Abstract
Nav1.7 channels are mainly distributed in the peripheral nervous system. Blockade of Nav1.7 channels with small-molecule inhibitors in humans might provide pain relief without affecting the central nervous system. Based on the facts that many reported Nav1.7-selective inhibitors contain aryl sulfonamide fragments, as well as a tricyclic antidepressant, maprotiline, has been found to inhibit Nav1.7 channels, we designed and synthesized a series of compounds with ethanoanthracene and aryl sulfonamide moieties. Their inhibitory activity on sodium channels were detected with electrophysiological techniques. We found that compound 10o potently inhibited Nav1.7 channels stably expressed in HEK293 cells (IC50 = 0.64 ± 0.30 nmol/L) and displayed a high Nav1.7/Nav1.5 selectivity. In mouse small-sized dorsal root ganglion neurons, compound 10o (10, 100 nmol/L) dose-dependently decreased the sodium currents and dramatically suppressed depolarizing current-elicited neuronal discharge. Preliminary in vivo experiments showed that compound 10o possessed good analgesic activity: in a mouse visceral pain model, administration of compound 10o (30−100 mg/kg, i.p.) effectively and dose-dependently suppressed acetic acid-induced writhing.
Similar content being viewed by others
Log in or create a free account to read this content
Gain free access to this article, as well as selected content from this journal and more on nature.com
or
References
Bennett DL, Woods CG. Painful and painless channelopathies. Lancet Neurol. 2014;13:587–99.
Waxman SG, Merkies ISJ, Gerrits MM, Dib-Hajj SD, Lauria G, Cox JJ, et al. Sodium channel genes in pain-related disorders: phenotype-genotype associations and recommendations for clinical use. Lancet Neurol. 2014;13:1152–60.
Vetter I, Deuis JR, Mueller A, Israel MR, Starobova H, Zhang A, et al. Nav1.7 as a pain target - from gene to pharmacology. Pharmacol Ther. 2017;172:73–100.
Yang Y, Mis MA, Estacion M, Dib-Hajj SD, Waxman SG. Nav1.7 as a pharmacogenomic target for pain: moving toward precision medicine. Trends Pharmacol Sci. 2018;39:258–75.
Cox JJ, Reimann F, Nicholas AK, Thornton G, Roberts E, Springell K, et al. An SCN9A channelopathy causes congenital inability to experience pain. Nature. 2006;444:894–8.
de Lera Ruiz M, Kraus RL. Voltage-gated sodium channels: structure, function, pharmacology, and clinical indications. J Med Chem. 2015;58:7093–118.
Goldberg YP, MacFarlane J, MacDonald ML, Thompson J, Dube MP, Mattice M, et al. Loss-of-function mutations in the Nav1.7 gene underlie congenital indifference to pain in multiple human populations. Clin Genet. 2007;71:311–9.
Dib-Hajj SD, Yang Y, Black JA, Waxman SG. The Nav1.7 sodium channel: from molecule to man. Nat Rev Neurosci. 2013;14:49–62.
Weiss J, Pyrski M, Jacobi E, Bufe B, Willnecker V, Schick B, et al. Loss-of-function mutations in sodium channel Nav1.7 cause anosmia. Nature. 2011;472:186–90.
Zufall F, Pyrski M, Weiss J, Leinders-Zufall T. Link between pain and olfaction in an inherited sodium channelopathy. Arch Neurol. 2012;69:1119–23.
Minett MS, Nassar MA, Clark AK, Passmore G, Dickenson AH, Wang F, et al. Distinct Nav1.7-dependent pain sensations require different sets of sensory and sympathetic neurons. Nat Commun. 2012;3:791–99.
Shields SD, Deng L, Reese RM, Dourado M, Tao J, Foreman O, et al. Insensitivity to pain upon adult-onset deletion of Nav1.7 or its blockade with selective inhibitors. J Neurosci. 2018;38:10180–201.
Emery EC, Luiz AP, Wood JN. Nav1.7 and other voltage-gated sodium channels as drug targets for pain relief. Expert Opin Ther Targets. 2016;20:975–83.
