Target intelligence / Profile preview

Sodium channel protein type 9 subunit alpha mRNA (Nav1.7 mRNA)

Target
Nav1.7 mRNA
Molecular classification
Nucleic acid, Messenger RNA (mRNA), Voltage-gated ion channel transcript
01

Overview

Sodium channel protein type 9 subunit alpha (Nav1.7) mRNA is the transcript of the SCN9A gene, which encodes a voltage-gated sodium channel essential for pain signaling in the peripheral nervous system [1]. Nav1.7 is primarily expressed in nociceptive neurons within the dorsal root ganglia and trigeminal ganglia, where it acts as a 'threshold channel' that amplifies small depolarizations to trigger action potentials [2]. Genetic studies have identified Nav1.7 as a high-validation target; gain-of-function mutations cause severe pain disorders like erythromelalgia, while loss-of-function mutations result in congenital insensitivity to pain [3]. Targeting the mRNA transcript rather than the protein allows for high isoform selectivity, potentially avoiding the cardiotoxicity associated with inhibiting the closely related Nav1.5 channel [4]. Current therapeutic strategies include antisense oligonucleotides (ASOs) like BIIB115, which are designed to bind the mRNA and trigger its degradation, thereby reducing the density of Nav1.7 channels on the neuronal membrane [5]. This approach aims to provide long-lasting relief for chronic neuropathic pain conditions that are often refractory to conventional analgesics [6]. Sources: [1] UniProt P35498; [2] PubMed PMID: 23505329; [3] Nature Reviews Neurology (2013) 9:526-534; [4] PubMed PMID: 31160518; [5] Biogen R&D Pipeline; [6] Journal of Clinical Investigation (2012) 122(11):3790-3794.

Other names
SCN9A mRNAVoltage-gated sodium channel type IX alpha subunit mRNAPeripheral sodium channel 1 mRNAPN1 mRNANE-NA mRNAEthromelalgia-associated sodium channel mRNA
02

Mechanism of action

Antisense oligonucleotide-mediated RNase H degradation of mRNA, RNA interference (siRNA) mediated gene silencing, Splice-switching to induce non-functional isoforms

03

Biological functions

Protein synthesis templateNociceptive signaling regulationAction potential initiationSensory perception of painNeuronal excitability
04

Disease associations

Neuropathic painInherited erythromelalgiaParoxysmal extreme pain disorderSmall fiber neuropathyCongenital insensitivity to pain (loss of function)Chronic pain
05

Safety considerations

Off-target knockdown of other sodium channel isoforms (e.g., Nav1.5 in heart, Nav1.1 in CNS)Anosmia (loss of smell) due to Nav1.7 role in olfactory neuronsDelivery challenges to the dorsal root ganglia (DRG)Potential for complete loss of protective pain sensation leading to unnoticed injuriesLong-term effects of permanent or semi-permanent sodium channel reduction
06

Interacting drugs

BIIB115

2 more in the full profile.

07

Biomarkers

Nav1.7 protein expression levels in dorsal root gangliaSCN9A mRNA expression levelsQuantitative sensory testing (QST) scoresVisual Analog Scale (VAS) pain scoresMicroneurography (nerve excitability)

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