Bradesi Sylvie, Herman Jeremy, Mayer Emeran A
Center for Neurobiology of Stress, Department of Medicine, Division of Digestive Diseases, David Geffen School of Medicine at UCLA, Los Angeles, CA 90073, USA.
Curr Opin Pharmacol. 2008 Dec;8(6):697-703. doi: 10.1016/j.coph.2008.08.009. Epub 2008 Sep 26.
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.
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。
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