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A 'toothache tree' alkylamide inhibits Aδ mechanonociceptors to alleviate mechanical pain.

Abstract
In traditional medicine, the 'toothache tree' and other plants of the Zanthoxylum genus have been used to treat inflammatory pain conditions, such as toothache and rheumatoid arthritis. Here we examined the cellular and molecular mechanisms underlying the analgesic properties of hydroxy-α-sanshool, the active alkylamide produced by Zanthoxylum plants. Consistent with its analgesic effects in humans, sanshool treatment in mice caused a selective attenuation of mechanical sensitivity under naïve and inflammatory conditions, with no effect on thermal sensitivity. To elucidate the molecular mechanisms by which sanshool attenuates mechanical pain, we performed single fibre recordings, calcium imaging and whole-cell electrophysiology of cultured sensory neurons. We found that: (1) sanshool potently inhibits Aδ mechanonociceptors that mediate both sharp acute pain and inflammatory pain; (2) sanshool inhibits action potential firing by blocking voltage-gated sodium currents in a subset of somatosensory neurons, which express a unique combination of voltage-gated sodium channels; and (3) heterologously expressed Nav1.7 is most strongly inhibited by sanshool as compared to other sodium channels expressed in sensory neurons. These results suggest that sanshool targets voltage-gated sodium channels on Aδ mechanosensory nociceptors to dampen excitability and thus induce 'fast pain' analgesia.
AuthorsMakoto Tsunozaki, Richard C Lennertz, Daniel Vilceanu, Samata Katta, Cheryl L Stucky, Diana M Bautista
JournalThe Journal of physiology (J Physiol) Vol. 591 Issue 13 Pg. 3325-40 (Jul 01 2013) ISSN: 1469-7793 [Electronic] England
PMID23652591 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Amides
  • Sodium Channel Blockers
  • Voltage-Gated Sodium Channels
  • sanshool
Topics
  • Amides (pharmacology, therapeutic use)
  • Animals
  • CHO Cells
  • Cells, Cultured
  • Cricetulus
  • Ganglia, Spinal (cytology)
  • Hot Temperature
  • Male
  • Mechanoreceptors (physiology)
  • Mice
  • Mice, Inbred C57BL
  • Neurons (drug effects, physiology)
  • Pain (drug therapy, etiology, physiopathology)
  • Sodium Channel Blockers (pharmacology, therapeutic use)
  • Voltage-Gated Sodium Channels (physiology)
  • Zanthoxylum

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