Relief of cancer pain by glycine transporter inhibitors

Naoyo Motoyama1, Katsuya Morita, Seiji Shiraishi

  • 1From the Department of Dental Science for Health Promotion, Division of Integrated Health Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan; Cancer Pathophysiology Division, National Cancer Center Research Institute, Tokyo, Japan; Department of Pharmacology, Faculty of Nursing, Hiroshima Bunka Gakuen University, Hiroshima, Japan; Department of Cell & Molecular Pharmacology, Division of Basic Life Science, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan; Pharmaceutical Education Support Center, Mukogawa Women's University, Nishinomiya, Hyogo, Japan; and Department of Pharmacotherapy, Pharmaceutical Sciences, Nihon Pharmaceutical University, Saitama, Japan.

Abstract

Insights

Glycine transporter (GlyT) inhibitors show promise in treating bone cancer pain by reducing pain behaviors. Combining GlyT inhibitors with morphine may offer a novel therapeutic strategy for this severe condition.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Oncology

Background:

  • Neuropathic pain is a component of bone cancer pain, which is severe and complex.
  • Opioid effectiveness is limited in bone cancer pain, necessitating novel treatments.
  • Glycine transporter (GlyT) inhibitors have demonstrated antinociceptive effects in other neuropathic pain models.

Purpose of the Study:

  • To investigate the efficacy of Glycine transporter (GlyT) inhibitors in a mouse model of bone cancer pain.
  • To explore the potential of GlyT inhibitors, alone and in combination with morphine, for treating bone cancer pain.

Main Methods:

  • A femur bone cancer model was established by injecting NCTC 2472 tumor cells into the femur of C3H/HeN mice.
  • The effects of GlyT2 inhibitors (ORG 25543, ALX 1393) and a GlyT1 inhibitor (ORG 25935) on pain behaviors were assessed.
  • Spinal GlyT protein expression was reduced using siRNA, and the effects of GlyT inhibitors in combination with morphine were examined.

Main Results:

  • GlyT2 and GlyT1 inhibitors, administered orally or intravenously, significantly improved pain-like behaviors in bone cancer model mice.
  • The pain relief was potent and long-lasting, with GlyT inhibitors enhancing morphine's analgesic activity.
  • The study observed distinct phases of pain response and identified phase-dependent mechanisms involved in pain modulation.

Conclusions:

  • Glycine transporter (GlyT) inhibitors represent a potential new strategy for managing bone cancer pain.
  • The combination of GlyT inhibitors with morphine may offer enhanced pain relief.
  • Further research is warranted to elucidate the underlying mechanisms of bone cancer pain development and treatment.

Related Concept Videos

Chemotherapy-Induced Nausea and Vomiting: Cannabinoids01:21

Chemotherapy-Induced Nausea and Vomiting: Cannabinoids

Tetrahydrocannabinol (THC) is a phytocannabinoid that primarily interacts with the CB1 receptor, a type of G protein-coupled receptor (GPCR) predominantly in and around the chemoreceptor trigger zone (CTZ) and emetic center. THC also blocks the serotonin receptor activity in the dorsal vagal complex (DVC) by inhibiting serotonin release. THC exerts its anti-emetic effects through these interactions, which are beneficial for patients undergoing chemotherapy.
Two synthetic agonists of THC,...
1.1K
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
816
Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists01:27

Chemotherapy-Induced Nausea and Vomiting: 5-HT3 Receptor Antagonists

5-HT3 receptor antagonists, such as dolasetron, granisetron (Kytril), ondansetron (Zofran), and palonosetron (Axoli), are crucial in managing chemotherapy-induced nausea and vomiting (CINV) and postoperative nausea. These drugs selectively block 5-HT3 receptors in the visceral vagal and spinal afferent nerves, chemoreceptor trigger zone, and the vomiting center. They have a rapid onset of action and can be given as a single dose before chemotherapy. Ondansetron and granisetron, in particular,...
919
Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists01:29

Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists

Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
Phenothiazines, such as prochlorperazine...
1.1K
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...
3.3K
Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists01:23

Drugs Affecting GI Tract Motility: Serotonin Receptor Agonists

Serotonin, a crucial neurotransmitter synthesized by enterochromaffin cells, plays a cardinal role in regulating gastrointestinal (GI) motility. With over 90% of the body's total serotonin in the GI tract, its influence on digestive processes is profound. Serotonin is swiftly released upon various stimuli, such as food boluses or certain drugs, triggering intrinsic sensory neurons in the myenteric plexus and extrinsic vagal and spinal sensory neurons. This leads to the activation of the...
1.4K