panic_the_digital
Bluelighter
- Joined
- Feb 28, 2006
- Messages
- 1,174
Seems like there should be SOMETHING comparable in nature. My recollection of their structures is that they are very simple.
N&PD Moderators: Skorpio | thegreenhand
Abstract
Gabapentin and pregabalin have been demonstrated, both in animal pain models and clin., to be effective analgesics particularly for the treatment of neuropathic pain. The precise mechanism of action for these two drugs is unknown, but they are generally believed to function via initially binding to the α2δ subunit of voltage-gated Ca2+ channels. In this study, we used a pharmacol. approach to test the hypothesis whether high affinity interactions with the α2δ subunit alone could lead to attenuation of neuropathic pain in rats. The anti-allodynic effects of gabapentin and pregabalin, along with three other compds. - (L)-phenylglycine, m-chlorophenylglycine and 3-exo-aminobicyclo[2.2.1]heptane-2-exo-carboxylic acid (ABHCA) - discovered to be potent α2δ ligands, were tested in the rat spinal nerve ligation model of neuropathic pain. Gabapentin (Ki = 120 nM), pregabalin (180 nM) and (L)-phenylglycine (180 nM) were shown to be anti-allodynic, with resp. ED50 values of 230, 90 and 80 µmol/kg (p.o.). (L)-Phenylglycine was as potent as pregabalin and equi-efficacious in reversing mech. allodynia. In contrast, two ligands with comparable or superior α2δ binding affinities, m-chlorophenylglycine (Ki = 54 nM) and ABHCA (150 nM), exhibited no anti-allodynic effects at doses of 30-300 .mu.mol/kg (p.o.), although these compds. achieved substantial brain levels. The data demonstrate that, at least in the rat spinal nerve ligation model of neuropathic pain, (L)-phenylglycine has an anti-allodynic effect, but two equally potent α2δ subunit ligands do not. These results suggest that addnl. mechanisms, besides α2δ interactions, may contribute to the effects of compds. like gabapentin, pregabalin and (L)-phenylglycine in neuropathic pain.
Abstract
A series of oxadiazolone bioisosteres of pregabalin and gabapentin were prepd., and several were found to exhibit similar potency for the α2δ subunit of voltage-gated calcium channels. Oxadiazolone I derived from gabapentin achieved low brain uptake but was nevertheless active in models of osteoarthritis. The high clearance assocd. with I was postulated to be a consequence of efflux by OAT and/or OCT, and was attenuated on co-administration with cimetidine or probenecid.
14 pages, incl. over 3 pages of references. Very useful article on that topic!Summary
Pregabalin (Lyrica™) is a new antiepileptic drug that is active in animal seizure models. Pregabalin is approved in US and Europe for adjunctive therapy of partial seizures in adults, and also has been approved for the treatment of pain from diabetic neuropathy or post-herpetic neuralgia in adults. Recently, it has been approved for treatment of anxiety disorders in Europe. Pregabalin is structurally related to the antiepileptic drug gabapentin and the site of action of both drugs is similar, the alpha2–delta (α2–δ) protein, an auxiliary subunit of voltage-gated calcium channels. Pregabalin subtly reduces the synaptic release of several neurotransmitters, apparently by binding to α2–δ subunits, and possibly accounting for its actions in vivo to reduce neuronal excitability and seizures. Several studies indicate that the pharmacology of pregabalin requires binding to α2–δ subunits, including structure-activity analyses of compounds binding to α2–δ subunits and pharmacology in mice deficient in binding at the α2–δ Type 1 protein. The preclinical findings to date are consistent with a mechanism that may entail reduction of abnormal neuronal excitability through reduced neurotransmitter release. This review addresses the preclinical pharmacology of pregabalin, and also the biology of the high affinity binding site, and presumed site of action.
I want to know of these law suits surrounding gabapentin, I use it for nerve damge pain, and pain that can be derived from my brain, (so thought)but yeah i would like to know, what synaptic release it prohibits, and if i can mimick these with potentiators that are natural or homeopathic, but i doubt it.
I really rate gabapentin . After 12 yrs of banging up, lastly a good 4-5 yrs in my legs I damaged the valves that pump the blood from the ankles and heels up the legs which in turn blocks veins etc and courses swelling in the legs and in turn nerve damge from swelling etc, the gabapentin since taking it, well, iv'e not had another episode of swelling, I dont use and havent used for a yr now (needles that is). The problems that required gabapentin, funnily only started after i gave up needles