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Subunit-selective GABAA receptor positive allosteric modulators in the rat formalin model GABAA receptor point-mutated mice studies have demonstrated a role of the α2 and α3 (α2/3) subunits in preclinical pain models (Knabl et al, 2008). These studies examine the effects of subunit-selective, positive allosteric modulators, with a range of in vitro α2/3 efficacies (Table 1), in the rat formalin model. Table 1. In vitro efficacies of GABAA positive allosteric modulators.
Following habituation to test arenas, male Sprague-Dawley rats (200-250g, CRUK) received compound, 100mg/kg gabapentin (positive control) or methyl cellulose vehicle control p.o.. One hour post-dose, formalin (Sigma) was injected in the dorsal surface of the right hindpaw (50ul, 2.5% solution). The number of flinches in the early (0-10 minutes) and late (11-60 minutes) phases were counted via an automated testing system (UC San Diego). Compounds were deemed efficacious if a decrease in flinches compared to vehicle group was statistically significant to p<0.05 using One-Way ANOVA. For GABAA benzodiazepine receptor occupancy (RO), vehicle, test compound or bretazenil (to determine non specific binding) were dosed. Rats received 10µCi/kg [3H] Ro 15-1788, i.v. and three minutes later brain/spinal cord were removed. The three compounds with the highest in vitro α2/3 efficacy, which also had α5 efficacy, significantly decreased the late phase response. L-838,417 was efficacious at 3 and 30mg/kg (achieving free plasma levels corresponding to 50 and 100% RO). 3mg/kg TPA023B (100% RO) decreased flinching in both phases. Interestingly, ‘Compound 15’ had a statistically significant effect in the late phase at 0.3mg/kg (65% RO), but not at 3mg/kg (100% RO). No significant effect was observed with TPA023, the compound with the lowest in vitro α2/3 efficacy and no α5 efficacy, up to 10mg/kg (100% RO) (Table 2). Table 2. Effects of GABAA positive allosteric modulators on formalin-induced flinching. Data are means +/-sem, n = 7-8
These data suggest positive allosteric modulation of the GABAA receptor via the α2, α3 and/or α5 subunits decreases formalin-evoked flinching behaviour in the rat. The model discriminated TPA023, which has no α5 efficacy and lower α2/3 efficacy, from the other compounds tested. However, no clear occupancy-response relationship was obtained in the case of the other compounds tested.
Atack, (2009). Advances in Pharmacol. 57, 138-185. Atack et al., (2006). J. Pharmacol. Exp. Ther. 316 (1), 410-422. Atack et al., (2010). J. Psychopharmacol. (epub ahead of print). Knabl et al., (2008). Nature 451 (7176), 330-334. Lewis et al., (2006). J. Med. Chem. 49 (8), 2600-2610.
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