Department of Experimental Medicine, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
Department of Psychology, University of Campania "Luigi Vanvitelli", 81100 Caserta, Italy.
Int J Environ Res Public Health. 2023 Feb 9;20(4):3064. doi: 10.3390/ijerph20043064.
Knowledge about the mechanisms of transmission and the processing of nociceptive information, both in healthy and pathological states, has greatly expanded in recent years. This rapid progress is due to a multidisciplinary approach involving the simultaneous use of different branches of study, such as systems neurobiology, behavioral analysis, genetics, and cell and molecular techniques. This narrative review aims to clarify the mechanisms of transmission and the processing of pain while also taking into account the characteristics and properties of nociceptors and how the immune system influences pain perception. Moreover, several important aspects of this crucial theme of human life will be discussed. Nociceptor neurons and the immune system play a key role in pain and inflammation. The interactions between the immune system and nociceptors occur within peripheral sites of injury and the central nervous system. The modulation of nociceptor activity or chemical mediators may provide promising novel approaches to the treatment of pain and chronic inflammatory disease. The sensory nervous system is fundamental in the modulation of the host's protective response, and understanding its interactions is pivotal in the process of revealing new strategies for the treatment of pain.
近年来,人们对伤害性信息的传递和处理机制(无论是在健康状态还是病理状态下)的认识有了极大的扩展。这种快速的进展得益于多学科方法的应用,包括同时使用系统神经生物学、行为分析、遗传学以及细胞和分子技术等不同的研究分支。本综述旨在阐明伤害性信息的传递和处理机制,同时考虑到伤害感受器的特征和性质,以及免疫系统如何影响疼痛感知。此外,还将讨论这个人类生活关键主题的几个重要方面。伤害感受器神经元和免疫系统在疼痛和炎症中发挥着关键作用。免疫系统和伤害感受器之间的相互作用发生在外周损伤部位和中枢神经系统内。伤害感受器活动或化学介质的调制可能为疼痛和慢性炎症性疾病的治疗提供有前途的新方法。感觉神经系统在宿主保护性反应的调节中起着基础性作用,理解其相互作用对于揭示疼痛治疗新策略的过程至关重要。