2015
DOI: 10.4155/ppa.14.60
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Transient Receptor Potential Ankyrin 1 (TRPA1) Antagonists

Abstract: The transient receptor potential ankyrin 1 (TRPA1) channel is an irritant sensor highly expressed on nociceptive neurons. The clinical use of TRPA1 antagonists is based on the concept that TRPA1 is active during disease states like neuropathic pain. Indeed, in Phase 2a proof-of-concept studies the TRPA1 antagonist GRC17536 has shown efficacy in patients with painful diabetic neuropathy. Moreover, animal studies suggest that the therapeutic value of TRPA1 antagonists extends beyond pain to pruritus, asthma and … Show more

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Cited by 45 publications
(42 citation statements)
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“…Arguing against such a mechanism is the observation that reduced abdominal contractions were observed in mice after a single oral dose of a TRPA1 agonist. Furthermore, one TRPA1 antagonist has recently shown efficacy in patients with painful diabetic neuropathy, and several other TRPA1 antagonists have entered the phase of testing in clinical trials . Although the true potential of these drugs will need to be explored, their safety profile appears to be more favourable than that of early TRPV1 antagonists.…”
Section: Discussionmentioning
confidence: 99%
“…Arguing against such a mechanism is the observation that reduced abdominal contractions were observed in mice after a single oral dose of a TRPA1 agonist. Furthermore, one TRPA1 antagonist has recently shown efficacy in patients with painful diabetic neuropathy, and several other TRPA1 antagonists have entered the phase of testing in clinical trials . Although the true potential of these drugs will need to be explored, their safety profile appears to be more favourable than that of early TRPV1 antagonists.…”
Section: Discussionmentioning
confidence: 99%
“…3 it is currently unclear to which extend they are functionally dependent on each other [22,70,79]. Recently, TRPA1 has been widely implicated in a number of painful and inflammatory conditions and is considered a promising potential target for the development of, amongst others, analgesic, antipruritic and anti-inflammatory pharmacotherapeutics [4,21,36,64]. For instance, the channel has been proposed to play a role in the pathoetiology of numerous disorders based on in vivo studies including neuropathic pain [9], migraine [11] and arthritis [29] and expression of the channel has been found upregulated in human tissues in conditions such as oral lichen planus [40], post-burn pruritus [85] and inflammatory bowel disorder [41] -conditions that are often associated with neuro-inflammation and pain.…”
Section: A C C E P T E Dmentioning
confidence: 99%
“…The physiological role of TRPA1 in the sensory nervous system is not only restricted to chemonociception [39,47,53,60]; the channel has also been suggested to play important roles in mediating cold pain sensation [6,23,80], pruriception [28,46,84], the cough reflex [24,64] and to act as an immunological co-activator [15,69]. The TRPA1-channel is substantially co-expressed with transient receptor potential cation channel V1 (TRPV1) on peptidergic nociceptors [34] and these frequently act in conjunction to detect numerous environmental chemical irritants although…”
Section: Introductionmentioning
confidence: 99%
“…Potential on‐target adverse effects seem to be less important, because frost injuries are less likely if noxious cold sensation is impaired. Several small‐molecule TRPA1 antagonists showed promising efficacy in animal pain models without unwanted effects . Moreover, clinical proof‐of‐concept is already available by a successful Phase IIa trial in diabetic neuropathic pain proving no safety problems (GRC‐17536, Glenmark Pharmaceuticals, Mumbai, India)…”
Section: Novel Targets With Anti‐inflammatory And/or Analgesic Potentmentioning
confidence: 99%