TREK Channel Family Activator with a Well-Defined Structure-Activation Relationship for Pain and Neurogenic Inflammation

J Med Chem. 2020 Apr 9;63(7):3665-3677. doi: 10.1021/acs.jmedchem.9b02163. Epub 2020 Mar 24.

Abstract

TWIK-related K+ (TREK) channels are potential analgesic targets. However, selective activators for TREK with both defined action mechanism and analgesic ability for chronic pain have been lacking. Here, we report (1S,3R)-3-((4-(6-methylbenzo[d]thiazol-2-yl)phenyl)carbamoyl)cyclopentane-1-carboxylic acid (C3001a), a selective activator for TREK, against other two-pore domain K+ (K2P) channels. C3001a binds to the cryptic binding site formed by P1 and TM4 in TREK-1, as suggested by computational modeling and experimental analysis. Furthermore, we identify the carboxyl group of C3001a as a structural determinant for binding to TREK-1/2 and the key residue that defines the subtype selectivity of C3001a. C3001a targets TREK channels in the peripheral nervous system to reduce the excitability of nociceptive neurons. In neuropathic pain, C3001a alleviated spontaneous pain and cold hyperalgesia. In a mouse model of acute pancreatitis, C3001a alleviated mechanical allodynia and inflammation. Together, C3001a represents a lead compound which could advance the rational design of peripherally acting analgesics targeting K2P channels without opioid-like adverse effects.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analgesics / metabolism
  • Analgesics / pharmacokinetics
  • Analgesics / therapeutic use*
  • Animals
  • Anti-Inflammatory Agents / metabolism
  • Anti-Inflammatory Agents / pharmacokinetics
  • Anti-Inflammatory Agents / therapeutic use*
  • Benzothiazoles / metabolism
  • Benzothiazoles / pharmacokinetics
  • Benzothiazoles / therapeutic use*
  • Binding Sites
  • Ganglia, Spinal / drug effects
  • HEK293 Cells
  • Humans
  • Male
  • Mice, Inbred BALB C
  • Mice, Inbred C57BL
  • Molecular Docking Simulation
  • Molecular Structure
  • Neurogenic Inflammation / drug therapy*
  • Pain / drug therapy*
  • Pancreatitis / drug therapy
  • Potassium Channels, Tandem Pore Domain / agonists*
  • Potassium Channels, Tandem Pore Domain / chemistry
  • Potassium Channels, Tandem Pore Domain / metabolism
  • Protein Binding
  • Rats, Sprague-Dawley
  • Structure-Activity Relationship

Substances

  • Analgesics
  • Anti-Inflammatory Agents
  • Benzothiazoles
  • KCNK10 protein, human
  • Kcnk10 protein, mouse
  • Kcnk10 protein, rat
  • Potassium Channels, Tandem Pore Domain
  • potassium channel protein TREK-1