PMID- 34948407 OWN - NLM STAT- MEDLINE DCOM- 20220121 LR - 20220512 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 22 IP - 24 DP - 2021 Dec 19 TI - Single-Dose P2 X4R Single-Chain Fragment Variable Antibody Permanently Reverses Chronic Pain in Male Mice. LID - 10.3390/ijms222413612 [doi] LID - 13612 AB - Non-opioid single-chain variable fragment (scFv) small antibodies were generated as pain-reducing block of P2X4R receptor (P2X4R). A panel of scFvs targeting an extracellular peptide sequence of P2X4R was generated followed by cell-free ribosome display for recombinant antibody selection. After three rounds of bio-panning, a panel of recombinant antibodies was isolated and characterized by ELISA, cross-reactivity analysis, and immunoblotting/immunostaining. Generated scFv antibodies feature binding activity similar to monoclonal antibodies but with stronger affinity and increased tissue penetrability due to their ~30% smaller size. Two anti-P2X4R scFv clones (95, 12) with high specificity and affinity binding were selected for in vivo testing in male and female mice with trigeminal nerve chronic neuropathic pain (FRICT-ION model) persisting for several months in untreated BALBc mice. A single dose of P2X4R scFv (4 mg/kg, i.p.) successfully, completely, and permanently reversed chronic neuropathic pain-like measures in male mice only, providing retention of baseline behaviors indefinitely. Untreated mice retained hypersensitivity, and developed anxiety- and depression-like behaviors within 5 weeks. In vitro P2X4R scFv 95 treatment significantly increased the rheobase of larger-diameter (>25 microm) trigeminal ganglia (TG) neurons from FRICT-ION mice compared to controls. The data support use of engineered scFv antibodies as non-opioid biotherapeutic interventions for chronic pain. FAU - Westlund, Karin N AU - Westlund KN AUID- ORCID: 0000-0002-7388-4834 AD - Department of Anesthesiology & Critical Care Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. AD - Biomedical Laboratory Research & Development (121F), New Mexico VA Health Care System, Albuquerque, NM 87108, USA. FAU - Montera, Marena A AU - Montera MA AD - Department of Anesthesiology & Critical Care Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. FAU - Goins, Aleyah E AU - Goins AE AD - Department of Anesthesiology & Critical Care Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. FAU - Alles, Sascha R A AU - Alles SRA AD - Department of Anesthesiology & Critical Care Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. FAU - Suri, Nikita AU - Suri N AD - Ross University Medical Center, Miramar, FL 60153, USA. FAU - McIlwrath, Sabrina L AU - McIlwrath SL AD - Biomedical Laboratory Research & Development (121F), New Mexico VA Health Care System, Albuquerque, NM 87108, USA. FAU - Bartel, Robyn AU - Bartel R AD - Department of Anesthesiology & Critical Care Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, USA. FAU - Durvasula, Ravi V AU - Durvasula RV AD - Department of Medicine, Mayo Clinic, Jacksonville, FL 32224, USA. FAU - Kunamneni, Adinarayana AU - Kunamneni A AUID- ORCID: 0000-0002-9952-2209 AD - Department of Medicine, Mayo Clinic, Jacksonville, FL 32224, USA. LA - eng GR - I01 BX002695/BX/BLRD VA/United States GR - R21 DE028096/DE/NIDCR NIH HHS/United States GR - UG3 NS123958/NS/NINDS NIH HHS/United States GR - W81XWH2010930/United States Department of Defense/ PT - Journal Article DEP - 20211219 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Peptide Library) RN - 0 (Purinergic P2X Receptor Antagonists) RN - 0 (Receptors, Purinergic P2X4) RN - 0 (Recombinant Proteins) RN - 0 (Single-Chain Antibodies) SB - IM MH - Animals MH - Antibody Affinity MH - Cells, Cultured MH - Chronic Pain/*drug therapy/immunology MH - Female MH - Male MH - Mice MH - Peptide Library MH - Purinergic P2X Receptor Antagonists/chemistry/immunology/*therapeutic use MH - Receptors, Purinergic P2X4/chemistry/immunology MH - Recombinant Proteins/chemistry/immunology/therapeutic use MH - Single-Chain Antibodies/chemistry/immunology/*therapeutic use PMC - PMC8706307 OTO - NOTNLM OT - anxiety OT - chronic pain OT - depression OT - hypersensitivity OT - nerve injury OT - neuropathy OT - pain therapy OT - small antibody COIS- The authors declare no conflict of interest. EDAT- 2021/12/25 06:00 MHDA- 2022/01/22 06:00 PMCR- 2021/12/19 CRDT- 2021/12/24 01:17 PHST- 2021/10/26 00:00 [received] PHST- 2021/12/02 00:00 [revised] PHST- 2021/12/16 00:00 [accepted] PHST- 2021/12/24 01:17 [entrez] PHST- 2021/12/25 06:00 [pubmed] PHST- 2022/01/22 06:00 [medline] PHST- 2021/12/19 00:00 [pmc-release] AID - ijms222413612 [pii] AID - ijms-22-13612 [pii] AID - 10.3390/ijms222413612 [doi] PST - epublish SO - Int J Mol Sci. 2021 Dec 19;22(24):13612. doi: 10.3390/ijms222413612.