A monoclonal antibody that targets a NaV1.7 channel voltage sensor for pain and itch relief.

Journal Article (Journal Article)

Voltage-gated sodium (NaV) channels control the upstroke of the action potentials in excitable cells. Multiple studies have shown distinct roles of NaV channel subtypes in human physiology and diseases, but subtype-specific therapeutics are lacking and the current efforts have been limited to small molecules. Here, we present a monoclonal antibody that targets the voltage-sensor paddle of NaV1.7, the subtype critical for pain sensation. This antibody not only inhibits NaV1.7 with high selectivity, but also effectively suppresses inflammatory and neuropathic pain in mice. Interestingly, the antibody inhibits acute and chronic itch despite well-documented differences in pain and itch modulation. Using this antibody, we discovered that NaV1.7 plays a key role in spinal cord nociceptive and pruriceptive synaptic transmission. Our studies reveal that NaV1.7 is a target for itch management, and the antibody has therapeutic potential for suppressing pain and itch. Our antibody strategy may have broad applications for voltage-gated cation channels.

Full Text

Duke Authors

Cited Authors

  • Lee, J-H; Park, C-K; Chen, G; Han, Q; Xie, R-G; Liu, T; Ji, R-R; Lee, S-Y

Published Date

  • June 5, 2014

Published In

Volume / Issue

  • 157 / 6

Start / End Page

  • 1393 - 1404

PubMed ID

  • 24856969

Pubmed Central ID

  • PMC4098795

Electronic International Standard Serial Number (EISSN)

  • 1097-4172

Digital Object Identifier (DOI)

  • 10.1016/j.cell.2014.03.064


  • eng

Conference Location

  • United States