Eur J Pain, 2015 · DOI: 10.1002/ejp.585 · Published: May 1, 2015
This study investigates how different types of calcium channel blockers affect pain caused by increased levels of a specific protein (Cavα2δ1) in the nervous system. The researchers used two mouse models: one with genetically increased Cavα2δ1 and another with nerve damage that also leads to increased Cavα2δ1. The study found that blocking N-type and L-type calcium channels reduced pain in both mouse models. However, blocking P-type calcium channels only reduced pain in the genetically modified mice, while blocking Q-type calcium channels had little effect in either model. These results suggest that N- and L-type calcium channels play a more significant role in pain caused by increased Cavα2δ1, while P-type channels may have a more specific role depending on the cause of the increase. Q-type channels seem to have a minimal role in this type of pain.
Selective targeting of VGCC subtypes, particularly N- and L-types, may offer a therapeutic approach for managing pain associated with Cavα2δ1 overexpression.
Combining VGCC blockers with gabapentinoids, which target Cavα2δ1, may improve the efficacy and/or duration of pain relief.
The differential effects of P-type VGCC blockers in the TG and SNL models suggest the need for personalized treatment strategies based on the underlying mechanisms of pain.