Low-voltage-activated (T-type) calcium channels are important regulators of the transmission of nociceptive information in the primary afferent pathway and finding ligands that modulate these channels is a key focus of the drug discovery field. Recently, we characterized a set of novel compounds with mixed cannabinoid receptor/T-type channel blocking activity and examined their analgesic effects in animal models of pain. Here, we have built on these previous findings and synthesized a new series of small organic compounds. We then screened them using whole-cell voltage clamp techniques to identify the most potent T-type calcium channel inhibitors. The two most potent blockers (compounds 9 and 10) were then characterized using radioligand binding assays to determine their affinity for CB1 and CB2 receptors. The structure-activity relationship and optimization studies have led to the discovery of a new T-type calcium channel blocker, compound 9. Compound 9 was efficacious in mediating analgesia in mouse models of acute inflammatory pain and in reducing tactile allodynia in the partial nerve ligation model. This compound was shown to be ineffective in Cav3.2 T-type calcium channel null mice at therapeutically relevant concentrations, and it caused no significant motor deficits in open field tests. Taken together, our data reveal a novel class of compounds whose physiological and therapeutic actions are mediated through block of Cav3.2 calcium channels.
Low-voltage-activated (T-type) calcium channels are important regulators of the transmission of nociceptive information in the primary afferent pathway and finding ligands that modulate these channels is a key focus of the drug discovery field. Recently, we characterized a set of novel compounds with mixed cannabinoid receptor/T-type channel blocking activity and examined their analgesic effects in animal models of pain. Here, we have built on these previous findings and synthesized a new series of small organic compounds. We then screened them using whole-cell voltage clamp techniques to identify the most potent T-type calcium channel inhibitors. The two most potent blockers (compounds 9 and 10) were then characterized using radioligand binding assays to determine their affinity for CB1 and CB2 receptors. The structure-activity relationship and optimization studies have led to the discovery of a new T-type calcium channel blocker, compound 9. Compound 9 was efficacious in mediating analgesia in mouse models of acute inflammatory pain and in reducing tactile allodynia in the partial nerve ligation model. This compound was shown to be ineffective in Cav3.2 T-type calcium channel null mice at therapeutically relevant concentrations, and it caused no significant motor deficits in open field tests. Taken together, our data reveal a novel class of compounds whose physiological and therapeutic actions are mediated through block of Cav3.2calcium channels.
T-type calcium
channels are
known for regulating neuronal and cardiac pacemaker activity.[1−4] They open in response to small membrane depolarizations that in
turn trigger the initiation of action potentials.[1,5,6] Disruption of this sensitive signaling mechanism
often leads to hyperexcitability disorders such as arrhythmia, epilepsy,
and pain.[3,7−21] The mammalian genome expresses three different types of T-type calcium
channels, Cav3.1, Cav3.2, and Cav3.3, with specific cellular functions.[22] The Cav3.2 T-type channel isoform is particularly
interesting due to its role in afferent pain signaling. Indeed, up-regulation
of the Cav3.2 T-type channel isoform in primary afferent fibers has
been linked to chronic pain disorders, whereas ablation of these channels
mediates analgesia.[13,14,17] The development of selective T-type channel antagonists has not
been a trivial undertaking, with only a few such small organic molecules
having recently been identified.[15,23−33] Even more challenging is the development of Cav3 isoform selective
blockers due to the large degree of sequence similarity among these
three Cav3 channel family members.Many of the known organic
molecules that have been shown to modulate
T-type calcium channels have structures similar to endogenous anandamide-related
molecules named lipoamino acids.[16,23,34] Lipoamino acids are known to interact with T-type
calcium channels and several are also closely related to endocannabinoids.[16,25,34,35] Therefore, it is not surprising that many of these T-type blockers
also interact with cannabinoid (CB) receptors.[16,25,34,35] We have previously
shown that this mixed T-type/cannabinoid block has beneficial effects
in inducing analgesia in animal models of inflammatory pain.[16,34] However, interactions with CB receptors, particularly CB1 receptors, can have side effects that may affect mood and memory,
in addition to their known psychoactive effects.[36,37] Synthetic T-type calcium channel antagonists TTAP-1 based on substituted
piperidines have been previously disclosed (Scheme 1).
