The Role of Regulatory Transporters in Neuropathic Pain

Adv Pharmacol. 2016:75:245-71. doi: 10.1016/bs.apha.2015.12.003. Epub 2016 Jan 21.

Abstract

Neuropathic pain arises from an injury or disease of the somatosensory nervous system rather than stimulation of pain receptors. As a result, the fine balance between excitation and inhibition is perturbed leading to hyperalgesia and allodynia. Various neuropathic pain models provide considerable evidence that changes in the glutamatergic, GABAergic, and monoaminergic systems. Neurotransmitter reuptake transporter proteins have the potential to change the temporal and spatial profile of various neurotransmitters throughout the nervous system. This, in turn, can affect the downstream effects of these neurotransmitters and hence modulate pain. This chapter explores various reuptake transporter systems and implicates their role in pain processing. Understanding the transporter systems will enhance drug discovery targeting different facets of neuropathic pain.

Keywords: GABA; Glutamate; KCC2; Monoamines; NKCC1; Neuropathic pain; Transporters.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Biogenic Monoamines / metabolism
  • Chlorides / metabolism
  • Glutamic Acid / metabolism
  • Humans
  • Membrane Transport Proteins / metabolism*
  • Neuralgia / metabolism*
  • gamma-Aminobutyric Acid / metabolism

Substances

  • Biogenic Monoamines
  • Chlorides
  • Membrane Transport Proteins
  • Glutamic Acid
  • gamma-Aminobutyric Acid