Summary: | Abstract: Highly selective N-type voltage-gated calcium (CaV) channel inhibitors from cone snail venom (the É-conotoxins) have emerged as a new class of therapeutics for the treatment of chronic and neuropathic pain. Earlier in 2005, Prialt (Elan) or synthetic É-conotoxin MVIIA, was the first É-conotoxin to be approved by Food and Drug Administration for human use. This review compares the action of three É-conotoxins, GVIA, MVIIA and CVID, describing their structure-activity relationships and potential as leads for the design of improved N-type therapeutics that are more useful in the treatment of chronic pain.
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