Scheme 1
Piperidine Containing T-type Ca2+ Inhibitors
TTA-P1, Dual
T-type Channel Blocker/Cannabinoid Agonist NMP7, and Chemical Optimization
Plan 1 To Decrease Cannabinoid Receptor Affinities
In previous studies, we synthesized
and characterized a series
of novel cannabinoid ligands with the primary structure bearing a
carbazole scaffold such as compound NMP7.[16,34] These compounds produced mixed cannabinoid receptor/T-type channel
blockers that were found to be efficacious in animal models of inflammatory
and neuropathic pain. Interestingly, from structure–activity
relationships (SARs), we determined that tertiary amines were important
for Cav3.2 block[16,23,34] and that the length of the linker attaching the tertiary amine to
the carbazole scaffold affected binding to CB1 and CB2 receptors.[38] Some of these compounds
appeared to preferentially and potently inhibit T-type channels in
vitro. The goal of this study was to optimize Cav3.2calcium channel
selectivity of our series of carbazole derivatives.Here we
used the aforementioned compounds as a starting point for
the development of a new series of compounds 1 (Figure 1) based on a carbazole scaffold with an added heterocyclic
bearing a tertiary amine. We modified the chain length attached to
the nitrogen of the carbazole, the length of the linker between the
amide bond and the heterocycle ring and introduction of a lipophilic
moiety attached to the heterocycle and characterized this set of compounds in vitro for their ability to blocking transiently expressed
humanCav3.2 (hCav3.2) calcium channels and tested their affinities
for cannabinoid receptors. The most potent and selective compound
(9) was then tested in mouse models of inflammatory and
neuropathic pain, revealing potent analgesia by virtue of its Cav3.2
channel blocking ability.
Figure 1
Percentage
of whole cell current inhibition of human Cav3.2 (T-type)
in response to 10 μM application of the compound series (n = 6 per compound). Note the potent and preferential block
of Cav3.2 channels by compounds 9 and 10. Error bars reflect standard errors. For Cav3.2 channels, the holding
and test potentials were respectively −110 and −20 mV.
Percentage
of whole cell current inhibition of humanCav3.2 (T-type)
in response to 10 μM application of the compound series (n = 6 per compound). Note the potent and preferential block
of Cav3.2 channels by compounds 9 and 10. Error bars reflect standard errors. For Cav3.2 channels, the holding
and test potentials were respectively −110 and −20 mV.
Chemistry
The synthesis of the carbazoles
derivatives is outlined in Scheme 2. Amidation
under standard peptide coupling conditions[38] of N-alkylated carbazole-3-carboxylic
derivatives 2 with Boc-protected amines afforded the
desired amide derivatives 3 and 6. Deprotection
of the Boc protecting group in the presence of TFA in dichloromethane
followed by alkylation of the resultant compounds 4 and 8 with N-tert-butyl-2-chloroacetamide
provided the corresponding desired compounds 9, 10, 13, 16, and 19 (Tables 1 and 2). Compound 20 was prepared by reductive amination of compound 4 using
3,3-dimethylbutyraldehyde (Table 2).
Scheme 2
Table 1
Radioligand Competitive Binding Assays
(mean ± SEM) for Carbazole-Based Analogues 7–10: Systematic Variation in the Linker Lengtha
Values
are means of three experiments
run in triplicate with standard deviation; n.b. no binding.
Table 2
Analogues of Compound 9: Systematic Variation in N-Alkyl Chain Length and in the
Region
Occupied by the Heterocycle
Values
are means of three experiments
run in triplicate with standard deviation; n.b. no binding.
Results
In Vitro Characterization
of the Compound Series
The
entire first set of 10 compounds was screened using whole-cell voltage
clamp techniques for their ability to mediate tonic block of transiently
expressed hCav3.2 channels (Figure 1 and Table 3). Next, we used radioligand binding assays to assess
the affinities of these compounds for both CB1 and CB2 receptors (Table 1).
