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Spinal Cord Stimulation and Treatment of Peripheral or Central Neuropathic Pain: Mechanisms and Clinical Application.脊髓刺激和周围或中枢神经性疼痛的治疗:机制与临床应用。
Neural Plast. 2021 Oct 21;2021:5607898. doi: 10.1155/2021/5607898. eCollection 2021.
2
Higenamine Attenuates Neuropathic Pain by Inhibition of NOX2/ROS/TRP/P38 Mitogen-Activated Protein Kinase/NF-ĸB Signaling Pathway.去甲乌药碱通过抑制NOX2/ROS/TRP/P38丝裂原活化蛋白激酶/NF-κB信号通路减轻神经性疼痛。
Front Pharmacol. 2021 Sep 24;12:716684. doi: 10.3389/fphar.2021.716684. eCollection 2021.
3
The neuronal potassium current I is a potential target for pain during chronic inflammation.神经元钾电流 I 是慢性炎症期间疼痛的潜在靶点。
Physiol Rep. 2021 Aug;9(16):e14975. doi: 10.14814/phy2.14975.
4
Usual presence and intensity of pain are differentially associated with suicidality across chronic pain conditions: A population-based study.常见的疼痛出现和强度与各种慢性疼痛疾病的自杀意念存在差异关联:一项基于人群的研究。
J Psychosom Res. 2021 Sep;148:110557. doi: 10.1016/j.jpsychores.2021.110557. Epub 2021 Jun 28.
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Cardamonin Modulates Neuropathic Pain through the Possible Involvement of Serotonergic 5-HT1A Receptor Pathway in CCI-Induced Neuropathic Pain Mice Model.小豆蔻明通过可能涉及 5-HT1A 受体途径调节 CCI 诱导的神经病理性疼痛小鼠模型中的神经病理性疼痛。
Molecules. 2021 Jun 16;26(12):3677. doi: 10.3390/molecules26123677.
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Acetaminophen Exerts an Analgesic Effect on Muscular Hyperalgesia in Repeated Cold-Stressed Rats through the Enhancement of the Descending Pain Inhibitory System Involving Spinal 5-HT and Noradrenergic α Receptors.对反复冷应激大鼠肌肉痛觉过敏,醋氨酚通过增强下行痛觉抑制系统发挥镇痛作用,涉及脊髓 5-HT 和去甲肾上腺素 α 受体。
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Chronic pain: an update on burden, best practices, and new advances.慢性疼痛:负担、最佳实践和新进展的更新。
Lancet. 2021 May 29;397(10289):2082-2097. doi: 10.1016/S0140-6736(21)00393-7.
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Eur J Pain. 2021 Sep;25(8):1839-1851. doi: 10.1002/ejp.1795. Epub 2021 May 31.
9
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Neuron. 2021 May 5;109(9):1497-1512.e6. doi: 10.1016/j.neuron.2021.03.012. Epub 2021 Apr 5.
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The therapeutic potential of Nrf2 inducers in chronic pain: Evidence from preclinical studies.Nrf2 诱导剂在慢性疼痛治疗中的潜力:来自临床前研究的证据。
Pharmacol Ther. 2021 Sep;225:107846. doi: 10.1016/j.pharmthera.2021.107846. Epub 2021 Apr 2.

慢性神经性疼痛机制的研究进展

Research progress on the mechanism of chronic neuropathic pain.

作者信息

Cui Cai-Xia, Liu Hong-Yu, Yue Na, Du Yi-Ri, Che Li-Muge, Yu Jian-She

机构信息

Inner Mongolia Medical University, Hohhot, China.

Department of Anesthesiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, China.

出版信息

IBRO Neurosci Rep. 2022 Dec 20;14:80-85. doi: 10.1016/j.ibneur.2022.12.007. eCollection 2023 Jun.

DOI:10.1016/j.ibneur.2022.12.007
PMID:36632243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9827377/
Abstract

Chronic neuropathic pain (CNP) refers to pain that lasts for more than three months due to a disease or an injury to the somatosensory nervous system. The incidence of CNP has been increasing in the world, causing it to become a global concern and patients often experience spontaneous pain, hyperalgesia, abnormal pain or even abnormal sensation as some of its main symptoms. In addition to serious pain and poor physical health, CNP also negatively affects patients' mental health, thus impacting the overall quality of their lives. The pathogenesis of CNP is not clear, but some studies have proved that central sensitization, peripheral sensitization, neuroinflammation, dysfunction in descending nociceptive modulatory systems, oxidative stress reaction, activation of glial cells and psychological factors play an important role in the occurrence and development of CNP. In this context, this article summarizes the current research progress on the mechanism of CNP to provide a basis for further research in preventing and treating the disease.

摘要

慢性神经性疼痛(CNP)是指由于躯体感觉神经系统的疾病或损伤而持续超过三个月的疼痛。CNP在全球的发病率一直在上升,已成为一个全球性问题,患者常出现自发痛、痛觉过敏、异常性疼痛甚至感觉异常等主要症状。除了严重疼痛和身体健康不佳外,CNP还对患者的心理健康产生负面影响,从而影响其整体生活质量。CNP的发病机制尚不清楚,但一些研究证明,中枢敏化、外周敏化、神经炎症、下行伤害性调制系统功能障碍、氧化应激反应、胶质细胞激活和心理因素在CNP的发生和发展中起重要作用。在此背景下,本文总结了目前关于CNP机制的研究进展,为该疾病的进一步防治研究提供依据。