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Updated: May 23, 2025

Intracranial Pharmacotherapy and Pain Assays in Rodents
Published on: April 9, 2019
Exploring novel non-opioid pathways and therapeutics for pain modulation.
Isabella Alessi1, Kaysie L Banton2,3, Sliter J4
1College of Osteopathic Medicine, Rocky Vista University, Centennial, CO, USA.
The opioid crisis necessitates new pain relief. This review details non-opioid targets like sodium channels and inflammasomes, offering safer alternatives for effective pain management.
Area of Science:
- Neuroscience and Pharmacology
- Molecular Biology and Immunology
Background:
- The ongoing opioid crisis underscores the critical need for alternative pain management strategies.
- Pain is a complex condition with nociceptive, neuropathic, and inflammatory origins, driven by intricate molecular signaling.
Purpose of the Study:
- To review novel non-opioid targets and pathways in pain modulation.
- To highlight advancements in understanding and the therapeutic potential of these targets.
Main Methods:
- Literature review of key pain pathways including voltage-gated sodium channels (Nav1.7, Nav1.8, Nav1.9), inflammasome complexes (NLRP3), kynurenine pathway, prostaglandins, and bradykinin signaling.
- Analysis of emerging therapeutics targeting these pathways.
Main Results:
- Identified selective Nav channel blockers, NLRP3 inhibitors, kynurenine pathway modulators, EP receptor antagonists, and bradykinin receptor antagonists as promising non-opioid analgesics.
- Highlighted the therapeutic potential of targeting these molecular pathways for pain relief.
Conclusions:
- Developments in non-opioid targets signal a paradigm shift towards precision pain management.
- Integrating molecular insights is crucial for developing safer, more effective analgesics and transformative pain relief strategies.
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