Roh Jueun, Go Eun Jin, Park Jin-Woo, Kim Yong Ho, Park Chul-Kyu
Gachon Pain Center and Department of Physiology, College of Medicine, Gachon University, Incheon, South Korea.
Department of Periodontology, School of Dentistry, Kyungpook National University, Daegu, South Korea.
Front Cell Dev Biol. 2020 Dec 10;8:584206. doi: 10.3389/fcell.2020.584206. eCollection 2020.
Chronic pain is a serious condition that occurs in the peripheral nervous system (PNS) and the central nervous system (CNS). It is caused by inflammation or nerve damage that induces the release of inflammatory mediators from immune cells and/or protein kinase activation in neuronal cells. Both nervous systems are closely linked; therefore, inflammation or nerve damage in the PNS can affect the CNS (central sensitization). In this process, nociceptive transient receptor potential (TRP) channel activation and expression are increased. As a result, nociceptive neurons are activated, and pain signals to the brain are amplified and prolonged. In other words, suppressing the onset of pain signals in the PNS can suppress pain signals to the CNS. Resolvins, endogenous lipid mediators generated during the resolution phase of acute inflammation, inhibit nociceptive TRP ion channels and alleviate chronic pain. This paper summarizes the effect of resolvins in chronic pain control and discusses future scientific perspectives. Further study on the effect of resolvins on neuropathic pain will expand the scope of pain research.
慢性疼痛是一种发生在外周神经系统(PNS)和中枢神经系统(CNS)的严重病症。它由炎症或神经损伤引起,炎症或神经损伤会诱导免疫细胞释放炎症介质和/或神经元细胞中的蛋白激酶激活。两个神经系统紧密相连;因此,PNS中的炎症或神经损伤会影响CNS(中枢敏化)。在此过程中,伤害性瞬时受体电位(TRP)通道的激活和表达增加。结果,伤害性神经元被激活,传递至大脑的疼痛信号被放大和延长。换句话说,抑制PNS中疼痛信号的产生可以抑制传递至CNS的疼痛信号。消退素是在急性炎症消退阶段产生的内源性脂质介质,可抑制伤害性TRP离子通道并减轻慢性疼痛。本文总结了消退素在慢性疼痛控制中的作用,并探讨了未来的科学前景。对消退素在神经性疼痛方面作用的进一步研究将扩大疼痛研究的范围。