Table 3
Summary of Biophysical Parameters
of hCav3.2 Calcium Channel in the Absence and the Presence of Compounds 10 and 9a
V0.5act (mV) 3 μM
Vh (mV) 3 μM
IC50 tonic (μM)
Wt hCav3.2
–30.0
–53.1 ± 1.67
compound 9
–29.7
–58.2 ± 1.43
1.48 ± 0.2
compound 10
–42.0*
–58.1 ± 1.31
3.68 ± 0.5
Note that 3 μM of compound 10 produces a significant
12 mV negative shift in the half
activation potential of hCav3.2 and although there is a trend for
both compounds shift the half inactivation potential of the channel,
it did not reach statistical significance.
In the course of our initial exploratory work on the structure–activity
relationship for this novel series of T-type channel blockers, we
decided to determine the optimal linker length attached to the carbazole’s
carbonyle (Table 1). We observed various degrees
of inhibition of these channels, with compounds 9 and 10 being the most potent blockers of expressed hCav3.2. These
two compounds mediated near complete inhibition at our standard test
concentration of 10 μM (Figure 1). Interestingly,
both of these compounds are very similar in structure, with both having
a cyclic tertiary amine attached to the carbazole scaffold (Table 1). Previous work has indicated that this modification
helps confer T-type channel blocking activity onto various organic
molecules,[16,28,29,34] in agreement with our data presented here.
As shown in Table 1, compound 10 showed high affinity binding to CB1 receptors (15 nM),
whereas its affinity for the CB2 receptor was approximately
100-fold lower (2 μM). Compound 9, however, did
not bind to the two receptors with an affinity less than 5 μM
for CB1 and CB2. The only difference between
compounds 9 and 10 is the elongated chain
attached to the nitrogen of the carbazole in 9 (Table 1). This type of modification has been shown to alter
cannabinoid receptor binding,[16,34,38] but it has not been demonstrated whether this modification affects
the interactions of these compounds with Cav3.2. Among the first series
of compounds 5–10, replacement of
a piperazine moiety by a methylpiperidine moiety appeared to be the
most optimal for decreasing cannabinoid receptor affinity without
impacting Cav3.2calcium channel block. This striking difference in
affinity for cannabinoid receptors between compounds bearing a piperazine
moiety compared to a methylpiperidine moiety underscores the importance
of chain length when developing compounds that preferentially target
Cav3.2calcium channels over cannabinoid receptors. Next, we determined
the optimal chain length attached to the carbazole’s endocyclic
nitrogen (Table 1 and Table 2, compounds 9, 13, and 16). Among the linear N-1 alkyl chains, a pentyl chain seemed to be
the most optimal for occupying its interaction site Cav3.2 channels,
because systematically decreasing the length from n-pentyl in 9 negatively impacted the respective Cav3.2
blocking activities. Replacement of the piperidine ring by a pyrolidine
moiety[16] had a slight negative effect on
Cav3.2 block, probably due to the lack of optimal ligand–receptor
van der Waals contacts. Replacing the amide chain on the piperidine
ring by an alkyl chain[34] dramatically decreased
the Cav3.2 block.As is clearly seen in the traces in Figure 2A, the slight structural modification in 9 compared
to 10 does indeed impact hCav3.2 channel inhibition.
The affinity of 9 versus 10 increased more
than 2-fold with the IC50 of 9 and 10 being 1.48 and 3.68 μM, respectively (Figure 2B and Table 3). In addition, compound 10 shifted the half activation potential of hCav3.2 by −12
mV (Figure 2C and Table 3). There was no significant effect on half-inactivation potential
(P = 0.143) (Figure 2D and
Table 3). We then tested the Cav3 channel subtype
selectivity of compound 9 using a single concentration
of 3 μM. This concentration blocked hCav3.2 by 69.3 ± 4%
(n = 8), which was significantly (P < 0.05) greater than that of either hCav3.1 (44.5 ± 7%; n = 5) or hCav3.3 (42.5 ± 5%; n =
5). Compound 9 was thus chosen for further testing in
animal models of pain.
