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代谢型谷氨酸受体作为镇痛靶点:拮抗、激活和变构调节。

Metabotropic glutamate receptors as targets for analgesia: antagonism, activation, and allosteric modulation.

机构信息

Washington University Pain Center, Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO 63110, USA.

出版信息

Curr Pharm Biotechnol. 2011 Oct;12(10):1681-8. doi: 10.2174/138920111798357438.

Abstract

The metabotropic glutamate receptors (mGluRs) are expressed pre- and post-synaptically throughout the nervous system where they serve as modulators of synaptic transmission and neuronal excitability. Activation of mGluRs can be pro- or anti-nociceptive, depending on their anatomic location and the signaling cascades to which they couple. Antagonists of Group I mGluRs and agonists of Group II and III mGluRs have shown therapeutic promise in animal pain models. This article reviews the potential therapeutic utility of several agents that act predominantly via mGluRs, specifically focusing on their analgesic efficacy and discussing possible off-target effects. Glutamate, the primary excitatory neurotransmitter in the vertebrate nervous system, mediates its effects via activation of two main classes of receptors: ligand-gated ion channels known as ionotropic receptors and G-protein coupled metabotropic receptors. Antagonists of ionotropic glutamate receptors, such as ketamine, have robust analgesic properties; however, their analgesic utility is limited to monitored clinical settings due to the potential for psychomimetic effects.

摘要

代谢型谷氨酸受体(mGluRs)在整个神经系统中均有表达,无论是在突触前还是突触后,它们都可以作为突触传递和神经元兴奋性的调节剂。mGluRs 的激活可以是痛觉过敏或镇痛,这取决于它们的解剖位置和与之偶联的信号级联。I 组 mGluRs 的拮抗剂和 II 组和 III 组 mGluRs 的激动剂在动物疼痛模型中显示出治疗潜力。本文综述了几种主要通过 mGluRs 发挥作用的药物的潜在治疗用途,特别关注它们的镇痛效果,并讨论可能的脱靶效应。谷氨酸是脊椎动物神经系统中的主要兴奋性神经递质,通过激活两种主要类型的受体来介导其作用:配体门控离子通道,称为离子型受体和 G 蛋白偶联代谢型受体。离子型谷氨酸受体拮抗剂,如氯胺酮,具有很强的镇痛作用;然而,由于潜在的拟精神病作用,它们的镇痛用途仅限于监测临床环境。

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