T-type Ca channels (T channels), particularly Cav3.2 among the 3
isoforms, play a role in neuropathic and
visceral pain. We thus characterized the effects of RQ-00311651 (RQ), a novel T-channel blocker, in HEK293 cells transfected with human Cav3.1 or Cav3.2 by electrophysiological and fluorescent Ca signaling assays, and also evaluated the antiallodynic/antihyperalgesic activity of RQ in somatic, visceral, and
neuropathic pain models in rodents. RQ-00311651 strongly suppressed T currents when tested at holding potentials of -65 ∼ -60 mV, but not -80 mV, in the Cav3.1- or Cav3.2-expressing cells. RQ-00311651 also inhibited high K-induced Ca signaling in those cells. In mice, RQ, administered intraperitoneally (i.p.) at 5 to 20 mg/kg or orally at 20 to 40 mg/kg, significantly suppressed the somatic
hyperalgesia and
visceral pain-like nociceptive behavior/referred
hyperalgesia caused by intraplantar and intracolonic administration of
NaHS or
Na2S, H2S donors, respectively, which involve the enhanced activity of Cav3.2 channels. RQ-00311651, given i.p. at 5 to 20 mg/kg, exhibited antiallodynic or antihyperalgesic activity in rats with spinal nerve injury-induced neuropathy or in rats and mice with
paclitaxel-induced neuropathy. Oral and i.p. RQ
at 10 to 20 mg/kg also suppressed the visceral nociceptive behavior and/or referred
hyperalgesia accompanying
cerulein-induced
acute pancreatitis and
cyclophosphamide-induced
cystitis in mice. The
analgesic and antihyperalgesic/antiallodynic doses of oral and i.p. RQ did not significantly affect the locomotor activity and motor coordination. Together, RQ is considered a state-dependent blocker of Cav3.1/Cav3.2 T channels and may serve as an orally available
analgesic for treatment of neuropathic and inflammatory
pain including distinct
visceral pain with minimum central side effects.