Figure 2
(A) Representative traces of hCav 3.2 before and after
application
of 3 μM compounds 10 and 9. (B) Dose–response
relations for compound 9 and 10 block of
hCav3.2 channels. The IC50 from the fit with the Hill equation
was 1.48 and 3.68 μM, respectively (n = 6).
(C) Effect of 3 μM compounds 9 and 10 on the steady state inactivation curve for Cav3.2 channels. (D)
Effect of 3 μM compounds 9 and 10 on
the current voltage relation for Cav3.2 channels. Note: Data in panels
(B) and (C) were fitted with the Boltzmann equation, and data were
obtained from 6 paired experiments.
(A) Representative traces of hCav 3.2 before and after
application
of 3 μM compounds 10 and 9. (B) Dose–response
relations for compound 9 and 10 block of
hCav3.2 channels. The IC50 from the fit with the Hill equation
was 1.48 and 3.68 μM, respectively (n = 6).
(C) Effect of 3 μM compounds 9 and 10 on the steady state inactivation curve for Cav3.2 channels. (D)
Effect of 3 μM compounds 9 and 10 on
the current voltage relation for Cav3.2 channels. Note: Data in panels
(B) and (C) were fitted with the Boltzmann equation, and data were
obtained from 6 paired experiments.Note that 3 μM of compound 10 produces a significant
12 mV negative shift in the half
activation potential of hCav3.2 and although there is a trend for
both compounds shift the half inactivation potential of the channel,
it did not reach statistical significance.
Effects of Compound 9 in Vivo on Acute Pain
Given the Cav3.2 channel blocking property of compound 9, we hypothesized that this compound may affect pain transmission
in animal models. Compound 9 was delivered by either
intrathecal (i.t.) or intraperitoneal (i.p.) routes, and its effects
on both the acute nociceptive and the slower inflammatory pain phases
of the formalin test were evaluated. One-way ANOVA revealed that i.t.
treatment of mice with compound 9 (1–10 μg/i.t.,
20 min before) significantly decreased pain response time in both
first (Figure 3A) and second (Figure 3B) phases (61 ± 8% and 76 ± 10% inhibition,
respectively). I.p. treatment of mice with compound 9 (10–100 mg/kg, i.p., 30 min prior) also resulted in significantly
(one-way ANOVA) reduced pain response time in both the first (Figure 3C) and second (Figure 3D)
phases (47 ± 2% and 66 ± 48% inhibition, respectively).
Importantly, systemic (via i.p.) treatment with compound 9 (30 mg/kg, i.p.) did not affect locomotor activity of mice assessed
via an open-field test (Figure 4A), suggesting
that the reduced response times observed in the previous formalin
tests were not due to altered motor behavior. In order to investigate
if the effects observed for compound 9 were specifically
mediated via T-type channels, we performed a formalin test in CaV3.2 null mice that were treated either with vehicle or with
compound 9 (10 μg/i.t.). The CaV3.2
null mice exhibited a lower mean response time when compared to wild-type
mice, which is in agreement with previous data.[14,16] As indicated in Figure 4B and C, they appear
to be completely insensitive to i.t. treatment with compound 9 (10 μg i.t.) as revealed by two-way ANOVA, indicating
that compound 9 mediates its analgesic effects specifically
via Cav3.2 channels.
Figure 3
(A, B) Effect of increasing doses of intrathecal compound 9 on the first and second phases of formalin-induced pain.
(C, D) Effect of increasing doses of intraperitoneal compound 9 (on the first and second phases of formalin-induced pain.
Each bar represents the mean ± SEM (n = 6–8),
and is representative of 2 independent experiments. Asterisks denote
the significance relative to the control group (***P < 0.001, one-way ANOVA followed by Dunnett’s test).
Figure 4
(A) Effect of 30 mg/kg intraperitoneal compound 9 on
locomotor activity of wild type mice in the open field test. (B, C)
Comparison of effect of 10 μg/i.t. intrathecal compound 9 on the first and second phases of formalin-induced pain
in wild type and Cav3.2 knockout mice, respectively. Each bar represents
the mean ± SEM (n = 6–7) and is representative
of 2 independent experiments. Asterisks denote the significance relative
to the control group ***P < 0.001 when comparing
treatment; and #P < 0.05, for comparison
between genotypes (two-way ANOVA followed by Tukey’s test).