Erdemli G, Kim AM, Ju H, Springer C, Penland RC, Hoffmann PK. Cardiac safety implications of hNav1.5 blockade and a framework for pre-clinical evaluation. Front Pharmacol. 2012;3:1–9.
Toledo-Aral JJ, Moss BL, He ZJ, Koszowski AG, Whisenand T, Levinson SR, et al. Identification of PN1, a predominant voltage-dependent sodium channel expressed principally in peripheral neurons. Proc Natl Acad Sci USA. 1997;94:1527–32.
DiMauro EF, Altmann S, Berry LM, Bregman H, Chakka N, Chu-Moyer M, et al. Application of a parallel synthetic strategy in the discovery of biaryl acyl sulfonamides as efficient and selective Nav1.7 inhibitors. J Med Chem. 2016;59:7818–39.
Graceffa RF, Boezio AA, Able J, Altmann S, Berry LM, Boezio C, et al. Sulfonamides as selective Nav1.7 inhibitors: optimizing potency, pharmacokinetics, and metabolic properties to obtain atropisomeric quinolinone (AM-0466) that affords robust in vivo activity. J Med Chem. 2017;60:5990–6017.
Focken T, Liu S, Chahal N, Dauphinais M, Grimwood ME, Chowdhury S, et al. Discovery of aryl sulfonamides as isoform-selective inhibitors of Nav1.7 with efficacy in rodent pain models. ACS Med Chem Lett. 2016;7:277–82.
Focken T, Chowdhury S, Zenova A, Grimwood ME, Chabot C, Sheng T, et al. Design of conformationally constrained acyl sulfonamide isosteres: identification of N-([1,2,4]Triazolo[4,3-a]pyridin-3-yl)methane-sulfonamides as potent and selective hNav1.7 inhibitors for the treatment of pain. J Med Chem. 2018;61:4810–31.
Sun S, Jia Q, Zenova AY, Wilson MS, Chowdhury S, Focken T, et al. Identification of selective acyl sulfonamide-cycloalkylether inhibitors of the voltage-gated sodium channel Nav1.7 with potent analgesic activity. J Med Chem. 2019;62:908–27.
Wu YJ, Guernon J, Shi J, Ditta J, Robbins KJ, Rajamani R, et al. Development of new benzenesulfonamides as potent and selective Nav1.7 inhibitors for the treatment of pain. J Med Chem. 2017;60:2513–25.
Luo G, Chen L, Easton A, Newton A, Bourin C, Shields E, et al. Discovery of indole- and indazole-acylsulfonamides as potent and selective Nav1.7 inhibitors for the treatment of pain. J Med Chem. 2019;62:831–56.
Ahuja S, Mukund S, Deng L, Khakh K, Chang E, Ho H, et al. Structural basis of Nav1.7 inhibition by an isoform-selective small-molecule antagonist. Science. 2015;350:aac5464.
Mico JA, Ardid D, Berrocoso E, Eschalier A. Antidepressants and pain. Trends Pharmacol Sci. 2006;27:348–54.
Dick IE, Brochu RM, Purohit Y, Kaczorowski GJ, Martin WJ, Priest BT. Sodium channel blockade may contribute to the analgesic efficacy of antidepressants. J Pain. 2007;8:315–24.
Wang SY, Calderon J, Kuo Wang G. Block of neuronal Na+ channels by antidepressant duloxetine in a state-dependent manner. Anesthesiology. 2010;113:655–65.
Theile JW, Fuller MD, Chapman ML. The selective Nav1.7 inhibitor, PF-05089771, interacts equivalently with fast and slow inactivated Nav1.7 channels. Mol Pharmacol. 2016;90:540–8.
Zheng YM, Wang WF, Li YF, Yu Y, Gao ZB. Enhancing inactivation rather than reducing activation of Nav1.7 channels by a clinically effective analgesic CNV1014802. Acta Pharmacol Sin. 2018;39:587–96.
Zheng Y, Xu H, Zhan L, Zhou X, Chen X, Gao Z. Activation of peripheral KCNQ channels relieves gout pain. Pain. 2015;156:1025–35.
