NGF/TrkA Signaling as a Therapeutic Target for Pain

Pain Pract. 2016 Feb;16(2):175-82. doi: 10.1111/papr.12342. Epub 2015 Aug 27.

Abstract

Nerve growth factor (NGF) was first discovered approximately 60 years ago by Rita Levi-Montalcini as a protein that induces the growth of nerves. It is now known that NGF is also associated with Alzheimer's disease and intractable pain, and hence, it, along with its high-affinity receptor, tropomyosin receptor kinase (Trk) A, is considered to be 1 of the new targets for therapies being developed to treat these diseases. Anti-NGF antibody and TrkA inhibitors are known drugs that suppress NGF/TrkA signaling, and many drugs of these classes have been developed thus far. Interestingly, local anesthetics also possess TrkA inhibitory effects. This manuscript describes the development of an analgesic that suppresses NGF/TrkA signaling, which is anticipated to be 1 of the new methods to treat intractable pain.

Keywords: NGF; TrkA; anti-NGF antibody; local anesthetic; nerve growth factor; pain; protein kinase; review; tanezumab; tropomyosin receptor kinase.

Publication types

  • Review

MeSH terms

  • Analgesics / pharmacology*
  • Animals
  • Humans
  • Nerve Growth Factor / metabolism*
  • Pain / drug therapy*
  • Pain / metabolism
  • Receptor, trkA / metabolism*
  • Signal Transduction / drug effects
  • Signal Transduction / physiology*

Substances

  • Analgesics
  • Nerve Growth Factor
  • Receptor, trkA