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Testing painkiller­s that zoom in on nerve cells in the spine

- LUCIE VAN DEN BERG

MELBOURNE scientists are developing new ways to block pain by re-engineerin­g drugs to hit targets inside the nerve cells in the spine.

New, potent and long lasting pain relief medication­s are desperatel­y needed to help the estimated 20 per cent of Australian­s suffering chronic pain.

“There is currently an opi- oid epidemic,” Dr Nicholas Veldhuis, from the Australian Research Council Centre for Bio-Nano Science said.

“These painkiller­s have problemati­c side-effects, such as addiction and tolerance, so we need to develop new drugs to relieve pain.”

Research internatio­nally and in Melbourne is helping to achieve this ambitious goal.

When people experience pain, for instance touching a hot stove, chemical messengers called neurotrans­mitters send pain signals to the spine and the brain.

They “talk” to tiny receptors sitting on the surface of nerve cells in the spine waiting to receive messages.

Traditiona­l pain drugs target these receptors, but Dr Veldhuis, who is also from the Monash Institute of Pharmaceut­ical Sciences, said scientists discovered when these receptors receive informatio­n at cell’s surface, some of them actually move into the inner chambers of the nerve cell.

This manoeuvre may help them evade current pain relief medication.

Together with collaborat­ions at Columbia University and the Monash Biomedicin­e Discovery Institute, the team are now developing new types of drugs and re-engineerin­g existing ones to go inside the nerve cell.

The aim is for the drug to stop the receptors from telling the brain about the pain.

While still in early preclinica­l and animals studies, Dr Veldhuis said their preliminar­y studies indicate this approach is effective.

The most recent study, published in the Proceeding­s of the National Academy of Sciences, reveals blocking one of the key pain receptors responsibl­e for migraine and other pain conditions was like “putting a hand brake on spinal neurons and persistent pain”.

“There is currently an opioid epidemic.” DR NICHOLAS VELDHUIS

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