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探索类黄酮对抗神经性疼痛的前景:从分子机制到治疗意义

Exploring the Promise of Flavonoids to Combat Neuropathic Pain: From Molecular Mechanisms to Therapeutic Implications.

作者信息

Uddin Md Sahab, Mamun Abdullah Al, Rahman Md Ataur, Kabir Md Tanvir, Alkahtani Saad, Alanazi Ibtesam S, Perveen Asma, Ashraf Ghulam Md, Bin-Jumah May N, Abdel-Daim Mohamed M

机构信息

Department of Pharmacy, Southeast University, Dhaka, Bangladesh.

Pharmakon Neuroscience Research Network, Dhaka, Bangladesh.

出版信息

Front Neurosci. 2020 Jun 9;14:478. doi: 10.3389/fnins.2020.00478. eCollection 2020.

Abstract

Neuropathic pain (NP) is the result of irregular processing in the central or peripheral nervous system, which is generally caused by neuronal injury. The management of NP represents a great challenge owing to its heterogeneous profile and the significant undesirable side effects of the frequently prescribed psychoactive agents, including benzodiazepines (BDZ). Currently, several established drugs including antidepressants, anticonvulsants, topical lidocaine, and opioids are used to treat NP, but they exert a wide range of adverse effects. To reduce the burden of adverse effects, we need to investigate alternative therapeutics for the management of NP. Flavonoids are the most common secondary metabolites of plants used in folkloric medicine as tranquilizers, and have been claimed to have a selective affinity to the BDZ binding site. Several studies in animal models have reported that flavonoids can reduce NP. In this paper, we emphasize the potentiality of flavonoids for the management of NP.

摘要

神经性疼痛(NP)是中枢或周围神经系统处理异常的结果,通常由神经元损伤引起。由于NP的异质性以及常用精神活性药物(包括苯二氮䓬类药物(BDZ))的显著不良副作用,NP的治疗面临巨大挑战。目前,包括抗抑郁药、抗惊厥药、外用利多卡因和阿片类药物在内的几种已确立的药物用于治疗NP,但它们会产生广泛的不良反应。为了减轻不良反应的负担,我们需要研究用于管理NP的替代疗法。黄酮类化合物是植物中最常见的次生代谢产物,在民间医学中用作镇静剂,据称对BDZ结合位点具有选择性亲和力。在动物模型中的几项研究报告称,黄酮类化合物可以减轻NP。在本文中,我们强调了黄酮类化合物在管理NP方面的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0a2/7299068/0b9fb82a2b6d/fnins-14-00478-g001.jpg

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