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The cAMP pathway and pain: potential targets for drug development
Journal article   Peer reviewed

The cAMP pathway and pain: potential targets for drug development

David A Skyba, Rajan Radhakrishnan, Marie K Hoeger Bement and Kathleen A Sluka
Drug discovery today. Disease models, Vol.1(2), pp.115-119
2004
DOI: 10.1016/j.ddmod.2004.07.003

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Abstract

Activation of the cAMP pathway in the central nervous system produces hyperalgesia and inhibition of this pathway reduces hyperalgesia in inflammatory, non-inflammatory, and neuropathic pain models. There are increases in phosphorylation of the transcription factor, CREB, which might initiate gene transcription of “pain genes”. There are also increases in the phosphorylation of glutamate receptor subunit proteins that probably increase insertion of receptors into the membrane and increase channel conductance. Min Zhuo—University of Toronto, Ontario, Canada Cyclic AMP (cAMP) is a key intracellular second messenger for triggering long-term changes in cells and neurons, such long-term changes are thought to be important for physiological functions such as learning and memory and pathological processes including chronic pain. In this manuscript, Kathleen Sluka and colleagues provide an overview of cAMP-related signal processing along pain transmission and modulation pathways, from periphery to anterior cingulate cortex. It is proposed that cAMP-dependent signaling pathways contribute to long-term enhancement of central nociceptive transmission and perception. Sluka and colleagues propose cAMP signaling pathways as potential targets for developing drugs for chronic pain.

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