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Trigeminal Neuralgia Analgesia by Thermogenetics

Project description

Gene therapy for debilitating facial pain

Trigeminal neuralgia is a known severe pain condition causing sudden, intense electric shock-like facial pain and affects around one million people in Europe. Current treatments provide incomplete relief and often carry significant side effects. Addressing the underlying cause ,which is abnormal hyperactivity of pain-sensing neurons, rather than managing symptoms represents a compelling therapeutic goal. The ERC-funded TREAT project proposes to develop a gene therapy that delivers an engineered potassium channel to pain-sensing neurons. This channel can be activated non-invasively using mild local heating from a near-infrared lamp and restore normal neuronal excitability. This approach is expected to silence pathological pain signals at their source.

Objective

TREAT introduces the first gene therapy specifically designed to target trigeminal neuralgia, a debilitating neuropathic pain disorder characterised by sudden, severe, and electric shock-like or stabbing facial pain that affects about 1 million people in Europe. TREAT directly targets the pathophysiological mechanism, nociceptor hyperexcitability, providing a durable and potentially disease-ameliorating therapy that addresses the cause of pain, neuronal hyperexcitability, rather than merely managing symptoms. The therapeutic core of the approach is the Temperature-Induced Channel K⁺ (TICK), engineered for external control by means of a near-infrared (NIR) lamp. The therapy employs an rAAV vector system engineered to deliver the TICK gene selectively to nociceptors. Activation is non-invasive and patient-controlled: local heating from 37°C to max 40°C, triggers channel opening at the level of the peripheral nerve. Potassium-induced hyperpolarisation suppresses pathological firing of the damaged neurons and prevents transmission of pain to the central nervous system. Importantly, this therapy restores physiological excitability rather than blocking neuronal function, which not only represents a built-in safety feature but also a possible repair mechanism for injured neurons. The TREAT project is structured around two parallel and interdependent objectives: technical validation and business planning. Our milestone-driven approach, executed in collaboration with our strategic partner Day One, will de-risk the technology and establish the foundation for a future spin-off company stemming from UniMi. If successful, TREAT has the potential to redefine the treatment landscape for neuropathic pain.

Fields of science (EuroSciVoc)

Programme(s)

Topic(s)

Funding Scheme

HORIZON-ERC-POC - HORIZON ERC Proof of Concept Grants

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Call for proposal

(opens in new window) ERC-2025-POC

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Host institution

UNIVERSITA DEGLI STUDI DI MILANO
Net EU contribution
€ 120 000,00
Address
Via Festa Del Perdono 7
20122 Milano
Italy
Region
Nord-Ovest Lombardia Milano
Activity type
Higher or Secondary Education Establishments
Links
Total cost
No data

Beneficiaries (2)