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Acetaminophen Metabolite AM404 Targets Peripheral Nerves to Relieve Pain

This work reshapes our understanding of pain relief by showing AM404 blocks sodium channels in pain neurons

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By blocking these channels, AM404 stops the pain message before it even starts. Credit: Neuroscience News

Overview

  • In a paper published in PNAS, Hebrew University researchers demonstrated that acetaminophen is metabolized into AM404 directly in peripheral pain neurons.
  • AM404 then binds to and inhibits voltage-gated sodium channels in nociceptors to block pain signals before they reach the brain.
  • This peripheral mechanism contradicts the long-held view that acetaminophen’s pain-relief effect is confined to the brain and spinal cord.
  • Selective targeting of pain neurons by AM404 may avoid the side effects of traditional local anesthetics, such as numbness and muscle weakness.
  • Led by Profs. Alexander Binshtok and Avi Priel, the research opens new avenues for developing safer, more precise analgesics based on AM404’s action.