Note that control mice were of the same genetic background as the
Cav3.2 null mice.
(A, B) Effect of increasing doses of intrathecal compound 9 on the first and second phases of formalin-induced pain.
(C, D) Effect of increasing doses of intraperitoneal compound 9 (on the first and second phases of formalin-induced pain.
Each bar represents the mean ± SEM (n = 6–8),
and is representative of 2 independent experiments. Asterisks denote
the significance relative to the control group (***P < 0.001, one-way ANOVA followed by Dunnett’s test).(A) Effect of 30 mg/kg intraperitoneal compound 9 on
locomotor activity of wild type mice in the open field test. (B, C)
Comparison of effect of 10 μg/i.t. intrathecal compound 9 on the first and second phases of formalin-induced pain
in wild type and Cav3.2 knockout mice, respectively. Each bar represents
the mean ± SEM (n = 6–7) and is representative
of 2 independent experiments. Asterisks denote the significance relative
to the control group ***P < 0.001 when comparing
treatment; and #P < 0.05, for comparison
between genotypes (two-way ANOVA followed by Tukey’s test).
Note that control mice were of the same genetic background as the
Cav3.2 null mice.
Effect of Compound 9 on Chronic Neuropathic Pain
To verify whether compound 9 modulates pain transmission
under neuropathic conditions, we analyzed mechanical withdrawal thresholds
of mice with a partial sciatic nerve injury (PNI) and treated with
compound 9 (30 mg/kg, i.p.) 14 days after nerve injury.
As shown in Figure 5, sciatic nerve injury
triggers mechanical hyperalgesia as confirmed by significant decrease
of mechanical withdrawal thresholds when compared to baselines levels
(Pre-PNI, P < 0.001). Two-way ANOVA revealed that
systemic (i.p.) treatment of mice with compound 9 (30
mg/kg, i.p.) significantly attenuated the mechanical hyperalgesia
induced by sciatic nerve injury when compared with the PNI + Control
group for longer than 3 h after treatment. These data indicate that
compound 9 treatment modulates pain transmission and
mediates analgesia in this animal model of chronic neuropathic pain.
Figure 5
Blind
analyses of the time course of treatment of neuropathic mice
with vehicle or compound 9. Each circle represents the
mean ± SEM (n = 6), and is representative of
2 independent experiments. (*P < 0.05, ***P < 0.001, two-way ANOVA followed by Tukey’s test).
The dashed line and number symbols indicate the range of data points
where injured animals significantly differed from the sham treated
group (P < 0.001).
Blind
analyses of the time course of treatment of neuropathicmice
with vehicle or compound 9. Each circle represents the
mean ± SEM (n = 6), and is representative of
2 independent experiments. (*P < 0.05, ***P < 0.001, two-way ANOVA followed by Tukey’s test).
The dashed line and number symbols indicate the range of data points
where injured animals significantly differed from the sham treated
group (P < 0.001).
Discussion
T-type calcium channels are important contributors
to a range of
physiological functions[2−5,32,39−41] and it is well established that the Cav3.2 channel
isoform plays important roles in the afferent pain pathway.[12,14,15,19,42−44] Finding specific and
selective blockers of these channels has proven difficult as many
of the well-known T-type channel blockers such as mibefradil or ethosuximide
block other channels, which can then result in side effects.[12,31,45] In this study, we developed novel
compounds with structures similar to some of the endogenous ligands
that are known to interact with members of the T-type channel family[16,23,25,34,35] and then modified them to reduce their affinity
for cannabinoid receptors while attempting to increase affinity for
Cav3.2 channels.We had previously synthesized a series of compounds
based on endogenous
cannabinoid ligands that targeted both CB receptors and T-type calcium
channels.[16,34] Using data obtained from these experiments,
we designed additional compounds with an extra substituted tertiary
amine attached to the carbazole scaffold. We then extended the chain
length attached to the carbazole to one of the compounds (compound 9) to improve its selectivity for Cav3.2 channels over CB
receptors.[16,34] These data show that the length
of the linker between the carbazole scaffold and the heterocyclic
moiety is a key drug structural determinant that can be exploited
to produce better and more selective Cav3.2 channel inhibitors. This
compound blocked Cav3.2 channels with approximately 2-fold higher
affinity than Cav3.1 and Cav3.3 channels. At this point we do not
know if compound 9 affects other molecular targets such
as high voltage activated channels or sodium channels. Nonetheless,
the observation that their analgesic actions were abolished upon removal
of Cav3.2 channels indicates that the primary biological target for
compound 9 in the context of pain signaling is Cav3.2.
