Contributions of different modes of TRPV1 activation to TRPV1 antagonist-induced hyperthermia

Andras Garami1, Yury P Shimansky, Eszter Pakai

  • 1Systemic Inflammation Laboratory, Trauma Research, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013, USA.

Insights

Transient receptor potential vanilloid-1 (TRPV1) antagonists can cause hyperthermia. Blocking proton activation of TRPV1 is key to preventing this side effect, not blocking heat activation.

Area of Science:

  • Pharmacology
  • Neuroscience
  • Pain Research

Background:

  • Transient receptor potential vanilloid-1 (TRPV1) antagonists are promising pain therapeutics.
  • A significant side effect of TRPV1 antagonists is hyperthermia.
  • TRPV1 antagonists exhibit differential blockade of heat, proton, and capsaicin activation modes.

Purpose of the Study:

  • To determine the specific modes of TRPV1 activation blockade that minimize hyperthermia.
  • To investigate the relationship between antagonist potency in different activation modes and hyperthermia.

Main Methods:

  • Studied hyperthermic responses in rats, mice, and guinea pigs using eight TRPV1 antagonists.
  • Employed mathematical modeling to quantify the contribution of each activation mode blockade to hyperthermia.

Main Results:

  • Hyperthermia is most sensitive to blockade of proton activation (0.43–0.65).
  • Sensitivity to capsaicin mode blockade is low to moderate (-0.01–0.34).
  • Heat activation blockade shows minimal to no sensitivity (0.00–0.01).

Conclusions:

  • Hyperthermia-free TRPV1 antagonists do not block proton activation, irrespective of heat activation blockade potency.
  • Reducing potency against capsaicin activation may further mitigate hyperthermia risk.

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