The present invention pertains to novel treatments of neuropathic pain; in particular chemotherapy induced peripheral neuropathic pain (CIPNP). The invention provides antagonists cytochrome P450 epoxygenases (CYP), and more specifically antagonists of CYP2J2, as therapeutics for use in the treatment of neuropathic pain such as CIPNP. CYP2J2 antagonists were identified to alleviate CIPNP in-vivo, and therefore are provided additionally in combination with chemotherapeutics for the treatment of diseases such as cancer or other proliferative disorders. The CYP2J2 antagonists reduce chemotherapeutic induced pain and therefore allow for a higher dosing of the chemotherapeutic during cancer treatment. In addition the invention relates to the use of CYP2J2 agonists, or metabolites of CYP2J2, for sensitizing TRPV1. In this context the invention proposes to use combinations of CYP2J2 agonist or metabolites and transient receptor potential vanilloid 1 (TRPV1) agonists to treat disorders that respond to TRPV1 agonists, such as neuropathic pain.
本发明涉及神经病理性疼痛的新型治疗方法,特别是化疗诱导的外周神经病理性疼痛(
CIPNP)。本发明提供了细胞色素 P450 环氧酶(CYP)拮抗剂,更具体地说是 CYP2J2 拮抗剂,作为治疗神经性疼痛(如
CIPNP)的药物。经鉴定,CYP2J2拮抗剂可在体内缓解
CIPNP,因此还可与化疗药物联合使用,用于治疗癌症或其他增殖性疾病等疾病。CYP2J2 拮抗剂能减轻化疗引起的疼痛,因此在癌症治疗过程中可以加大化疗剂量。此外,本发明还涉及 CYP2J2 激动剂或 CYP2J2 代谢物对 TRPV1 增敏的用途。在这种情况下,本发明建议使用 CYP2J2 激动剂或代谢物与瞬时受体潜在香草素 1(TRPV1)激动剂的组合来治疗对 TRPV1 激动剂有反应的疾病,如神经性疼痛。