The potent effects of compound 9 on pain response in
injured wild type animals fits with the notion that Cav3.2 channels
play an important role in the afferent pain pathway[17,18,20,21,42,44,46,47] and also with a number of previous
studies showing that Cav3.2 channel blockers are efficacious in various
pain models.[12,15,20,29] Calculated physiochemical properties such
as topological polar surface area (tPSA), lipophilicity (clogP), and
number of hydrogen bond donor and acceptor atoms are useful indicator
of druglike properties. Poor oral absorption is expected for compounds
with a TPSA more than 140 Å2, with a log D > 5, more than 5 hydrogen bond donors, and more than 10 hydrogen
bond acceptors. Compound 9 has a TPSA value of 66.37
Å2, a molecular weight of 490.68 g/mol, a clogP value
of 4.59, and less than five hydrogen bond acceptors or donors, suggesting
a reasonable probability of good oral absorption and intestinal permeability.Compound 9 blocked Cav3.2 channels in a concentration
range that was similar to that previously reported for compounds such
as NMP7[34] and NMP181.[16] These two molecules, although structurally related to compound 9 did not discriminate among the three Cav3 family members,
and mediated leftward shifts in the midpoint of the steady state inactivation
curve. In contrast, compound 9 did not significantly
affect voltage-dependent inactivation properties of Cav3.2 channels,
suggesting that this compound does not interact strongly with inactivated
channels. At this point, it is not clear which structural differences
among these compounds are responsible for these differential effects
on channel gating. While other types of T-type calcium channel blockers
such as TTA-2[48] or Z123212[28] that are efficacious in various pain models are also known
to promote voltage-dependent inactivation of Cav3.2 channels, our
data showing efficacy of compound 9 in neuropathic and
inflammatory pain indicate that such state-dependent inhibition is
not a prerequisite for antihyperalgesic effects in vivo.Altogether
our data suggest that using a carbazole scaffold is
an effective strategy for developing potent Cav3.2calcium channel
blockers for therapeutic intervention into inflammatory and neuropathicpainhypersensitivity. In addition, T-type channels are also associated
with many other disorders, including epilepsy and cardiac hypertrophy;[2−4,7−11,18,32,49] therefore, the novel pharmacophores
that we have identified here may prove useful toward treatment of
these disorders.
Methods
In Vitro Receptor
Radioligand CB1 and CB2 Binding Studies
CB1 and CB2 radioligand
binding data were obtained using National Institute of Mental Health
(NIMH) Psychoactive Drug Screening Program (PDSP) resources as described
earlier.[34,50−52]
cDNA Constructs
HumanCav3.2 cDNA construct was kindly
provided by Dr. Terrance Snutch (University of British Columbia, Vancouver,
Canada).
tsA-201 Cell Culture and Transfection
Human embryonic
kidney tsA-201 cells were cultured and transfected using the calcium
phosphate method as described previously.[53] Transfected cells were then incubated 48 h at 37 °C and 5%
CO2 and then resuspended with 0.25% (w/v) trypsin-EDTA
(Invitrogen) and plated on glass coverslips a minimum of 3 to 4 h
before patching.
