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Disrupted functional connectivity of the periaqueductal gray in chronic low back pain.慢性下腰痛中导水管周围灰质的功能连接中断。
Neuroimage Clin. 2014 Aug 23;6:100-8. doi: 10.1016/j.nicl.2014.08.019. eCollection 2014.
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Stress management affects outcomes in the pathophysiology of an endometriosis model.压力管理影响子宫内膜异位症模型病理生理学中的结果。
Reprod Sci. 2015 Apr;22(4):431-41. doi: 10.1177/1933719114542022. Epub 2014 Jul 11.
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Central changes associated with chronic pelvic pain and endometriosis.与慢性盆腔痛和子宫内膜异位症相关的中枢变化。
Hum Reprod Update. 2014 Sep-Oct;20(5):737-47. doi: 10.1093/humupd/dmu025. Epub 2014 Jun 11.
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Atorvastatin exerts anti-nociceptive activity and decreases serum levels of high-sensitivity C-reactive protein and tumor necrosis factor-α in a rat endometriosis model.在大鼠子宫内膜异位症模型中,阿托伐他汀发挥抗伤害感受活性,并降低高敏C反应蛋白和肿瘤坏死因子-α的血清水平。
Arch Gynecol Obstet. 2014 Nov;290(5):999-1006. doi: 10.1007/s00404-014-3295-4. Epub 2014 Jun 10.
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Migraine and inhibitory system - I can't hold it!偏头痛与抑制系统——我忍不住了!
Curr Pain Headache Rep. 2014 Jul;18(7):426. doi: 10.1007/s11916-014-0426-3.
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μ-Opioid receptor inhibition of substance P release from primary afferents disappears in neuropathic pain but not inflammatory pain.μ-阿片受体对初级传入神经中P物质释放的抑制作用在神经性疼痛中消失,但在炎性疼痛中并未消失。
Neuroscience. 2014 May 16;267:67-82. doi: 10.1016/j.neuroscience.2014.02.023. Epub 2014 Feb 26.
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Diagnosis, management, and long-term outcomes of rectovaginal endometriosis.直肠阴道子宫内膜异位症的诊断、管理及长期预后
Int J Womens Health. 2013 Nov 8;5:753-63. doi: 10.2147/IJWH.S37846.
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Defining future directions for endometriosis research: workshop report from the 2011 World Congress of Endometriosis In Montpellier, France.定义子宫内膜异位症研究的未来方向:2011 年在法国蒙彼利埃举行的世界子宫内膜异位症大会的研讨会报告。
Reprod Sci. 2013 May;20(5):483-99. doi: 10.1177/1933719113477495. Epub 2013 Feb 20.
9
Abnormal endogenous pain modulation is a shared characteristic of many chronic pain conditions.异常的内源性疼痛调制是许多慢性疼痛病症的共同特征。
Expert Rev Neurother. 2012 May;12(5):577-85. doi: 10.1586/ern.12.41.
10
Stress exacerbates endometriosis manifestations and inflammatory parameters in an animal model.应激加重子宫内膜异位症动物模型中的临床表现和炎症参数。
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子宫内膜异位症与脑导水管周围灰质中μ阿片受体和N-甲基-D-天冬氨酸受体表达的改变有关。

Endometriosis Is Associated With a Shift in MU Opioid and NMDA Receptor Expression in the Brain Periaqueductal Gray.

作者信息

Torres-Reverón Annelyn, Palermo Karylane, Hernández-López Anixa, Hernández Siomara, Cruz Myrella L, Thompson Kenira J, Flores Idhaliz, Appleyard Caroline B

机构信息

Department of Basic Sciences: Physiology and Pharmacology, Ponce Health Sciences University, Ponce, PR, USA Department of Clinical Psychology, Ponce Health Sciences University/Ponce Research Institute, Ponce, PR, USA

Department of Basic Sciences: Physiology and Pharmacology, Ponce Health Sciences University, Ponce, PR, USA.

出版信息

Reprod Sci. 2016 Sep;23(9):1158-67. doi: 10.1177/1933719116630410. Epub 2016 Apr 18.

DOI:10.1177/1933719116630410
PMID:27089914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5933161/
Abstract

Studies have examined how endometriosis interacts with the nervous system, but little attention has been paid to opioidergic systems, which are relevant to pain signaling. We used the autotransplantation rat model of endometriosis and allowed to progress for 60 days. The brain was collected and examined for changes in endogenous opioid peptides, mu opioid receptors (MORs), and the N-methyl-d-aspartate subunit receptor (NR1) in the periaqueductal gray (PAG), since both of these receptors can regulate PAG activity. No changes in endogenous opioid peptides in met- and leu-enkephalin or β-endorphin levels were observed within the PAG. However, MOR immunoreactivity was significantly decreased in the ventral PAG in the endometriosis group. Endometriosis reduced by 20% the number of neuronal profiles expressing MOR and reduced by 40% the NR1 profiles. Our results suggest that endometriosis is associated with subtle variations in opioidergic and glutamatergic activity within the PAG, which may have implications for pain processing.

摘要

已有研究探讨了子宫内膜异位症与神经系统的相互作用,但对与疼痛信号传导相关的阿片肽系统关注甚少。我们采用子宫内膜异位症自体移植大鼠模型,并使其发展60天。收集大鼠大脑,检测中脑导水管周围灰质(PAG)中内源性阿片肽、μ阿片受体(MORs)和N-甲基-D-天冬氨酸亚基受体(NR1)的变化,因为这两种受体均可调节PAG的活动。在PAG内未观察到甲硫氨酸脑啡肽、亮氨酸脑啡肽或β-内啡肽水平的内源性阿片肽变化。然而,子宫内膜异位症组腹侧PAG中的MOR免疫反应性显著降低。子宫内膜异位症使表达MOR的神经元轮廓数量减少了20%,使NR1轮廓减少了40%。我们的结果表明,子宫内膜异位症与PAG内阿片肽能和谷氨酸能活动的细微变化有关,这可能对疼痛处理有影响。