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内脏镇痛药:在功能障碍方面具有巨大潜力的药物?

Visceral analgesics: drugs with a great potential in functional disorders?

作者信息

Bradesi Sylvie, Herman Jeremy, Mayer Emeran A

机构信息

Center for Neurobiology of Stress, Department of Medicine, Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA 90073, USA.

出版信息

Curr Opin Pharmacol. 2008 Dec;8(6):697-703. doi: 10.1016/j.coph.2008.08.009. Epub 2008 Sep 26.


DOI:10.1016/j.coph.2008.08.009
PMID:18786654
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2651816/
Abstract

Irritable bowel syndrome remains an incompletely understood, common syndrome with significant unmet medical needs. In IBS patients, abdominal pain is a primary factor related to quality of life impairment, symptom severity and health care utilization, and chronic visceral hyperalgesia has been identified as an important aspect of IBS pathophysiology. However, the development of therapies aimed at reducing this hyperalgesia (visceral analgesics) has been only partially successful despite preclinical evidence supporting the potential usefulness of several preclinical compounds aimed at peripheral as well as central targets.

摘要

肠易激综合征仍然是一种尚未被完全理解的常见综合征,存在重大未满足的医疗需求。在肠易激综合征患者中,腹痛是与生活质量受损、症状严重程度和医疗保健利用相关的主要因素,慢性内脏痛觉过敏已被确定为肠易激综合征病理生理学的一个重要方面。然而,尽管临床前证据支持几种针对外周和中枢靶点的临床前化合物的潜在效用,但旨在减轻这种痛觉过敏的疗法(内脏镇痛药)的开发仅取得了部分成功。

相似文献

[1]
Visceral analgesics: drugs with a great potential in functional disorders?

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[4]
[Dynamics of indices of visceral sensitivity in patients with irritable bowel syndrome treated with spasmolytics].

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引用本文的文献

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[2]
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[3]
Comparative effects of α2δ-1 ligands in mouse models of colonic hypersensitivity.

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[4]
Stress-induced visceral pain: toward animal models of irritable-bowel syndrome and associated comorbidities.

Front Psychiatry. 2015-2-16

[5]
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[6]
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[7]
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[8]
Warming Moxibustion Relieves Chronic Visceral Hyperalgesia in Rats: Relations to Spinal Dynorphin and Orphanin-FQ System.

Evid Based Complement Alternat Med. 2013-3-16

[9]
The κ-opioid receptor agonist U-50488 blocks Ca2+ channels in a voltage- and G protein-independent manner in sensory neurons.

Reg Anesth Pain Med. 2013

本文引用的文献

[1]
Transient receptor potential vanilloid-4 has a major role in visceral hypersensitivity symptoms.

Gastroenterology. 2008-9

[2]
TRPV1: a new target for treatment of visceral pain in IBS?

Gut. 2008-7

[3]
Clinical trial: asimadoline in the treatment of patients with irritable bowel syndrome.

Aliment Pharmacol Ther. 2008-7

[4]
Selective role for TRPV4 ion channels in visceral sensory pathways.

Gastroenterology. 2008-6

[5]
Corticotropin-releasing factor type 1 receptors mediate the visceral hyperalgesia induced by repeated psychological stress in rats.

Am J Physiol Gastrointest Liver Physiol. 2008-4

[6]
Lack of colonic-inflammation-induced acute visceral hypersensitivity to colorectal distension in Na(v)1.9 knockout mice.

Eur J Pain. 2008-10

[7]
Increased capsaicin receptor TRPV1-expressing sensory fibres in irritable bowel syndrome and their correlation with abdominal pain.

Gut. 2008-7

[8]
Effects of 5-hydroxytryptamine (serotonin) type 3 antagonists on symptom relief and constipation in nonconstipated irritable bowel syndrome: a systematic review and meta-analysis of randomized controlled trials.

Clin Gastroenterol Hepatol. 2008-5

[9]
Sensory signalling effects of tegaserod in patients with irritable bowel syndrome with constipation.

Neurogastroenterol Motil. 2008-2

[10]
Functional GI disorders: from animal models to drug development.

Gut. 2008-3

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