Mechanisms of action of topical drugs for the therapy of NP for excitatory and inhibitory effects
Mechanism of action of topical agents | Receptor ion channel enzyme | Topical agent utilized in clinical practice | Possible site of action | Reference |
---|---|---|---|---|
Mechanism for excitatory effect of drugs | Voltage-gated sodium channels (NaVs) | Lidocaine, amitriptyline, doxepin, phenytoin, ambroxol, TV-45070, opioids, NSAIDs, clonidine | Neurons, keratinocytes | [128–132] |
TRPV1 | Capsaicin, NSAIDs | Neurons, keratinocytes, immune cells | [133–135] | |
VGCC | Gabapentin, lidocaine | Neurons, keratinocytes | [136–138] | |
NMDAR | Ketamine, amitriptyline, diclofenac | Neurons, keratinocytes, immune cells | [139–141] | |
COX-2 | NSAIDs | Neurons, immune cells, Schwann cells | [142–144] | |
Mechanism for inhibitory effect of drugs | GABAR | Amitriptyline | Neurons, keratinocytes, immune cells | [145–148] |
GABAAR | Ketamine, phenytoin | Neurons, keratinocytes, immune cells | [149, 150] | |
GABABR | Baclofen | Neurons, keratinocytes, immune cells | [151–154] | |
α2-AR | Clonidine | Neurons | [155–157] | |
OR | Opioids | Neurons, keratinocytes, immune cells | [158–160] | |
CR | Cannabinoids | Neurons, keratinocytes, immune cells | [161–163] |
α2-AR: α2 adreno receptors; COX-2: cyclooxygenase-2; CR: cannabinoid receptors; GABAR: γ-aminobutyric acid receptors; GABAAR: γ-aminobutyric acid type A receptors; TV-45070: topical sodium channel inhibitor; NMDAR: NMDA receptors; NSAIDs: Non-steroidal anti-inflammatory drugs; OR: opioid receptors; TRPV1: transient receptor potential vanilloid 1
Our sincere thanks to Paramveer Singh, Shadab Husain and Jamilur Rahman Ansari for editing the language of this manuscript. The authors gratefully acknowledge the contributions of the collaborators and co-workers mentioned in the cited reference. SC, R Kaur, and AG acknowledges K.R. Mangalam University, AW acknowledges Guru Gobind Singh Indraprastha University (GGSIPU). R Kadian gratefully acknowledges the support and cooperation from the Director of Ram Gopal College, Gurugram. MSA gratefully acknowledges the Vice Chancellor and Dean of Pharmacy, Shree Guru Gobind Singh Tricentenary University (SGTU) for their kind cooperation and support.
SC, AW, R Kaur, and AG: Conceptualization, Investigation, Writing—original draft, Writing—review & editing. R Kadian and MSA: Validation, Writing—review & editing, Supervision.
The authors declare that they have no conflicts of interest.
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© The Author(s) 2023.