Alexandrou AJ, Brown AR, Chapman ML, Estacion M, Turner J, Mis MA, et al. Subtype-selective small molecule inhibitors reveal a fundamental role for Nav1.7 in nociceptor electrogenesis, axonal conduction and presynaptic release. PLoS One. 2016;11:e0152405.
Gawade SP. Acetic acid induced painful endogenous infliction in writhing test on mice. J Pharm Pharm. 2012;3:348.
Gregory NS, Harris AL, Robinson CR, Dougherty PM, Fuchs PN, Sluka KA. An overview of animal models of pain: disease models and outcome measures. J Pain. 2013;14:1255–69.
Ribeiro RA, Vale ML, Thomazzi SM, Paschoalato AB, Poole S, Ferreira SH, et al. Involvement of resident macrophages and mast cells in the writhing nociceptive response induced by zymosan and acetic acid in mice. Eur J Pharmacol. 2000;387:111–8.
Yang S, Xiao Y, Kang D, Liu J, Li Y, Undheim EA, et al. Discovery of a selective Nav1.7 inhibitor from centipede venom with analgesic efficacy exceeding morphine in rodent pain models. Proc Natl Acad Sci USA. 2013;110:17534–9.
Liu Y, Tang J, Zhang Y, Xun X, Tang D, Peng D, et al. Synthesis and analgesic effects of mu-TRTX-Hhn1b on models of inflammatory and neuropathic pain. Toxins (Basel). 2014;6:2363–78.
Liu Y, Wu Z, Tang D, Xun X, Liu L, Li X, et al. Analgesic effects of Huwentoxin-IV on animal models of inflammatory and neuropathic pain. Protein Pept Lett. 2014;21:153–8.
Swain NA, Batchelor D, Beaudoin S, Bechle BM, Bradley PA, Brown AD, et al. Discovery of clinical candidate 4-[2-(5-Amino-1H-pyrazol-4-yl)-4- chlorophenoxy]-5-chloro-2-fluoro-N-1,3-thiazol-4-ylbenzenesulfonamide (PF-05089771): design and optimization of diaryl ether aryl sulfonamides as selective inhibitors of Nav1.7. J Med Chem. 2017;60:7029–42.
McCormack K, Santos S, Chapman ML, Krafte DS, Marron BE, West CW, et al. Voltage sensor interaction site for selective small molecule inhibitors of voltage-gated sodium channels. Proc Natl Acad Sci USA. 2013;110:E2724–32.
McDermott LA, Weir GA, Themistocleous AC, Segerdahl AR, Blesneac I, Baskozos G, et al. Defining the functional role of Nav1.7 in human nociception. Neuron. 2019;101:905–19.
Bennett DL, Clark AJ, Huang J, Waxman SG, Dib-Hajj SD. The role of voltage-gated sodium channels in pain signaling. Physiol Rev. 2019;99:1079–151.
Muroi Y, Ru F, Kollarik M, Canning BJ, Hughes SA, Walsh S, et al. Selective silencing of Nav1.7 decreases excitability and conduction in vagal sensory neurons. J Physiol. 2011;589:5663–76.
Evans MS, Maglinger GB, Fletcher AM, Johnson SR. Benzonatate inhibition of voltage-gated sodium currents. Neuropharmacology. 2016;101:179–87.
Acknowledgements
This work was supported by the National Science Fund for Distinguished Young Scholars (81825021) and the National Natural Science Foundation of China (81603096, 81773707).
Author information
Authors and Affiliations
Contributions
FJN and ZBG designed and conceived the experiments; JTW and YMZ conducted the experiments and contributed equally to the project; YTC conducted the docking analysis; MG performed the HPLC analysis; all authors analyzed the data; JTW, YMZ, ZBG, and FJN wrote the paper.
Corresponding authors
Ethics declarations
Conflict of interest
The authors declare that they have no conflict of interest.
Supplementary information
Rights and permissions
About this article
Cite this article
Wang, Jt., Zheng, Ym., Chen, Yt. et al. Discovery of aryl sulfonamide-selective Nav1.7 inhibitors with a highly hydrophobic ethanoanthracene core. Acta Pharmacol Sin 41, 293–302 (2020). https://doi.org/10.1038/s41401-019-0267-z
Received:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41401-019-0267-z


