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通过改进健康和疾病状态下人痛觉的建模来弥合转化差距。

Towards bridging the translational gap by improved modeling of human nociception in health and disease.

机构信息

Institute of Physiology, Medical University of Innsbruck, Innsbruck, Austria.

出版信息

Pflugers Arch. 2022 Sep;474(9):965-978. doi: 10.1007/s00424-022-02707-6. Epub 2022 Jun 3.

Abstract

Despite numerous studies which have explored the pathogenesis of pain disorders in preclinical models, there is a pronounced translational gap, which is at least partially caused by differences between the human and rodent nociceptive system. An elegant way to bridge this divide is the exploitation of human-induced pluripotent stem cell (iPSC) reprogramming into human iPSC-derived nociceptors (iDNs). Several protocols were developed and optimized to model nociceptive processes in health and disease. Here we provide an overview of the different approaches and summarize the knowledge obtained from such models on pain pathologies associated with monogenetic sensory disorders so far. In addition, novel perspectives offered by increasing the complexity of the model systems further to better reflect the natural environment of nociceptive neurons by involving other cell types in 3D model systems are described.

摘要

尽管有许多研究探索了临床前模型中疼痛障碍的发病机制,但仍存在明显的转化差距,这至少部分是由于人类和啮齿动物痛觉系统之间的差异造成的。一种巧妙的方法是利用人类诱导多能干细胞(iPSC)重编程为人类 iPSC 衍生的伤害感受器(iDN)。已经开发并优化了几种方案来模拟健康和疾病中的伤害感受过程。在这里,我们提供了不同方法的概述,并总结了迄今为止从这些模型中获得的关于与单基因感觉障碍相关的疼痛病理的知识。此外,还描述了通过在 3D 模型系统中涉及其他细胞类型,进一步增加模型系统的复杂性,从而更好地反映伤害神经元的自然环境所提供的新视角。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a06/9393146/4e5a6fe5fe2e/424_2022_2707_Fig1_HTML.jpg

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