Evidence map›Paper›PMID 21457220›Full record

ArticleBritish journal of pharmacology2011

Targeting of sodium channel blockers into nociceptors to produce long-duration analgesia: a systematic study and review.

D P Roberson, A M Binshtok, F Blasl, B P Bean, C J Woolf

Open access · bronzeAbstract read
In one paragraph

Article in British journal of pharmacology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 95 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. The analgesic paracetamol metabolite AM404 acts peripherally to directly inhibit sodium channels.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Analgesia for Sheep in Commercial Production: Where to Next?Animals : an open access journal from MDPI · 2021
    Review
  18. Quaternary Lidocaine Derivatives: Past, Present, and Future.Drug design, development and therapy · 2021
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

D P RobersonFM Kirby Neurobiology Center and Department of Neurology, Children's Hospital, Boston, MA 02115, USA.
A M Binshtok
F Blasl
B P Bean
C J Woolf
Harvard University · USBoston Children's Hospital · USTechnion – Israel Institute of Technology · ILZero to Three · US

Funding

Neural Plasticity and Inflammatory PainR37NS039518 · NINDS · BOSTON CHILDREN'S HOSPITAL · PI WOOLF, CLIFFORD J · 2011 to 2017
$4.7M
Neural Plasticity and Inflammatory PainR01NS039518 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI WOOLF, CLIFFORD J · 2001 to 2010
$4.1M
Selective targeting of sodium channel blockers to pain-sensing neuronsR01NS064274 · NINDS · HARVARD MEDICAL SCHOOL · PI BEAN, BRUCE P · 2009 to 2012
$1.5M
NINDS NIH HHS NS039518NINDS NIH HHS NS064274NINDS NIH HHS R01 NS039518NINDS NIH HHS R01 NS064274NINDS NIH HHS R37 NS039518
6 · The paper itself

Abstract

background and purposeWe have developed a strategy to target the permanently charged lidocaine derivative lidocaine N-ethyl bromide (QX-314) selectively into nociceptive sensory neurons through the large-pore transient receptor potential cation channel subfamily V (TRPV1) noxious heat detector channel. This involves co-administration of QX-314 and a TRPV1 agonist to produce a long-lasting local analgesia. For potential clinical use we propose using lidocaine as the TRPV1 agonist, because it activates TRPV1 at clinical doses. EXPERIMENTAL APPROACH: We conducted experiments in rats to determine optimal concentrations and ratios of lidocaine and QX-314 that produce the greatest degree and duration of pain-selective block when administered nearby the sciatic nerve: reduction in the response to noxious mechanical (pinch) and to radiant heat stimuli, with minimal disruption in motor function (grip strength). KEY

resultsA combination of 0.5% QX-314 and 2% lidocaine produced 1 h of non-selective sensory and motor block followed by >9 h of pain-selective block, where grip strength was unimpaired. QX-314 at this concentration had no effect by itself, while 2% lidocaine by itself produced 1 h of non-selective block. The combination of 0.5% QX-314 and 2% lidocaine was the best of the many tested, in terms of the duration and selectivity of local analgesia. CONCLUSIONS AND IMPLICATIONS: Targeting charged sodium channel blockers into specific sets of axons via activation of differentially expressed large-pore channels provides an opportunity to produce prolonged local analgesia, and represents an example of how exploiting ion channels as a drug delivery port can be used to increase the specificity and efficacy of therapeutics.

Indexed as

AnalgesicsAnimalsDrug Delivery SystemsLidocaineMaleNociceptorsPainRatsSensory Receptor CellsSodium Channel BlockersTRPV Cation ChannelsAnalgesicsLidocaineQX-314Sodium Channel BlockersTrpv1 protein, ratTRPV Cation Channels

Identifiers

PMID21457220
PMCPMC3171859
OpenAlexW1585790473

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.