have been disappointing. In general, efficacy of TRPV1 antagonists in clinically-relevant pain conditions in humans has been modest, and there are two problematic adverse on-target effects seen with many of the compounds: reduced sensitivity to noxious heat, potentially leading to accidental burns, and an increase in body temperature, likely reflecting participation by TRPV1 channels in normal temperature regulation 139141 . These issues, along with modest efficacy, have resulted in discontinuation of most programs.…”
Section: Ion Channels As Drug Targetsmentioning
confidence: 99%
“…Such “modality-specific antagonists” are based on evidence that vanilloid ligands like capsaicin (and perhaps endogenous agents mediating pain) activate TRPV1 in a different way than temperature or pH and that these modalities of activation can be differentially inhibited 141143 . NEO6860 (Neomed) is one such modality-specific agent 144 and is currently in Phase II trials for osteoarthritis.…”
Section: Ion Channels As Drug Targetsmentioning
confidence: 99%
“…Focusing on the nature of the TRPV1 receptor itself—multimodality with respect to different stimuli and the selection of successful combination of such factors of TRPV1 regulation as antagonist, effective dose, pH, temperature control, way of delivery, etc. [46,47]—will certainly contribute to the progress in developing antagonists suitable for clinical practice. There are only five venom-derived peptides acting on TRPV1 known up to date.…”
Section: Introductionmentioning
confidence: 99%
“…Indeed this channel family, identified only in Eukaryota, has distinct characteristics with respect the other ones. Specifically, it is a non-selective cation channel gated by a variety of stimuli, such as temperature, pH and ligands binding [76][77][78][79]. In particular these channels have been shown to possess two different gating regions [71,80], which are indeed well-captured by the ED decomposition.…”
Section: Correlation With Dynamical Domainsmentioning
confidence: 99%