The Second Affiliated Hospital, Nanchang University, Nanchang City, Jiangxi Province, 343000, China.
Biomed Pharmacother. 2020 Sep;129:110447. doi: 10.1016/j.biopha.2020.110447. Epub 2020 Jul 3.
Chronic pain is a common symptom of most clinical diseases, which seriously affects the psychosomatic health of patients and brings some pain to patients. Due to its pathological mechanism is very complicated and the treatment of chronic pain has always been a difficult problem in clinical. Normally, drugs are usually used to relieve pain, but the analgesic effect is not good, especially for cancer pain patients, the analgesic effect is poor. Therefore, exploring the pathogenesis and treatment of chronic pain has aroused the interest of many researchers. A large number of studies have shown that the role of ATP and P2X4 receptor (P2X4R) play an important role in the pathogenesis of chronic pain. P2X4R is dependent on ATP ligand-gated ion channel receptor, which can be activated by ATP and plays an important role in the information transmission of nerve system and the formation of pain. Therefore, in this paper, we comprehensively described the structure and biological functions of P2X4R, and outlined behavioral evaluation methods of chronic pain models. Moreover, we also explored the inherent relationship between P2X4R and chronic pain, and described the therapeutic effect of P2X4R antagonist on chronic pain, and provided some valuable help for the treatment of chronic pain.
慢性疼痛是大多数临床疾病的常见症状,严重影响患者的身心健康,并给患者带来一定的痛苦。由于其病理机制非常复杂,慢性疼痛的治疗一直是临床难题。通常情况下,药物被用于缓解疼痛,但镇痛效果不佳,尤其是对于癌症疼痛患者,镇痛效果更差。因此,探索慢性疼痛的发病机制和治疗方法引起了许多研究人员的兴趣。大量研究表明,ATP 和 P2X4 受体(P2X4R)在慢性疼痛的发病机制中发挥着重要作用。P2X4R 是依赖于 ATP 的配体门控离子通道受体,可被 ATP 激活,在神经系统的信息传递和疼痛形成中发挥重要作用。因此,本文全面描述了 P2X4R 的结构和生物学功能,并概述了慢性疼痛模型的行为学评价方法。此外,我们还探讨了 P2X4R 与慢性疼痛之间的内在关系,并描述了 P2X4R 拮抗剂对慢性疼痛的治疗效果,为慢性疼痛的治疗提供了一些有价值的帮助。