Subject(s)
Patient Satisfaction , Self Care , State Medicine , Humans , Patient Participation , United KingdomSubject(s)
Patient Participation , Self Care , State Medicine , Books , Decision Making , Humans , United KingdomABSTRACT
Nicotinic α4ß2* agonists are known to be effective in a variety of preclinical pain models, but the underlying mechanisms of analgesic action are not well-understood. In the present study, we characterized activation and desensitization properties for a set of seventeen novel α4ß2*-selective agonists that display druggable physical and pharmacokinetic attributes, and correlated the in vitro pharmacology results to efficacies observed in a mouse formalin model of analgesia. ABT-894 and Sazetidine-A, two compounds known to be effective in the formalin assay, were included for comparison. The set of compounds displayed a range of activities at human (α4ß2)(2)ß2 (HS-α4ß2), (α4ß2)(2)α5 (α4ß2α5) and (α4ß2)(2)α4 (LS-α4ß2) receptors. We report the novel finding that desensitization of α4ß2* receptors may drive part of the antinociceptive outcome. Our molecular modeling approaches revealed that when receptor desensitization rather than activation activitiesat α4ß2* receptors are considered, there is a better correlation between analgesia scores and combined in vitro properties. Our results suggest that although all three α4ß2 subtypes assessed are involved, it is desensitization of α4ß2α5 receptors that plays a more prominent role in the antinociceptive action of nicotinic compounds. For modulation of Phase I responses, correlations are significantly improved from an r(2) value of 0.53 to 0.67 and 0.66 when HS- and LS-α4ß2 DC(50) values are considered, respectively. More profoundly, considering the DC(50) at α4ß2α5 takes the r(2) from 0.53 to 0.70. For Phase II analgesia scores, adding HS- or LS-α4ß2 desensitization potencies did not improve the correlations significantly. Considering the α4ß2α5 DC(50) value significantly increased the r(2) from 0.70 to 0.79 for Phase II, and strongly suggested a more prominent role for α4ß2α5 nAChRs in the modulation of pain in the formalin assay. The present studies demonstrate that compounds which are more potent at desensitization of α4ß2* receptors display better analgesia scores in the formalin test. Consideration of desensitization propertiesat α4ß2* receptors, especially at α4ß2α5, in multiple linear regression analyses significantly improves correlations with efficacies of analgesia. Thus, α4ß2* nicotinic acetylcholine receptor desensitization may contribute to efficacy in the mediation of pain, and represent a mechanism for analgesic effects mediated by nicotinic agonists.
Subject(s)
Analgesics/therapeutic use , Nicotinic Agonists/therapeutic use , Pain/drug therapy , Receptors, Nicotinic/physiology , Analgesics/pharmacology , Animals , Binding, Competitive , Cell Line , Cell Line, Tumor , Formaldehyde , HEK293 Cells , Humans , Male , Mice , Motor Activity/drug effects , Nicotinic Agonists/pharmacology , PC12 Cells , Pain/chemically induced , Pain/physiopathology , RatsSubject(s)
Condylomata Acuminata/prevention & control , Health Policy , Health Promotion , Papillomavirus Vaccines , Uterine Cervical Neoplasms/prevention & control , Female , Health Promotion/economics , Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18 , Humans , State Medicine , United Kingdom , Vaccination/statistics & numerical dataSubject(s)
Whistleblowing , Fear , Hospitals, Public , Humans , Medical Errors/prevention & control , Punishment , Safety Management , State Medicine , United KingdomSubject(s)
Health Care Reform , Politics , State Medicine/organization & administration , Humans , United KingdomSubject(s)
Condylomata Acuminata/prevention & control , Papillomavirus Vaccines/supply & distribution , Uterine Cervical Neoplasms/prevention & control , Adolescent , Adult , Choice Behavior , Condylomata Acuminata/economics , Female , Government Programs , Health Policy , Human Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18 , Humans , Papillomavirus Vaccines/economics , Parents/psychology , Prescription Fees , State Medicine/economics , United Kingdom , Uterine Cervical Neoplasms/economics , Uterine Cervical Neoplasms/virologySubject(s)
Communication , Decision Making , Physician-Patient Relations , Humans , Physician's Role , Placebo EffectABSTRACT
Methodologies for rapidly identifying cellular protein interactions resulting in posttranslational modification of one of the partners are lacking. Here, we select for substrates of the v-abl tyrosine kinase from two protein display libraries in which the protein is covalently linked to its encoding mRNA. Successive selection cycles from a randomized peptide library identified a consensus sequence closely matching that previously reported for the v-abl tyrosine kinase. Selections from a proteomic library derived from cellular mRNA identified several novel targets of v-abl, including a new member of a class of SH2 domain-containing adaptor proteins. Upon modification, several of the substrates obtained in these selections were found to be effective inhibitors of v-abl kinase activity in vitro. These experiments establish a novel method for identifying the substrates of tyrosine kinases from synthetic and cellular protein libraries.