Menthol preferentially inhibits persistent Na + current mediated by Na V 1.8 in small-sized dural afferent neurons of

Michiko Nakamura1, Il-Sung Jang1,2

  • 1Brain Science & Engineering Institute.

Neuroreport
|June 27, 2025
PubMed
Abstract

Insights

Menthol relieves pain by inhibiting persistent tetrodotoxin-resistant sodium channels (TTX-R Na+) in sensory neurons. This action modulates channel inactivation and recovery, contributing to menthol's analgesic effects.

Area of Science:

  • Neuroscience
  • Pharmacology
  • Pain Research

Background:

  • Menthol is a common analgesic and cooling agent.
  • Menthol activates the TRPM8 channel, but its effects on other channels are less understood.
  • Voltage-gated sodium channels are crucial in pain signaling.

Purpose of the Study:

  • To investigate the effect of menthol on tetrodotoxin-resistant (TTX-R) sodium channels in nociceptive sensory neurons.
  • To elucidate the role of TTX-R Na+ channels in menthol's analgesic mechanism.

Main Methods:

  • Whole-cell patch-clamp recordings were performed on acutely isolated rat dural afferent neurons.
  • Tetrodotoxin-resistant (TTX-R) Na+ current (I Na) was measured.
  • The effects of menthol on channel kinetics and action potential generation were analyzed.

Main Results:

  • Menthol significantly decreased persistent TTX-R Na+ current amplitude in a concentration-dependent manner.
  • Menthol altered the inactivation properties of TTX-R Na+ channels, shifting steady-state inactivation and affecting recovery kinetics.
  • Menthol reduced action potential generation in response to strong depolarization.

Conclusions:

  • Menthol exerts analgesic effects by preferentially inhibiting persistent TTX-R Na+ channels.
  • Modulation of TTX-R Na+ channel inactivation and recovery kinetics by menthol contributes to its pain-relieving properties.

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