# Targeting Endosomal Receptors for Treatment of Chronic Pain

> **NIH NIH R01** · NEW YORK UNIVERSITY · 2022 · $319,147

## Abstract

PROJECT SUMMARY/ABSTRACT
Pharmacologic therapy for common forms of chronic pain is ineffective and plagued with side effects. The long-
term goal of the parent grant is to reveal mechanisms of pain/nociceptive signaling and define drug targets. The
grant examines the mechanisms by which G protein-coupled receptors (GPCRs) within endosomes (eGPCRs)
generate sustained signals in subcellular compartments that underlie persistent neuronal hyperexcitability and
chronic pain. The central hypothesis is that activation of pronociceptive eGPCRs produces nociceptive signaling
and most forms of chronic pain; antagonists of eGPCRs block nociceptive signaling and are anti-nociceptive.
Nanoparticles containing eGPCR amtagonists engineered to release cargo in the acidic endosomal environment
are used to discover the mechanisms of eGPCR signaling and to validate eGPCRs as therapeutic targets for the
treatment of chronic inflammatory, neuropathic and cancer pain. The administrative supplement builds on and
extends the concepts of the parent grant to receptor tyrosine kinases (RTKs). RTKs are a family of cell surface
receptors for growth factors. In addition to their well-known roles in proliferation and differentiation, certain RTKs
also signal pain. Experiments will study endosomal signaling of tropomyosin receptor kinase A (TrkA), the high
affinity receptor for nerve growth factor (NGF). NGF is produced by damaged tissues and tumors. NGF activates
TrkA on nociceptors to mediate excitability and pain. Neuropilin 1 (NRP1) will also be studied, since preliminary
results suggest that NRP1 is a previously unrecognized coreceptor for NGF with an important role in pain. NRP1
is transmembrane coreceptor for vascular endothelial growth factor, but its role in NGF signaling is unexplored.
The Spefic Aim is to discover the mechanisms of eRTK signaling that regulate excitability of trigeminal
nociceptors and validate eRTKs as a therapeutic target for chronic craniofacial pain. Biophysical and imaging
approaches will be used to study the assembly and signaling of NGF/TrkA/NRP1 signalosomes in endosomes
of mouse trigeminal nociceptors. Neuronal sensitization and activation of ion channels will be studied by
electrophysiology and Ca2+ imaging. Preclinical models of trigeminal neuropathic pain and oral cancer pain will
be studied in mice. NP-encapsulated antagonists and inhibitors of clathrin-mediated endocytosis will be used to
discover the importance of endosomal signals for NGF-mediated hyperexcitability of nociceptors and to validate
endosomal NGF/TrkA/NRP1 as therapeutic targets. The proposed pain mechanism is a novel explanation that
resolves the enigma of widespread clinical trial failures of RTK-targeted drugs. Innovation in the proposal extends
to the NP approach to probe the mechanism and validate the target. The proposal is clinically significant because
it validates an eRTK-target that offers superior pain relief with fewer side-effects and is applicable to most
pa...

## Key facts

- **NIH application ID:** 10616927
- **Project number:** 3R01DE029951-01S2
- **Recipient organization:** NEW YORK UNIVERSITY
- **Principal Investigator:** NIGEL W BUNNETT
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2022
- **Award amount:** $319,147
- **Award type:** 3
- **Project period:** 2022-09-01 → 2024-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10616927

## Citation

> US National Institutes of Health, RePORTER application 10616927, Targeting Endosomal Receptors for Treatment of Chronic Pain (3R01DE029951-01S2). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10616927. Licensed CC0.

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