Pain 2 Flashcards

1
Q

What is tetrodotoxin

A

Potent blocker of alpha subunit. Binds the P-loop of channel pore on extracellular side.

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2
Q

What is the difference between TTX sensitive and insensitive channels

A

Sensitive have a binding affinity of 5-15nM whereas resistant channels need more than 1 micromolar conc of TTX is present.

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3
Q

Which Nav channels are resistant to TTX

A

Nav1.5, Nav1.8, Nav1.9

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4
Q

Why was it not possible to do in vivo drug studies with a specific blocker to a particular Nav channel

A

Nav channels are so similar in structure that there is no specific blocker capable of distinguishing one single channel from another

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5
Q

Which three models of pain behaviour were constructed in mice

A

1) acute pain thresholds to thermal and mechanical stimuli
2) Inflammatory pain models: examine the drop in acute thresholds following inflammation
3) neuropathic pain models: examine the drop in acute thresholds following damage to sensory nerves

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6
Q

How do you measure thermal thresholds in mice

A

Hargreaves device - mice go on a glass platford - lantern focuses light on a certain spot and records the time it takes the animal to feel uncomfortable and bring their paws up.

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7
Q

How do you measure mechanical thresholds

A

Von Frey hairs - plastic furs of differing thickness which dent at different forces. Apply these one by one and see which thickness causes discomfort to the animal

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8
Q

Where is Nav1.3 expressed

A

CNS and PNS - embryonic expression that fades away postnatally - lowest form of expression in the Nav family of channels

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9
Q

Which Nav channel is upregulated in chronic pain models

A

Nav1.3

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10
Q

What is the effect of Nav1.3 KO in mice

A

No effect on acute thermal, touch, pressure, inflammatory, neuropathic pain relief.

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11
Q

What is the contribution of Nav1.8 to pain

A

Nav1.8 expression wasn’t found in all cells of the DRG - expressed in medium and small cells only, which are required for noxious stimuli

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12
Q

What is the effect of Nav1.8 KO in mice

A

No effect on thermal, touch, neuropathic pain - Inflammatory pain was attenuated

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13
Q

What is the result of knocking down Nav1.8 in adult mice - by oligonucleotides

A

Analgesic results

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14
Q

What is the blocker for Nav1.8

A

muO-conotoxin MrVIB blocks Nav1.8 sensory neuron specific channels and chronic pain behaviour without motor deficits

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15
Q

What is A-803467.0

A

A potent and selective Nav1.8 sodium channel blocker

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16
Q

What is the result of a gain of function mutant in pain

A

discovery of mutant in painful neuropathy

17
Q

What happens to Nav1.7 expression in the Nav1.8 KO mice

A

Nav1.7 expression increased.

18
Q

What happens in gain of function Nav1.9 mutations

A

Pain in lower extremities, pain increases with fatigue, pain was relieved by oral administration of anti-inflammatory analgesic drugs.