文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

神经病理性疼痛精准医学中的转化问题。

Translational issues in precision medicine in neuropathic pain.

作者信息

Dickenson Anthony H, Patel Ryan

机构信息

Department of Neuroscience, Physiology and Pharmacology, University College London, London, UK.

出版信息

Can J Pain. 2020 Jan 23;4(1):30-38. doi: 10.1080/24740527.2020.1720502. eCollection 2020.


DOI:10.1080/24740527.2020.1720502
PMID:32258972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7077367/
Abstract

Neuropathic pain remains poorly treated, with most new drugs falling through the translational gap. The traditional model of bench-to-bedside research has relied on identifying new mechanisms/targets in animal models and then developing clinical applications. Several have advocated bridging the translational gap by beginning with clinical observations and back-translating to animal models for further investigation of mechanisms. There is good evidence that phenotyping of patients through quantitative sensory testing can lead to improved treatment selection and hence improved patient outcomes. This practice has been widely adopted in clinical investigations, but its application in preclinical research is not mainstream. In this review, we retrospectively examine our historical rodent data sets with the aim of reconsidering drug effects on sensory neuronal endpoints, their alignment with clinical observations, and how these might guide future clinical studies.

摘要

神经性疼痛的治疗效果仍然不佳,大多数新药都未能跨越转化差距。传统的从实验室到临床的研究模式依赖于在动物模型中识别新机制/靶点,然后开发临床应用。一些人主张通过从临床观察开始,再逆向转化到动物模型以进一步研究机制来弥合转化差距。有充分证据表明,通过定量感觉测试对患者进行表型分析可以改善治疗选择,从而改善患者预后。这种做法在临床研究中已被广泛采用,但其在临床前研究中的应用并不主流。在本综述中,我们回顾性地检查了我们以往的啮齿动物数据集,目的是重新考虑药物对感觉神经元终点的影响、它们与临床观察结果的一致性,以及这些如何指导未来的临床研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/622c/7951163/e62693f8849b/UCJP_A_1720502_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/622c/7951163/e62693f8849b/UCJP_A_1720502_F0001_OC.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/622c/7951163/e62693f8849b/UCJP_A_1720502_F0001_OC.jpg

相似文献

[1]
Translational issues in precision medicine in neuropathic pain.

Can J Pain. 2020-1-23

[2]
Preclinical Neuropathic Pain Assessment; the Importance of Translatability and Bidirectional Research.

Front Pharmacol. 2021-2-8

[3]
Bridging the translational gap: adenosine as a modulator of neuropathic pain in preclinical models and humans.

Scand J Pain. 2024-1-1

[4]
Inflammatory and Neuropathic Pain From Bench to Bedside: What Went Wrong?

J Pain. 2018-1-4

[5]
From bedside to bench and back: Translating ASD models.

Prog Brain Res. 2018

[6]
Translational neuropathic pain research.

Pain. 2019-5

[7]
Chronic Pelvic Pain: Neurogenic or Non-Neurogenic? Warm Detection Threshold Testing Supports a Diagnosis of Pudendal Neuropathy.

Pain Physician. 2018-3

[8]
Improving neuropathic pain treatment - by rigorous stratification from bench to bedside.

J Neurochem. 2024-11

[9]
Challenges of neuropathic pain: focus on diabetic neuropathy.

J Neural Transm (Vienna). 2020-4

[10]
Neuropathic Pain: Mechanism-Based Therapeutics.

Annu Rev Pharmacol Toxicol. 2020-1-6

引用本文的文献

[1]
Antinociceptive properties of losmapimod in two acute pain models in rats: behavioural analysis, immunohistochemistry, dose response, and comparison with usual analgesic drugs.

BJA Open. 2022-8-17

[2]
COMMunity of Practice And Safety Support for Navigating Pain (COMPASS-NP): study protocol for a randomized controlled trial with home care workers.

Trials. 2023-4-10

[3]
Targeted Therapy for Orofacial Pain: A Novel Perspective for Precision Medicine.

J Pers Med. 2023-3-22

[4]
Optimizing and Accelerating the Development of Precision Pain Treatments for Chronic Pain: IMMPACT Review and Recommendations.

J Pain. 2023-2

[5]
Developmental mechanisms of CPSP: Clinical observations and translational laboratory evaluations.

Can J Pain. 2021-12-29

[6]
Exploiting Injury-Induced Peripheral Opioid Receptor Changes in Novel Analgesic Development for Chronic Pain.

Front Pain Res (Lausanne). 2022-4-26

[7]
Pain Phenotypes in Rare Musculoskeletal and Neuromuscular Diseases.

Neurosci Biobehav Rev. 2021-5

本文引用的文献

[1]
Effect of lacosamide in peripheral neuropathic pain: study protocol for a randomized, placebo-controlled, phenotype-stratified trial.

Trials. 2019-10-11

[2]
What goes up must come down: insights from studies on descending controls acting on spinal pain processing.

J Neural Transm (Vienna). 2020-4

[3]
Somatosensory predictors of response to pregabalin in painful chemotherapy-induced peripheral neuropathy: a randomized, placebo-controlled, crossover study.

Pain. 2019-8

[4]
Peripheral nerve injury in rats induces alternations in choice behavior associated with food reinforcement.

J Physiol Sci. 2019-7-2

[5]
A combination pharmacotherapy of tapentadol and pregabalin to tackle centrally driven osteoarthritis pain.

Eur J Pain. 2019-3-22

[6]
Lacosamide in patients with Nav1.7 mutations-related small fibre neuropathy: a randomized controlled trial.

Brain. 2019-2-1

[7]
Pain relief in a neuropathy patient by lacosamide: Proof of principle of clinical translation from patient-specific iPS cell-derived nociceptors.

EBioMedicine. 2018-11-28

[8]
Microneurography as a tool to study the function of individual C-fiber afferents in humans: responses from nociceptors, thermoreceptors, and mechanoreceptors.

J Neurophysiol. 2018-9-26

[9]
Modality selective roles of pro-nociceptive spinal 5-HT and 5-HT receptors in normal and neuropathic states.

Neuropharmacology. 2018-9-18

[10]
Brain Dynamics and Temporal Summation of Pain Predicts Neuropathic Pain Relief from Ketamine Infusion.

Anesthesiology. 2018-11

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索