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中国癌症防治杂志 ›› 2025, Vol. 17 ›› Issue (4): 516-522.doi: 10.3969/j.issn.1674?5671.2025.04.18

• 综述 • 上一篇    

TRPA1通道蛋白调节疼痛分子机制解析及其拮抗剂在癌痛管理的研究进展#br#

  

  1. 昆明医科大学第三附属医院,云南省肿瘤医院,北京大学肿瘤医院云南医院麻醉手术科
  • 出版日期:2025-08-25 发布日期:2025-09-12
  • 通讯作者: 王忠慧 E-mail:skywz911@sina.com
  • 基金资助:
    云南省教育厅科学研究基金项目(2024J0251)

Elucidation of the molecular mechanisms of TRPA1 channel protein in pain modulation and advancements in the development of antagonists for cancer pain management

  • Online:2025-08-25 Published:2025-09-12

摘要: 瞬时受体电位锚蛋白1(transient receptor potential ankyrin 1,TRPA1)是一种非选择性阳离子通道受体,广泛分布于感觉神经元和肿瘤微环境。TRPA1通过病理性和生理性机制参与疼痛信号的转导与调控,包括感知炎症介质、氧化应激产物以及神经肽的释放,是癌症相关疼痛治疗的潜在靶点。动物实验表明,TRPA1拮抗剂能有效缓解机械性痛觉过敏和冷异常性疼痛。此外,靶向TRPA1的天然产物及基因治疗技术在疼痛管理领域展现出应用前景。然而,由于靶点本身的生物学特性、肿瘤微环境的复杂性以及临床转化过程中的技术瓶颈,TRPA1靶向疗法的临床转化仍面临挑战。本文综述了TRPA1的分子特征和相互作用调控网络,阐明其在癌症相关疼痛中的病理生理机制,并讨论了临床前研究进展及转化的前景,以期为癌症相关疼痛的治疗提供思路。

关键词: 瞬时受体电位锚蛋白1, 癌症相关疼痛, 肿瘤微环境, 拮抗剂, 临床转化

Abstract: Transient receptor potential ankyrin 1 (TRPA1) is a non⁃selective cation channel receptor that is extensively distributed in sensory neurons and the tumor microenvironment. TRPA1 is involved in the transduction and regulation of pain signals through both pathological and physiological mechanisms, including the detection of inflammatory mediators, oxidative stress products, and the release of neuropeptides. This makes TRPA1 a promising therapeutic target for cancer⁃related pain. TRPA1 antagonists have been shown to effectively alleviate mechanical hyperalgesia and cold allodynia in animal models. Additionally, natural products and gene therapy technologies targeting TRPA1 demonstrate potential for pain management. Nonetheless, the clinical translation of TRPA1⁃targeted therapies remains challenging due to the biological characteristics inherent to the target, the complexity of the tumor microenvironment, and technical bottlenecks in the clinical translation process. This review summarizes the molecular characteristics and interactive regulatory networks of TRPA1, elucidates its pathophysiological mechanisms in cancer⁃related pain, and discusses advancements in preclinical research alongside prospects for translational medicine, with the objective of offering valuable ideas for the management of cancer⁃related pain.

Key words: Transient receptor potential ankyrin 1, Cancer?related pain, Tumor microenvironment, Antagonist, Clinical translation

中图分类号: 

  • R730