Electrophysiology
Whole-cell voltage-clamp
recordings
from tsA-201 cells were performed at room temperature 2–3 days
after transfection. External recording solution contained (in mM):
114 CsCl, 20 BaCl2, 1 MgCl2, 10 HEPES, 10 glucose,
adjusted to pH 7.4 with CsOH. Internal patch pipet solution contained
the following (in mM): 126.5 CsMeSO4, 2 MgCl2, 11 EGTA, 10 HEPES adjusted to pH 7.3 with CsOH. Internal solution
was supplemented with 0.6 mM GTP and 2 mM ATP and mixed thoroughly
just prior to use. Liquid junction potentials for the recording solutions
were left uncorrected.Tested compounds were prepared daily
from DMSOstocks diluted in external solution. Using a custom built
gravity driven microperfusion system,[53] diluted compounds were then applied rapidly and locally to the cells.
Control vehicle experiments were performed to ensure that 0.1% DMSO
had no effect on current amplitudes or on the half a ctivation and
half-inactivation potentials (data not shown). Currents were measured
using the whole-cell patch clamp technique and an Axopatch 200B amplifier
in combination with Clampex 9.2 software (Molecular Devices, Sunnyvale,
CA). After establishing whole cell configuration, cellular capacitance
was minimized using the amplifier’s built-in analog compensation.
Series resistance was compensated by at least 85% in all experiments.
All data were digitized at 10 kHz with a Digidata 1320 interface (Molecular
Devices) and filtered at 1 kHz (8-pole Bessel filter). Raw and online
leak-subtracted data were both collected simultaneously. In current–voltage
relation studies, the membrane potential was held at −110 mV
and cells were depolarized from −80 to 20 mV in 10 mV increments.
For steady-state inactivation studies, a 3.6 s conditioning prepulse
of various magnitude (initial holding at −110 mV) was followed
by a depolarizing pulse to −20 mV. Individual sweeps were separated
by 12 s to permit recovery from inactivation between conditioning
pulses. The duration of the test pulse was typically 200 ms and the
current amplitude obtained from each test pulse was normalized to
that observed at the holding potential of −110 mV.
Animals
During experiments, all efforts were made to
minimize animal suffering according to the policies and recommendations
of the International Association for the Study of Pain and all protocols
used were approved by the Institutional Animal Care and Use Committee.
For all experiments, either adult male C57BL/6J (wild-type) or CACNA1H
knockout (Cav3.2 null) mice (20–25g) purchased from Jackson
Laboratories were used. There were a maximum of five mice per cage
(30 × 20 × 15 cm2), and access to food and water
was unlimited. Temperature was kept at 23 ± 1 °C on a 12
h light/dark cycle (lights on at 7:00 a.m.). Intraperitoneal (i.p.)
injections of drugs were a constant volume of 10 mL/kg body weight.
Intrathecal (i.t.) injections used volumes of 10 μL and were
performed using the method described previously[54] and carried out routinely in our laboratory.[16,55] All drugs were dissolved in 1% or less DMSO, whereas control animals
received PBS + 1% DMSO. For each test, a different group of mice were
used and only one experiment per mouse was performed. In experiments
examining the action of compound 9 on PNI-induced neuropathy,
the observer was blind to the conditions tested.
Formalin Test
Before experiments were performed, mice
were left to acclimatize for at least 60 min. Animals were then injected
intraplantarily (i.pl.) in the ventral surface of the right hindpaw
with 20 μL of a formalin solution (1.25%) made up in PBS. Following
i.pl. injections of formalin, individual animals were placed immediately
into observation chambers and monitored from 0 to 5 min (acute nociceptive
phase) and 15–30 min (inflammatory phase). The time spent licking
or biting the injected paw was then considered as a nociceptive response
and recorded with a chronometer. Compound 9 was delivered
by i.t. (20 min prior) or by i.p. (30 min prior) and its effect on
both the nociceptive and inflammatory phases of the formalin test
was evaluated.
Open-Field Test
Animals received
compound 9 via i.p. (30 mg/kg) route 30 min before testing,
and the ambulatory
behavior of the treated animals was assessed in an open-field test
as described previously.[56] Briefly, the
apparatus consisted of a wooden box measuring 40 × 60 ×
50 cm3 with a glass front wall. The floor was divided into
12 equal squares and the entire apparatus was placed in a sound free
room. Animals were placed in the rear left square and left to explore
freely and the number of squares crossed with all paws (crossing)
in a 6 min time frame was counted. After each individual mouse session,
the apparatus was then cleaned and dried with a 10% alcohol solution.
