Koltzenburg Martin
Neural Plasticity Unit, Institute of Child Health, 30 Guildford Street, London WC1N 1EH, UK.
Novartis Found Symp. 2004;260:206-13; discussion 213-20, 277-9.
Two parallel processes characterize the contemporary pain field. Firstly, enormous progress is being made in the discovery of the cellular and molecular mechanisms responsible for the pathogenesis of pain and secondly, there is a growing appreciation that multiple mechanisms contribute to common clinical pain syndromes. The aim of this chapter is to provide a short overview how transient receptor potential (TRP) channels could contribute to acute and chronic pain states. TRP channels of the vanilloid family (TRPV1, TRPV2, TRPV3, TRPV4) are excited by heat stimuli whereas TRPM8 and ANKTM1 are cold responsive. TRPV1 and ANKTM1 are mediating the pungency of nociceptor-specific chemicals such as capsaicin or mustard oil. Sensitization of TRPV1 is an important mechanisms for heat hyperalgesia and thus the generation of chronic pain symptoms.
当代疼痛领域有两个并行的发展进程。首先,在发现疼痛发病机制的细胞和分子机制方面取得了巨大进展;其次,人们越来越认识到多种机制导致了常见的临床疼痛综合征。本章的目的是简要概述瞬时受体电位(TRP)通道如何导致急性和慢性疼痛状态。香草酸类TRP通道(TRPV1、TRPV2、TRPV3、TRPV4)受热刺激激活,而TRPM8和ANKTM1对冷敏感。TRPV1和ANKTM1介导伤害感受器特异性化学物质如辣椒素或芥子油的辛辣感。TRPV1的敏化是热痛觉过敏以及慢性疼痛症状产生的重要机制。
Novartis Found Symp. 2004
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