Evidence map›Paper›PMID 33871884›Full record

ArticleBritish journal of pharmacology2021

The T-type calcium channel antagonist, Z944, reduces spinal excitability and pain hypersensitivity.

Erika K Harding, Annemarie Dedek, Robert P Bonin, Michael W Salter, Terrance P Snutch, Michael E Hildebrand

Open access · bronzeAbstract read
In one paragraph

Article in British journal of pharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.7field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Regulatory Action of Calcium and Calcium Channels in Pain Pathways.International journal of biological sciences · 2025
    Review
  11. CaThe journal of headache and pain · 2024
    Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Neuropathic pain; what we know and what we should do about it.Frontiers in pain research (Lausanne, Switzerland) · 2023
    Review
  19. Review
  20. Voltage-dependent CaPflugers Archiv : European journal of physiology · 2022
    Review
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

6 authors at 4 institutions in 1 country.

Erika K HardingDepartment of Comparative Biology and Experimental Medicine, University of Calgary, Calgary, Alberta, Canada.ORCID 0000-0003-3941-3411
Annemarie DedekDepartment of Neuroscience, Carleton University, Ottawa, Ontario, Canada.ORCID 0000-0002-7215-4928
Robert P BoninDepartment of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-3287-6803
Michael W SalterProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0001-6897-6585
Terrance P SnutchMichael Smith Laboratories, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-5182-1296
Michael E HildebrandDepartment of Neuroscience, Carleton University, Ottawa, Ontario, Canada.ORCID 0000-0002-6845-8013
Ottawa Hospital · CAUniversity of Toronto · CAUniversity of British Columbia · CAUniversity of Calgary · CA

Funding

DYNAMICS OF A NEUROMODULATORY NETWORKF31MH010677 · NIMH · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI LEWIS, JOHN E · 1993 to 1995
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Canadian Institutes of Health Research Institute of Neurosciences, Mental Health and Addiction 10677Canadian Institutes of Health Research Institute of Neurosciences, Mental Health and Addiction 154336
6 · The paper itself

Abstract

background and purposeT-type voltage-gated calcium channels are an emerging therapeutic target for neurological disorders including epilepsy and pain. Inhibition of T-type channels reduces the excitability of peripheral nociceptive sensory neurons and reverses pain hypersensitivity in male rodent pain models. However, administration of peripherally restricted T-type antagonists failed to show efficacy in multiple clinical and preclinical pain trials, suggesting that inhibition of peripheral T-type channels alone may be insufficient for pain relief. EXPERIMENTAL APPROACH: We utilized the selective and CNS-penetrant T-type channel antagonist, Z944, in electrophysiological, calcium imaging and behavioural paradigms to determine its effect on lamina I neuron excitability and inflammatory pain behaviours. KEY

resultsVoltage-clamp recordings from lamina I spinal neurons of adult rats revealed that approximately 80% of neurons possess a low threshold T-type current, which was blocked by Z944. Due to this highly prevalent T-type current, Z944 potently blocked action-potential evoked somatic and dendritic calcium transients in lamina I neurons. Moreover, application of Z944 to spinal cord slices attenuated action potential firing rates in over half of laminae I/II neurons. Finally, we found that intraperitoneal injection of Z944 (1-10 mg·kg CONCLUSION AND IMPLICATIONS: T-type calcium channels critically shape the excitability of lamina I pain processing neurons and inhibition of these channels by the clinical stage antagonist Z944 potently reverses pain hypersensitivity across sexes.

Indexed as

Calcium Channels, T-TypeAnimalsCalcium Channel BlockersFemaleMalePainPiperidinesRatsSpinal Cord Dorsal HornCalcium Channel BlockersCalcium Channels, T-TypePiperidinesZ944calcium channelsdorsal horninflammatory painlamina Ineuronal excitabilityZ944

Identifiers

PMID33871884
PMCPMC8453510
OpenAlexW3152675979

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.