I would not use TRPV1 as a biomarker due to bradykinin induced depolarization
of the membranes by the additive effects of both TRPV1 and Cl (calcium activated chloride channels)
channels in the cough/respiratory reflex or response.
Personally, I have hi Cl ions in my blood chemistry.
Perhaps, as part of a multi-biomarker profile it may be informative.
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J Physiol. 2005 Jul 1;566(Pt 1):205-12. Epub 2005 Apr 28.
Role of chloride channels in bradykinin-induced guinea pig airway vagal C-fibre activation.
Lee MG, Macglashan DW Jr, Undem BJ.
Johns Hopkins Asthma and Allergy Center, 5501 Hopkins Bayview Circle, Baltimore, MD 21224, USA.
We tested the hypothesis that an ionic current carried by chloride ions contributes to bradykinin (BK)-induced membrane
depolarization and activation of vagal afferent C-fibres. In an ex vivo innervated trachea/bronchus preparation, BK (1 microM)
consistently produced action potential discharge in vagal afferent C-fibres with receptive fields in the trachea or main stem
bronchus. The Ca2+-activated Cl- channel (CLCA) inhibitor, niflumic acid (NFA, 100 microM), significantly reduced BK-induced action
potential discharge to 21 +/- 7% of the control BK response. NFA did not inhibit capsaicin-induced or citric-acid-induced action
potential discharge in tracheal C-fibres. The inhibitory effect of NFA was mimicked by another CLCA inhibitor,
5-nitro-2-(3-phenylpropylamino)-benzoic acid (NPPB, 100 microM). NFA also inhibited the BK-induced inward current in
gramicidin-perforated whole-cell patch-clamp recordings of capsaicin-sensitive jugular ganglion neurones retrogradely labelled from
the airways. NFA did not inhibit the BK-induced increase in intracellular free Ca2+. The TRPV1 inhibitor, iodo-resiniferatoxin (1
microM), also partially inhibited BK-induced action potential discharge, and the combination of iodo-resiniferatoxin and NFA
virtually abolished the BK-induced action potential discharge. We concluded that in vagal afferent C-fibres, BK evokes membrane
depolarization and action potential discharge through the additive effects of TRPV1 and Cl- channel activation.
PMID: 15860525 [PubMed - indexed for MEDLINE]
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Handb Exp Pharmacol. 2009;(187):63-76.
Cough sensors. III. Opioid and cannabinoid receptors on vagal sensory nerves.
Belvisi MG, Hele DJ.
Respiratory Pharmacology, Airway Diseases, National Heart & Lung Institute, Imperial College, Guy Scadding Building, Dovehouse
Street, London SW3 6LY, UK.
m.belvisi@imperial.ac.ukCough is a persistent symptom of many inflammatory airways' diseases. Cough is mediated by receptors sited on sensory nerves and then
through vagal afferent pathways, which terminate in the brainstem respiratory centre. Cough is often described as an unmet clinical
need. Opioids are the only prescription-based antitussives currently available in the UK. They possess limited efficacy and exhibit
serious unwanted side effects, such as physical dependence, sedation, respiratory depression and gastrointestinal symptoms. There are
three classical opioid receptors: the mu, kappa and delta receptors. Peripheral opioid receptors are sited on sensory nerves
innervating the airways. A greater understanding of the role of the peripheral and centrally sited opioid receptors is necessary to
allow the development of targeted treatments for cough. Because of the limited efficacy and the side-effect profile of the opioids,
potential new treatments are sought to alleviate cough. One class of compounds that is currently under examination is the
cannabinoids. Like the opioids, cannabinoids have peripheral and centrally sited receptors and also suffer from the blight of
unwanted centrally mediated side effects such as sedation, cognitive dysfunction, tachycardia and psychotropic effects. Two
cannabinoid receptors have been identified, the CB(1) and CB(2) receptors, and their distribution varies throughout the peripheral
and central nervous system. Encouragingly, early studies with these compounds suggest that it may be possible to separate their
antitussive activity from their centrally mediated side effects, with CB(2) agonists showing potential as putative new treatments for
cough. In this chapter, we describe the opioid and cannabinoid receptors, their distribution and the effects they mediate. Moreover,
we highlight their potential advantages and disadvantages in the treatment of cough.
PMID: 18825336 [PubMed - indexed for MEDLINE]