Department of Anesthesiology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, Chengdu, China.
The Research Units of West China (2018RU012)-Chinese Academy of Medical Sciences, West China Hospital, Sichuan University, Chengdu, China.
Front Immunol. 2022 Sep 29;13:999407. doi: 10.3389/fimmu.2022.999407. eCollection 2022.
Chronic pain remains to be a clinical challenge and is recognized as a major health problem with varying impacts on quality of life. Currently, the first-line therapy for chronic pain is opioids, which are often accompanied by unwanted psychoactive side effects. Thus, new and effective treatments for chronic pain are urgently needed and eagerly pursued. Inflammatory cytokines, especially interleukin-17 (IL-17), are reportedly potential therapeutic targets owing to their pivotal role in chronic pain from the neuroinflammation perspective. Recently, substantial evidence confirmed that IL-17 and IL-17 receptors (IL-17Rs) were increased in neuropathic, inflammatory, and cancer pain models. Notably, IL-17/IL-17R antibodies also reportedly relieve or cure inflammatory- and pain-related diseases. However, existing studies have reported controversial results regarding IL-17/IL-17Rs as potential therapeutic targets in diverse animal models of chronic pain. In this review, we present a summary of published studies and discuss the evidence, from basic to clinical to research, regarding the role and mechanism of action between IL-17 and diverse kinds of chronic pain in animal models and clinical patients. Furthermore, we evaluated IL-17-based therapy as a potential therapeutic strategy for inflammatory- and pain-related disease. Importantly, we also discussed clinical trials of IL-17/IL-17R targeting monoclonal antibodies. Overall, we found that IL-17 is a potential therapeutic target for chronic pain from the perspective of neuroinflammation.
慢性疼痛仍然是一个临床挑战,被认为是一个主要的健康问题,对生活质量有不同的影响。目前,慢性疼痛的一线治疗方法是阿片类药物,但常伴有不良的精神活性副作用。因此,迫切需要新的、有效的慢性疼痛治疗方法,并正在积极寻求。炎症细胞因子,特别是白细胞介素-17(IL-17),由于其在神经炎症引起的慢性疼痛中的关键作用,被认为是潜在的治疗靶点。最近,大量证据证实,在神经病理性、炎症性和癌性疼痛模型中,IL-17 和 IL-17 受体(IL-17Rs)增加。值得注意的是,IL-17/IL-17R 抗体也被报道可以缓解或治愈炎症和疼痛相关疾病。然而,现有的研究在不同的慢性疼痛动物模型中,对 IL-17/IL-17Rs 作为潜在治疗靶点的结果存在争议。在这篇综述中,我们总结了已发表的研究,并从基础到临床再到研究,讨论了 IL-17 在动物模型和临床患者中与各种慢性疼痛之间的作用和作用机制的证据。此外,我们评估了基于 IL-17 的治疗作为炎症和疼痛相关疾病的潜在治疗策略。重要的是,我们还讨论了针对 IL-17/IL-17R 的靶向单克隆抗体的临床试验。总的来说,我们发现 IL-17 是神经炎症引起的慢性疼痛的一个潜在治疗靶点。