1 Department of Anesthesiology, University of Cincinnati, Cincinnati, OH, USA.
2 Department of Anesthesiology, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Mol Pain. 2019 Jan-Dec;15:1744806919864256. doi: 10.1177/1744806919864256.
Neuropathic pain conditions severely and chronically affect the quality of life in a large human population, but the pain conditions are not adequately managed due to poor understanding of their underlying mechanisms. There is a pressing need for further research into this field to help develop effective and nonaddictive medications to treat neuropathic pain. This article first describes general clinical classification of pain, types and symptoms of neuropathic pain, and current practices of clinical management for neuropathic pain. This is followed by a discussion of various cellular and molecular mechanisms responsible for the development and maintenance of neuropathic pain. In this review, we highlight the loss of function of Kv7 voltage-gated potassium as a mechanism of neuropathic pain and the potential use of Kv7 channel activator as subsequent treatment.
神经病理性疼痛严重且慢性地影响了大量人群的生活质量,但由于对其潜在机制的了解不足,这些疼痛状况并未得到充分的治疗。因此,迫切需要进一步研究这一领域,以帮助开发有效且无成瘾性的药物来治疗神经病理性疼痛。本文首先描述了疼痛的一般临床分类、神经病理性疼痛的类型和症状,以及目前对神经病理性疼痛的临床管理实践。接着讨论了导致神经病理性疼痛发展和维持的各种细胞和分子机制。在这篇综述中,我们强调了 Kv7 电压门控钾通道功能丧失作为神经病理性疼痛的一种机制,以及 Kv7 通道激活剂作为后续治疗的潜在用途。