Before surgery, mice were anaesthetized with isoflurane (5% induction,
2.5% maintenance). Partial ligation of the sciatic nerve was performed
by tying the distal 1/3 to 1/2 of the dorsal portion as previously
described.[57] In sham-operated mice, the
sciatic nerve was exposed without ligation and all wounds were closed
and treated with iodine solution. After 14 days post surgery, mice
received either compound 9 (30 mg/kg, i.p.) treatment
or vehicle, while sham-operated animals received only vehicle (10
mL/kg, i.p.). Mechanical hyperalgesia was then evaluated in a time-dependent
manner.
Evaluation of Mechanical Hyperalgesia
Mechanical hyperalgesia
responses were recorded immediately before the surgeries (baselines),
14 days after the surgeries (0), and at various time points (0.5,
1, 2, 3 h) after treatment. Measurements were made using a Dynamic
Plantar Aesthesiometer (DPA, Ugo Basile, Varese, Italy). Briefly,
individual animals were placed in small enclosed testing arenas (20
cm × 18.5 cm × 13 cm, length × width × height)
on top of a wire mesh floor and allowed to acclimate for a period
of at least 90 min. The DPA device was then positioned so that the
filament was directly under the plantar surface of the ipsilateral
hind paw of the animal and tested three times per session.
Data Analysis
and Statistics
Data were analyzed using
Clampfit 9.2 (Molecular Devices). Origin 7.5 software (Northampton,
MA) was used in the preparation of all figures and curve fittings.
Current–voltage relationships were fitted with the modified
Boltzmann equation: I = [Gmax(Vm – Erev)]/[1 + exp((V0.5act – Vm)/ka)], where Vm is the test potential, V0.5act is the half activation potential, Erev is the reversal potential, Gmax is the maximum slope conductance, and ka reflects the slope of the activation curve. Steady-state
inactivation curves were fitted using the Boltzmann equation: I =1/(1 + exp((Vm – Vh)/k)), where Vh is the half-inactivation potential and k is the slope factor. Dose–response curves were fitted with
the equation y = A2 +
(A1 – A2)/(1 + ([C]/IC50)), where A1 is initial current amplitude and A2 is the current amplitude at saturating drug concentrations,
[C] is the drug concentration, and n is the Hill
coefficient. Statistical significance was determined by paired or
unpaired Student’s t tests and one-way or
repeated measures ANOVA, followed by Dunnett’s test or Tukey’s
multiple comparison tests. Significant values were set as indicated
in the text and figure legends. All data are given as means ±
standard errors.
Chemistry
All moisture sensitive
reactions were performed
in an inert, dry atmosphere of argon in flame-dried glassware. Air
sensitive liquids were transferred via syringe or cannula through
rubber septa. Reagent grade solvents were used for extraction and
flash chromatography. THF was distilled from Na/benzophenone under
argon; dichloromethane (CH2Cl2) and chloroform
(CHCl3) were distilled from CaH2 under argon.
All other reagents and solvents which were purchased from commercial
sources were used directly without further purification. The progress
of reactions was checked by analytical thin-layer chromatography (Sorbent
Technologies, Silica G TLC plates w/UV 254). The plates were visualized
first with UV illumination followed by charring with ninhydrin (0.3%
ninhydrin (w/v), 97:3 EtOH-AcOH). Flash column chromatography was
performed using prepacked Biotage SNAP cartridges on a Biotage Isolera
One instrument. The solvent compositions reported for all chromatographic
separations are on a volume/volume (v/v) basis. 1HNMR spectra
were recorded at 400 or 500 MHz and are reported in parts per million
(ppm) on the δ scale relative to tetramethylsilane as an internal
standard. 13CNMR spectra were recorded at 100 or 125 MHz
and are reported in parts per million (ppm) on the δ scale relative
to CDCl3 (δ 77.00). Melting points were determined
on a Stuart melting point apparatus from Bibby Scientific Limited
and are uncorrected. High Resolution mass spectrometry (HRMS) was
performed on a Waters/Micromass LCT-TOF instrument. All compounds
were more than 95% pure.
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