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慢性疼痛的动物模型:临床转化的进展与挑战

Animal models of chronic pain: Advances and challenges for clinical translation.

作者信息

Burma Nicole E, Leduc-Pessah Heather, Fan Churmy Y, Trang Tuan

机构信息

Departments of Comparative Biology and Experimental Medicine, and Physiology and Pharmacology, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.

出版信息

J Neurosci Res. 2017 Jun;95(6):1242-1256. doi: 10.1002/jnr.23768. Epub 2016 Jul 4.

Abstract

Chronic pain is a global problem that has reached epidemic proportions. An estimated 20% of adults suffer from pain, and another 10% are diagnosed with chronic pain each year (Goldberg and McGee, ). Despite the high prevalence of chronic pain (an estimated 1.5 billion people are afflicted worldwide), much remains to be understood about the underlying causes of this condition, and there is an urgent requirement for better pain therapies. The discovery of novel targets and the development of better analgesics rely on an assortment of preclinical animal models; however, there are major challenges to translating discoveries made in animal models to realized pain therapies in humans. This review discusses common animal models used to recapitulate clinical chronic pain conditions (such as neuropathic, inflammatory, and visceral pain) and the methods for assessing the sensory and affective components of pain in animals. We also discuss the advantages and limitations of modeling chronic pain in animals as well as highlighting strategies for improving the predictive validity of preclinical pain studies. © 2016 Wiley Periodicals, Inc.

摘要

慢性疼痛是一个全球性问题,已达到流行程度。据估计,20%的成年人遭受疼痛困扰,每年另有10%的人被诊断为慢性疼痛(戈德堡和麦吉)。尽管慢性疼痛的患病率很高(据估计全球有15亿人受其折磨),但对于这种疾病的潜在原因仍有许多有待了解之处,并且迫切需要更好的疼痛治疗方法。新靶点的发现和更好的镇痛药的开发依赖于各种临床前动物模型;然而,将在动物模型中取得的发现转化为人类实际的疼痛治疗方法存在重大挑战。本综述讨论了用于模拟临床慢性疼痛状况(如神经性、炎症性和内脏性疼痛)的常见动物模型以及评估动物疼痛的感觉和情感成分的方法。我们还讨论了在动物中模拟慢性疼痛的优点和局限性,并强调了提高临床前疼痛研究预测效度的策略。© 2016威利期刊公司

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