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UCCB01-125, a dimeric inhibitor of PSD-95, reduces inflammatory pain without disrupting cognitive or motor performance: comparison with the NMDA receptor antagonist MK-801.

Abstract
Excessive N-Methyl-d-aspartate receptor (NMDAR)-dependent production of nitric oxide (NO) is involved in the development and maintenance of chronic pain states, and is mediated by postsynaptic density protein-95 (PSD-95). By binding to both the NMDAR and neuronal NO synthase (nNOS), PSD-95 mediates a specific coupling between NMDAR activation and NO production. NMDAR antagonism shows anti-nociceptive action in humans and animal models of chronic pain but is associated with severe disturbances of cognitive and motor functions. An alternative approach to modulate the NMDAR-related activity is to perturb the NMDAR/PSD-95/nNOS complex by targeting PSD-95, thereby decreasing NO production without interfering with the NMDAR ion channel function. Here, we compared the effects of a dimeric PSD-95 inhibitor, UCCB01-125, and the NMDAR antagonist, MK-801, on mechanical hypersensitivity in the complete Freund's adjuvant (CFA) model of inflammatory pain. To examine side-effect profiles we also compared the effects of UCCB01-125 and MK-801 in tests of attention, long-term memory, and motor performance. When administered concurrently with CFA, both MK-801 and UCCB01-125 prevented the development of CFA-induced mechanical hypersensitivity 1 and 24 h after treatment. Moreover, UCCB01-125 was found to reverse CFA-induced hypersensitivity when administered 24 h after CFA treatment, an effect lasting for at least 3 days. At the dose reducing hypersensitivity, MK-801 disrupted attention, long-term memory, and motor performance. By contrast, even high doses of UCCB01-125 were devoid of side-effects in these tests. The data suggest that PSD-95 inhibition is a feasible strategy to prevent both development and maintenance of chronic inflammatory pain, while avoiding NMDAR antagonism-related side-effects.
AuthorsJesper T Andreasen, Anders Bach, Mikko Gynther, Arafat Nasser, Jesper Mogensen, Kristian Strømgaard, Darryl S Pickering
JournalNeuropharmacology (Neuropharmacology) Vol. 67 Pg. 193-200 (Apr 2013) ISSN: 1873-7064 [Electronic] England
PMID23178182 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2012 Elsevier Ltd. All rights reserved.
Chemical References
  • Disks Large Homolog 4 Protein
  • Dlg4 protein, mouse
  • Enzyme Inhibitors
  • Inflammation Mediators
  • Membrane Proteins
  • Oligopeptides
  • Receptors, N-Methyl-D-Aspartate
  • UCCB01-125
  • Polyethylene Glycols
  • Dizocilpine Maleate
  • Guanylate Kinases
Topics
  • Animals
  • Cognition (drug effects, physiology)
  • Dimerization
  • Disks Large Homolog 4 Protein
  • Dizocilpine Maleate (pharmacology, therapeutic use)
  • Enzyme Inhibitors (chemistry, pharmacology, therapeutic use)
  • Female
  • Guanylate Kinases (antagonists & inhibitors, metabolism)
  • Inflammation (drug therapy, metabolism)
  • Inflammation Mediators (physiology)
  • Membrane Proteins (antagonists & inhibitors, metabolism)
  • Mice
  • Motor Skills (drug effects, physiology)
  • Oligopeptides (chemistry, pharmacology, therapeutic use)
  • Pain (drug therapy, metabolism)
  • Polyethylene Glycols (chemistry, pharmacology, therapeutic use)
  • Receptors, N-Methyl-D-Aspartate (antagonists & inhibitors, metabolism)

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