PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease

Pain is the most significant impairment and debilitating challenge for patients with bone metastasis. Therefore, the primary objective of current therapy is to mitigate and prevent the persistence of pain. Thus, cancer-induced bone pain is described as a multifaceted form of discomfort encompassing...

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Main Authors: Maha I. Sulaiman, Wafaa Alabsi, Lajos Szabo, Meredith Hay, Robin Polt, Tally M. Largent-Milnes, Todd W. Vanderah
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/19/15007
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author Maha I. Sulaiman
Wafaa Alabsi
Lajos Szabo
Meredith Hay
Robin Polt
Tally M. Largent-Milnes
Todd W. Vanderah
author_facet Maha I. Sulaiman
Wafaa Alabsi
Lajos Szabo
Meredith Hay
Robin Polt
Tally M. Largent-Milnes
Todd W. Vanderah
author_sort Maha I. Sulaiman
collection DOAJ
description Pain is the most significant impairment and debilitating challenge for patients with bone metastasis. Therefore, the primary objective of current therapy is to mitigate and prevent the persistence of pain. Thus, cancer-induced bone pain is described as a multifaceted form of discomfort encompassing both inflammatory and neuropathic elements. We have developed a novel non-addictive pain therapeutic, PNA6, that is a derivative of the peptide Angiotensin-(1-7) and binds the Mas receptor to decrease inflammation-related cancer pain. In the present study, we provide evidence that PNA6 attenuates inflammatory, chemotherapy-induced peripheral neuropathy (CIPN) and cancer pain confined to the long bones, exhibiting longer-lasting efficacious therapeutic effects. PNA6, Asp-Arg-Val-Tyr-Ile-His-Ser-(O-β-Lact)-amide, was successfully synthesized using solid phase peptide synthesis (SPPS). PNA6 significantly reversed inflammatory pain induced by 2% carrageenan in mice. A second murine model of platinum drug-induced painful peripheral neuropathy was established using oxaliplatin. Mice in the oxaliplatin-vehicle treatment groups demonstrated significant mechanical allodynia compared to the oxaliplatin-PNA6 treatment group mice. In a third study modeling a complex pain state, E0771 breast adenocarcinoma cells were implanted into the femur of female C57BL/6J wild-type mice to induce cancer-induced bone pain (CIBP). Both acute and chronic dosing of PNA6 significantly reduced the spontaneous pain behaviors associated with CIBP. These data suggest that PNA6 is a viable lead candidate for treating chronic inflammatory and complex neuropathic pain.
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spelling doaj.art-c4d8185fc5ce499e9097d6c375a5250a2023-11-19T14:33:49ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-10-0124191500710.3390/ijms241915007PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone DiseaseMaha I. Sulaiman0Wafaa Alabsi1Lajos Szabo2Meredith Hay3Robin Polt4Tally M. Largent-Milnes5Todd W. Vanderah6Department of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ 85721, USADepartment of Chemistry & Biochemistry, The University of Arizona, Tucson, AZ 85721, USADepartment of Chemistry & Biochemistry, The University of Arizona, Tucson, AZ 85721, USAThe BIO5 Institute, The University of Arizona, Tucson, AZ 85721, USADepartment of Chemistry & Biochemistry, The University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ 85721, USADepartment of Pharmacology, College of Medicine, The University of Arizona, Tucson, AZ 85721, USAPain is the most significant impairment and debilitating challenge for patients with bone metastasis. Therefore, the primary objective of current therapy is to mitigate and prevent the persistence of pain. Thus, cancer-induced bone pain is described as a multifaceted form of discomfort encompassing both inflammatory and neuropathic elements. We have developed a novel non-addictive pain therapeutic, PNA6, that is a derivative of the peptide Angiotensin-(1-7) and binds the Mas receptor to decrease inflammation-related cancer pain. In the present study, we provide evidence that PNA6 attenuates inflammatory, chemotherapy-induced peripheral neuropathy (CIPN) and cancer pain confined to the long bones, exhibiting longer-lasting efficacious therapeutic effects. PNA6, Asp-Arg-Val-Tyr-Ile-His-Ser-(O-β-Lact)-amide, was successfully synthesized using solid phase peptide synthesis (SPPS). PNA6 significantly reversed inflammatory pain induced by 2% carrageenan in mice. A second murine model of platinum drug-induced painful peripheral neuropathy was established using oxaliplatin. Mice in the oxaliplatin-vehicle treatment groups demonstrated significant mechanical allodynia compared to the oxaliplatin-PNA6 treatment group mice. In a third study modeling a complex pain state, E0771 breast adenocarcinoma cells were implanted into the femur of female C57BL/6J wild-type mice to induce cancer-induced bone pain (CIBP). Both acute and chronic dosing of PNA6 significantly reduced the spontaneous pain behaviors associated with CIBP. These data suggest that PNA6 is a viable lead candidate for treating chronic inflammatory and complex neuropathic pain.https://www.mdpi.com/1422-0067/24/19/15007PNA6Angiotensin-(1-7)mas receptorbreastcancerpain
spellingShingle Maha I. Sulaiman
Wafaa Alabsi
Lajos Szabo
Meredith Hay
Robin Polt
Tally M. Largent-Milnes
Todd W. Vanderah
PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
International Journal of Molecular Sciences
PNA6
Angiotensin-(1-7)
mas receptor
breast
cancer
pain
title PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
title_full PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
title_fullStr PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
title_full_unstemmed PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
title_short PNA6, a Lactosyl Analogue of Angiotensin-(1-7), Reverses Pain Induced in Murine Models of Inflammation, Chemotherapy-Induced Peripheral Neuropathy, and Metastatic Bone Disease
title_sort pna6 a lactosyl analogue of angiotensin 1 7 reverses pain induced in murine models of inflammation chemotherapy induced peripheral neuropathy and metastatic bone disease
topic PNA6
Angiotensin-(1-7)
mas receptor
breast
cancer
pain
url https://www.mdpi.com/1422-0067/24/19/15007
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