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慢性疼痛分子机制的新见解。

Novel Insights into Molecular Mechanisms of Chronic Pain.

机构信息

Pharmazentrum Frankfurt/ZAFES, Institut für Klinische Pharmakologie, Klinikum der Goethe-Universität Frankfurt, Theodor Stern Kai 7, 60590 Frankfurt am Main, Germany.

出版信息

Cells. 2020 Oct 1;9(10):2220. doi: 10.3390/cells9102220.

DOI:10.3390/cells9102220
PMID:33019536
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7601569/
Abstract

Pain is the most frequent cause triggering patients to visit a physician. The worldwide incidence of chronic pain is in the range of 20% of adults, and chronic pain conditions are frequently associated with several comorbidities and a drastic decrease in patients' quality of life. Although several approved analgesics are available, such therapy is often not satisfying due to insufficient efficacy and/or severe side effects. Therefore, novel strategies for the development of safe and highly efficacious pain killers are urgently needed. To reach this goal, it is necessary to clarify the causes and signal transduction cascades underlying the onset and progression of the different types of chronic pain. The papers in this Special Issue cover a wide variety of mechanisms involved in different pain types such as inflammatory, neuropathic or cancer pain. Therefore, the results summarized here might contribute to a better understanding of the mechanisms in chronic pain and thereby to the development of novel therapeutic strategies for pain patients.

摘要

疼痛是导致患者就医的最常见原因。全球范围内,慢性疼痛的发病率在成年人中约为 20%,慢性疼痛状况常伴有多种合并症,并导致患者的生活质量大幅下降。尽管有几种已批准的镇痛药可用,但由于疗效不足和/或严重的副作用,这种治疗往往不尽如人意。因此,迫切需要开发安全且高效的新型止痛药策略。为了实现这一目标,有必要阐明不同类型慢性疼痛发生和进展的原因和信号转导级联。本期特刊中的论文涵盖了不同类型疼痛(如炎症性、神经性或癌性疼痛)中涉及的多种机制。因此,这里总结的结果可能有助于更好地理解慢性疼痛中的机制,并为疼痛患者开发新的治疗策略。

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Novel Insights into Molecular Mechanisms of Chronic Pain.慢性疼痛分子机制的新见解。
Cells. 2020 Oct 1;9(10):2220. doi: 10.3390/cells9102220.
2
MicroRNA and chronic pain: From mechanisms to therapeutic potential.微小 RNA 与慢性疼痛:从机制到治疗潜力。
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Role of Connexins in Chronic Pain and Their Potential as Therapeutic Targets for Next-Generation Analgesics.缝隙连接蛋白在慢性疼痛中的作用及其作为下一代镇痛药治疗靶点的潜力。
Biol Pharm Bull. 2019;42(6):857-866. doi: 10.1248/bpb.b19-00195.
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Systems Pathology of Neuropathic Pain and Fibromyalgia.神经病性疼痛和纤维肌痛的系统病理学。
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Challenges in translational drug research in neuropathic and inflammatory pain: the prerequisites for a new paradigm.神经性和炎性疼痛的转化药物研究中的挑战:新范式的先决条件
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Curr Med Res Opin. 2017 Jul;33(7):1199-1210. doi: 10.1080/03007995.2017.1298521. Epub 2017 Mar 22.

引用本文的文献

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Protein Misfolding and Aggregation as a Mechanistic Link Between Chronic Pain and Neurodegenerative Diseases.蛋白质错误折叠与聚集作为慢性疼痛和神经退行性疾病之间的机制联系。
Curr Issues Mol Biol. 2025 Apr 8;47(4):259. doi: 10.3390/cimb47040259.
2
Artificially Sweetened Food Mediates the Perception of Chronic Pain in Individuals With Neuroticism Traits: A Mendelian Randomization Study.人工甜味食品介导具有神经质特质个体的慢性疼痛感知:一项孟德尔随机化研究。
Brain Behav. 2025 Apr;15(4):e70476. doi: 10.1002/brb3.70476.
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Slack Potassium Channels Modulate TRPA1-Mediated Nociception in Sensory Neurons.松弛钾通道调节感觉神经元中TRPA1介导的伤害感受。
Cells. 2022 May 19;11(10):1693. doi: 10.3390/cells11101693.
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A candidate neuroimaging biomarker for detection of neurotransmission-related functional alterations and prediction of pharmacological analgesic response in chronic pain.一种用于检测神经传递相关功能改变及预测慢性疼痛中药理学镇痛反应的候选神经影像生物标志物。
Brain Commun. 2021 Dec 22;4(1):fcab302. doi: 10.1093/braincomms/fcab302. eCollection 2022.

本文引用的文献

1
Deepening the Mechanisms of Visceral Pain Persistence: An Evaluation of the Gut-Spinal Cord Relationship.深化内脏痛持续性的机制:肠道-脊髓关系的评估。
Cells. 2020 Jul 24;9(8):1772. doi: 10.3390/cells9081772.
2
Amyloid Proteins and Peripheral Neuropathy.淀粉样蛋白与周围神经病。
Cells. 2020 Jun 26;9(6):1553. doi: 10.3390/cells9061553.
3
Rab27a Contributes to the Processing of Inflammatory Pain in Mice.Rab27a 参与调控小鼠的炎性疼痛。
Cells. 2020 Jun 18;9(6):1488. doi: 10.3390/cells9061488.
4
Function and Mechanisms of Truncated BDNF Receptor TrkB.T1 in Neuropathic Pain.截断型脑源性神经营养因子受体 TrkB.T1 在神经病理性疼痛中的作用和机制。
Cells. 2020 May 11;9(5):1194. doi: 10.3390/cells9051194.
5
Abnormal Reinnervation of Denervated Areas Following Nerve Injury Facilitates Neuropathic Pain.神经损伤后去神经区域的异常再支配促进神经病理性疼痛。
Cells. 2020 Apr 18;9(4):1007. doi: 10.3390/cells9041007.
6
NeuroHeal Treatment Alleviates Neuropathic Pain and Enhances Sensory Axon Regeneration.神经修复治疗缓解神经病理性疼痛并增强感觉轴突再生。
Cells. 2020 Mar 27;9(4):808. doi: 10.3390/cells9040808.
7
Tumors Provoke Inflammation and Perineural Microlesions at Adjacent Peripheral Nerves.肿瘤可诱发临近外周神经的炎症和神经周微损伤。
Cells. 2020 Jan 29;9(2):320. doi: 10.3390/cells9020320.
8
Human and Mouse TRPA1 Are Heat and Cold Sensors Differentially Tuned by Voltage.人类和小鼠的 TRPA1 是对电压具有不同调谐的热和冷感受器。
Cells. 2019 Dec 24;9(1):57. doi: 10.3390/cells9010057.
9
Molecular Architecture of the Mouse Nervous System.小鼠神经系统的分子结构。
Cell. 2018 Aug 9;174(4):999-1014.e22. doi: 10.1016/j.cell.2018.06.021.
10
Neuroprotective Drug for Nerve Trauma Revealed Using Artificial Intelligence.利用人工智能揭示神经创伤的神经保护药物。
Sci Rep. 2018 Jan 30;8(1):1879. doi: 10.1038/s41598-018-19767-3.