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脊髓上代谢型谷氨酸受体:止痛靶点及其他相关作用。

Supraspinal metabotropic glutamate receptors: a target for pain relief and beyond.

机构信息

Department of Anaesthesiology, Surgery and Emergency, The Second University of Naples, Piazza Luigi Miraglia 2, 80138, Naples, Italy.

出版信息

Eur J Neurosci. 2014 Feb;39(3):444-54. doi: 10.1111/ejn.12398.

Abstract

Glutamate is the main excitatory neurotransmitter in the central nervous system, controlling the majority of synapses. Apart from neurodegenerative diseases, growing evidence suggests that glutamate is involved in psychiatric and neurological disorders, including pain. Glutamate signaling is mediated via ionotropic glutamate receptors (iGluRs) and metabotropic glutamate receptors (mGluRs). So far, drugs acting via modulation of glutamatergic system are few in number, and all are associated with iGluRs and important side effects. The glutamatergic system may be finely modulated by mGluRs. Signaling via these receptors is slower and longer-lasting, and permits fine-tuning of glutamate transmission. There have been eight mGluRs cloned to date (mGluR1-mGluR8), and these are further divided into three groups on the basis of sequence homology, pharmacological profile, and second messenger signaling. The pattern of expression of mGluRs along the pain neuraxis makes them suitable substrates for the design of novel analgesics. This review will focus on the supraspinal mGluRs, whose pharmacological manipulation generates a variety of effects, which depend on the synaptic location, the cell type on which they are located, and the expression in particular pain modulation areas, such as the periaqueductal gray, which plays a major role in the descending modulation of pain, and the central nucleus of the amygdala, which is an important center for the processing of emotional information associated with pain. A particular emphasis will also be given to the novel selective mGluR subtype ligands, as well as positive and negative allosteric modulators, which have permitted discrimination of the individual roles of the different mGluR subtypes, and subtle modulation of central nervous system functioning and related disorders.

摘要

谷氨酸是中枢神经系统中的主要兴奋性神经递质,控制着大多数突触。除了神经退行性疾病外,越来越多的证据表明谷氨酸参与了精神和神经疾病,包括疼痛。谷氨酸信号通过离子型谷氨酸受体(iGluRs)和代谢型谷氨酸受体(mGluRs)介导。到目前为止,通过调节谷氨酸能系统起作用的药物数量很少,而且都与 iGluRs 和重要的副作用有关。谷氨酸能系统可以通过 mGluRs 进行精细调节。这些受体的信号传递较慢且持续时间较长,并且可以微调谷氨酸传递。迄今为止已经克隆了 8 种 mGluRs(mGluR1-mGluR8),根据序列同源性、药理学特征和第二信使信号,这些受体进一步分为三组。mGluRs 在疼痛神经轴上的表达模式使它们成为新型镇痛药设计的合适底物。这篇综述将重点介绍脊髓上的 mGluRs,其药理学操作产生了多种效果,这些效果取决于突触位置、位于其上的细胞类型以及在特定的疼痛调节区域(如参与疼痛下行调制的导水管周围灰质)的表达。还将特别强调新型选择性 mGluR 亚型配体以及正、负变构调节剂,它们允许区分不同 mGluR 亚型的个体作用,并对中枢神经系统功能和相关疾病进行微妙调节。

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