title: The manipulation of cation-chloride co-transporters as a novel means to treat persistent pain, epilepsy and other neurological disorders.
abstract: Existing members of the anti-epileptic drug (AED) class often fail to provide meaningful symptom relief to patients experiencing persistent pain, epilepsy and other neurological disorders, and can evoke substantial adverse events. In an effort to improve treatment options, much attention has turned to novel mechanisms that may represent points of therapeutic intervention. Among these mechanisms are the cation-chloride co-transporters (CCCs), the dysfunction of which has been linked to aberrant chloride homeostasis in neurons of the CNS, and resulting disorders including persistent pain and epilepsy. This review examines the literature linking CCCs to neurological disease, and discusses their considerable potential as the basis for novel therapeutic strategies.
authors.affiliation: Chlorion Pharma Inc, Quebec, Canada. jeffrey.coull@chlorion.com
authors.forename: Jeffrey A M
authors.initials: JA
authors.lastname: Coull
authors.forename: Martin
authors.initials: M
authors.lastname: Gagnon
mesh_terms: D000818:Animals; D002412:Cations; D002712:Chlorides / Q000378:metabolism; D004827:Epilepsy / Q000188:drug therapy* / Q000378:metabolism; D006801:Humans; D009422:Nervous System Diseases / Q000188:drug therapy / Q000378:metabolism; D009474:Neurons / Q000378:metabolism; D010146:Pain / Q000188:drug therapy* / Q000378:metabolism; D054852:Small Molecule Libraries; D028021:Sodium-Potassium-Chloride Symporters / Q000378:metabolism*; D064506:Solute Carrier Family 12, Member 2; D027981:Symporters / Q000378:metabolism*; D000096922:K Cl- Cotransporters
chemical_list: D002412:Cations; D002712:Chlorides; D054852:Small Molecule Libraries; D028021:Sodium-Potassium-Chloride Symporters; D064506:Solute Carrier Family 12, Member 2; D027981:Symporters; D000096922:K Cl- Cotransporters; C578877:SLC12A2 protein, human