Adenosine kinase (AK; EC 2.7.1.20) is a key intracellular
enzyme regulating intra-and extracellular concentrations of
adenosine (
ADO), an endogenous
neuromodulator, antinociceptive, and anti-inflammatory autocoid. AK inhibition provides a means of potentiating local tissue concentrations of endogenous
ADO, and AK inhibitors may have therapeutic potential as
analgesic and
anti-inflammatory agents. The effects of
ABT-702, a novel, potent (IC(50) = 1.7 nM), and selective non-
nucleoside AK inhibitor were examined in rat models of nociception and acute
inflammation.
ABT-702 was orally effective and fully efficacious to suppress nociception in a spectrum of
pain models in the rat, including
carrageenan-induced
thermal hyperalgesia, the
formalin test of persistent
pain, and models of nerve injury-induced and diabetic
neuropathic pain (
tactile allodynia after L5/L6 spinal nerve
ligation or
streptozotocin injection, respectively.)
ABT-702 was especially potent at relieving inflammatory
thermal hyperalgesia (ED(50) = 5 micromol/kg p.o.).
ABT-702 was also effective in the
carrageenan-induced paw
edema model of acute
inflammation (ED(50) = 70 micromol/kg p.o.). The antinociceptive and anti-inflammatory effects of
ABT-702 were blocked by selective
ADO receptor antagonists, consistent with endogenous
ADO accumulation and
ADO receptor activation as a mechanism of action. The antinociceptive effects of
ABT-702 were not blocked by the
opioid antagonist naloxone. In addition,
ABT-702 showed less potential to develop tolerance to its antinociceptive effects compared with
morphine.
ABT-702 had no significant effect on rotorod performance or heart rate (at 30-300 micromol/kg p.o.), mean arterial pressure (at 30-100 micromol/kg p.o.), or exploratory locomotor activity (
at </=10 micromol/kg p.o.). Thus,
ABT-702 is a novel, non-
nucleoside AK inhibitor, with a nonopioid, non-nonsteroidal anti-inflammatory
drug mechanism of action, which shows antinociceptive and anti-inflammatory activity in vivo.