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带状疱疹后神经痛药物治疗中的表型与基因型:一篇叙述性小型综述

Phenotypes and Genotypes in Postherpetic Neuralgia Drug Therapy: A Narrative Mini-review.

作者信息

Anosike Udochukwu G, Ouko Innocent, Mwaura Anita W, Ongidi Ibsen, Mbonu Chijioke C

机构信息

Faculty of Medicine, Nnamdi Azikiwe University College of Health Sciences, Awka, Nigeria.

Department of Human Anatomy, School of Medicine, University of Nairobi, Nairobi, Kenya.

出版信息

Clin J Pain. 2022 Aug 1;38(8):536-540. doi: 10.1097/AJP.0000000000001045.

Abstract

Neuropathic pain is a debilitating symptom reported by patients presenting with postherpetic neuralgia (PHN). Efforts to alleviate this pain have been projected to lie in individualization of pharmacological treatment through pain phenotyping and subsequent investigations into the genetic basis of PHN therapy. Understanding the various mechanisms related to these phenotypes can aid in improvement of available treatment options and discovery of new ones. Knowledge and application of genetic variations in PHN, structural proteins, and genes can aid in ascertaining risk, susceptibility to, severity of, and protection from PHN. This review summarizes the most recent information that has been published on phenotypes and genotypes with possible clinical applications and directions for future research.

摘要

神经性疼痛是带状疱疹后神经痛(PHN)患者报告的一种使人衰弱的症状。减轻这种疼痛的努力预计在于通过疼痛表型分析实现药物治疗的个体化,以及随后对PHN治疗的遗传基础进行研究。了解与这些表型相关的各种机制有助于改进现有的治疗方案并发现新的方案。PHN、结构蛋白和基因中遗传变异的知识及应用有助于确定PHN的风险、易感性、严重程度以及预防措施。本综述总结了已发表的有关表型和基因型的最新信息,及其可能的临床应用和未来研究方向。

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