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Updated: Jul 31, 2025

Development of Recombinant Proteins to Treat Chronic Pain
Published on: April 11, 2018
REV-ERB activation as a novel pharmacological approach for treating inflammatory pain
Sangeet Makhija1, Joshua D Griffett1, Giri Babu Veerakanellore2,3
1Department of Anatomy, Physiology, and Pharmacology, College of Veterinary Medicine, Auburn University, Auburn, AL, United States.
Abstract:
Pain is a complex problem affecting millions of people worldwide. The current therapies to reduce pain are limited as many treatment options inadequately address the causes of pain, lead to tolerance of the drug, or have adverse effects including abuse potential. While there are many causes of pain, one underlying mechanism to the pathogenesis and maintenance of pain conditions is chronic inflammation driven by the NLRP3 inflammasome. Several inflammasome inhibitors are currently under investigation however have the potential to suppress the functioning of the innate immune system, which may cause unwanted affects in patients. Here, we show that the nuclear receptor REV-ERB can suppress the activation of the inflammasome when pharmacologically activated with small molecule agonists. Additionally, REV-ERB activation appears to have analgesic potential in a model of acute inflammatory pain, likely as a result of inflammasome suppression.
Insights
Nuclear receptor REV-ERB activation suppresses inflammasome activation, offering potential new pain relief. This approach may overcome limitations of current pain therapies by targeting chronic inflammation without impairing the immune system.
Area of Science:
- Immunology
- Neuroscience
- Pharmacology
Background:
- Pain is a global health issue with limited effective treatments.
- Current pain therapies often have side effects, including tolerance and abuse potential.
- Chronic inflammation mediated by the NLRP3 inflammasome is a key factor in pain pathogenesis.
Purpose of the Study:
- To investigate the role of the nuclear receptor REV-ERB in inflammasome activation.
- To explore the potential of REV-ERB activation as a novel therapeutic strategy for pain management.
- To assess the analgesic effects of REV-ERB agonists in inflammatory pain models.
Main Methods:
- Pharmacological activation of REV-ERB using small molecule agonists.
- Assessment of inflammasome activation in response to REV-ERB activation.
- Evaluation of REV-ERB's analgesic effects in an acute inflammatory pain model.
Main Results:
- REV-ERB activation was found to suppress NLRP3 inflammasome activation.
- Pharmacological activation of REV-ERB demonstrated analgesic potential in a model of acute inflammatory pain.
- These effects are likely mediated through the suppression of inflammasome activity.
Conclusions:
- REV-ERB represents a promising target for developing novel pain therapeutics.
- Targeting REV-ERB may offer a strategy to manage pain by modulating chronic inflammation.
- This approach could provide an alternative to existing therapies with improved safety profiles.
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