Durrant Alexandra M, Swift Matthew N, Beazley-Long Nicholas
Arthritis Research UK Pain Centre and School of Life Sciences, Medical School, University of Nottingham, Nottingham, UK.
Curr Opin Support Palliat Care. 2018 Jun;12(2):154-161. doi: 10.1097/SPC.0000000000000342.
The importance of the blood-brain barrier (BBB) and neuroinflammation in neurodegenerative conditions is becoming increasingly apparent, yet very little is known about these neurovascular functions in nonmalignant disease chronic pain. Neural tissue pericytes play critical roles in the formation and maintenance of the BBB. Herein, we review the important roles of neural pericytes and address their potential role in chronic pain.
Pericytes are implicated in the function of neural microvasculature, including BBB permeability, neuroimmune factor secretion and leukocyte transmigration. In addition, the multipotent stem cell nature of pericytes affords pericytes the ability to migrate into neural parenchyma and differentiate into pain-associated cell types. These recent findings indicate that pericytes are key players in pathological BBB disruption and neuroinflammation, and as such pericytes may be key players in chronic pain states.
Pericytes play key roles in pathological processes associated with chronic pain. We propose that pericytes may be a therapeutic target for painful diseases that have associated neural vascular dysfunction. Given the paucity of new pharmacotherapies for chronic pain conditions, we hope that this review inspires researchers to unearth the potential role(s) of pericytes in chronic pain sowing the seeds for future new chronic pain therapies.
血脑屏障(BBB)和神经炎症在神经退行性疾病中的重要性日益明显,但对于非恶性疾病慢性疼痛中的这些神经血管功能却知之甚少。神经组织周细胞在血脑屏障的形成和维持中起关键作用。在此,我们综述神经周细胞的重要作用,并探讨它们在慢性疼痛中的潜在作用。
周细胞与神经微血管功能有关,包括血脑屏障通透性、神经免疫因子分泌和白细胞迁移。此外,周细胞的多能干细胞特性使其能够迁移到神经实质并分化为与疼痛相关的细胞类型。这些最新发现表明,周细胞是病理性血脑屏障破坏和神经炎症的关键参与者,因此周细胞可能是慢性疼痛状态的关键参与者。
周细胞在与慢性疼痛相关的病理过程中起关键作用。我们提出,周细胞可能是伴有神经血管功能障碍的疼痛性疾病的治疗靶点。鉴于慢性疼痛疾病新药物疗法匮乏,我们希望本综述能激发研究人员挖掘周细胞在慢性疼痛中的潜在作用,为未来新的慢性疼痛疗法播下种子。