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神经性疼痛的机制及药物治疗研究进展

Research progress of mechanisms and drug therapy for neuropathic pain.

作者信息

Yan Yun-Yi, Li Cheng-Yuan, Zhou Lin, Ao Lu-Yao, Fang Wei-Rong, Li Yun-Man

机构信息

State Key Laboratory of Natural Medicines, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 210009, PR China.

State Key Laboratory of Natural Medicines, School of Basic Medicine and Clinical Pharmacy, China Pharmaceutical University, Nanjing 210009, PR China.

出版信息

Life Sci. 2017 Dec 1;190:68-77. doi: 10.1016/j.lfs.2017.09.033. Epub 2017 Sep 28.

Abstract

Neuropathic pain is maladaptive pain caused by injury or dysfunction in peripheral and central nervous system, and remains a worldwide thorny problem leading to decreases in physical and mental quality of people's life. Currently, drug therapy is the main treatment regimen for resolving pain, while effective drugs are still unmet in medical need, and commonly used drugs such as anticonvulsants and antidepressants often make patients experience adverse drug reactions like dizziness, somnolence, severe headache, and high blood pressure. Thus, in this review we overview the anatomical physiology, underlying mechanisms of neuropathic pain to provide a better understanding in the initiation, development, maintenance, and modulation of this pervasive disease, and inspire research in the unclear mechanisms as well as potential targets. Furthermore, we summarized the existing drug therapies and new compounds that have shown antalgic effects in laboratory studies to be helpful for rational regimens in clinical treatment and promotion in novel drug discovery.

摘要

神经病理性疼痛是由外周和中枢神经系统损伤或功能障碍引起的适应性疼痛,仍然是一个全球性的棘手问题,导致人们的身心健康质量下降。目前,药物治疗是缓解疼痛的主要治疗方案,但有效药物仍未满足医疗需求,常用药物如抗惊厥药和抗抑郁药常常使患者出现头晕、嗜睡、严重头痛和高血压等药物不良反应。因此,在本综述中,我们概述了神经病理性疼痛的解剖生理学、潜在机制,以便更好地理解这种普遍疾病的发生、发展、维持和调节,并激发对不明机制以及潜在靶点的研究。此外,我们总结了现有的药物治疗方法以及在实验室研究中显示出镇痛作用的新化合物,有助于临床治疗中的合理用药方案以及新型药物发现的推进。

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