TRP channels: targets for the relief of pain

Jon D Levine1, Nicole Alessandri-Haber

  • 1Department of Oral and Maxillofacial Surgery, Box 0440, University of California, San Francisco, 521 Parnassus Avenue, San Francisco, CA 94143-0440, USA.

Insights

Targeting Transient Receptor Potential (TRP) channels in pain-sensing neurons may offer new therapies for inflammatory and neuropathic pain. These ion channels detect thermal, chemical, and mechanical stimuli, contributing to pain hypersensitivity.

Area of Science:

  • Neuroscience
  • Molecular Biology
  • Pain Research

Background:

  • Inflammatory and neuropathic pain cause hypersensitivity to various stimuli.
  • Targeting ion channels involved in nociception is a promising therapeutic strategy.
  • Transient Receptor Potential (TRP) channels are key in detecting physical stimuli.

Purpose of the Study:

  • To review the role of TRP channels in pain hypersensitivity.
  • To highlight TRP channel involvement in inflammatory and neuropathic pain.
  • To discuss TRP channels as therapeutic targets for pain management.

Main Methods:

  • Literature review of studies on TRP channels and pain.
  • Focus on TRP channel expression in primary afferent nociceptors.
  • Analysis of TRP channel function in thermal, chemical, and mechanical sensing.

Main Results:

  • Six TRP channels (TRPV1-4, TRPM8, TRPA1) are expressed in nociceptors.
  • These TRP channels act as transducers for noxious stimuli.
  • TRP channels contribute significantly to pain hypersensitivity in disease states.

Conclusions:

  • TRP channels are critical mediators of pain hypersensitivity.
  • Targeting specific TRP channels holds potential for novel pain therapies.
  • Understanding TRP channel function is vital for developing effective pain treatments.

Related Concept Videos

Thermosensation01:43

Thermosensation

Peripheral thermosensation is the perception of external temperature. A change in temperature (on the surface of the skin and other tissues) is detected by a family of temperature-sensitive ion channels called Transient Receptor Potential, or TRP, receptors. These receptors are located on free nerve endings. Those detecting cold temperatures are closer to the surface of the skin than the nerve endings detecting warmth. These thermoTRP channels, while temperature selective, have relatively...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Mechanically-gated Ion Channels01:12

Mechanically-gated Ion Channels

Mechanically-gated ion channels are proteins found in eukaryotic and prokaryotic cell membranes that open in response to mechanical stress. Tension, compression, swelling, and shear stress can alter the conformation of the protein, opening a transmembrane channel that allows the passage of ions for signal transmission. In eukaryotes, mechanically-gated channels are distributed in several regions like the neurons, lungs, skin, bladder, and heart, where they play critical roles in numerous...
Pain01:20

Pain

Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
Non-gated Ion Channels01:24

Non-gated Ion Channels

Ion channels are specialized proteins on the plasma membrane that allow charged ions to pass down their electrochemical gradient. Their main function is to maintain the membrane potential which is critical for cell viability. These channels are either gated or non-gated and can transport more than a thousand ions within milliseconds for the cellular event to occur.
Compared to the gated ion channels, the non-gated channels, also known as leakage or passive channels, have no gating mechanism.
Opioid Receptors: Overview01:22

Opioid Receptors: Overview

Opioid receptors, including the mu (μ, MOR), delta (δ, DOR), and kappa (κ, KOR) types, belong to the rhodopsin family of G protein-coupled receptors. These receptors are located throughout the central and peripheral nervous systems and in non-neuronal tissues such as macrophages and astrocytes. Opioid receptor ligands can be categorized into agonists or antagonists. Highly selective agonists include [d-Ala2, MePhe4, Gly(ol)5]-enkephalin or DAMGO for MOR, [D-Pen2, D-Pen5]-enkephalin or DPDPE for...