Estivill-Torrús Guillermo, Martínez-Padilla Ana Belen, Sánchez-Salido Lourdes, Evercooren Anne Baron-Van, García-Díaz Beatriz
Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina (IBIMA Plataforma BIONAND); Unidad Clínica de Neurociencias, Hospital Regional Universitario de Málaga, Málaga, Spain.
Departamento de Biología Molecular y Bioquímica, Universidad de Málaga, Spain.
Neural Regen Res. 2024 Feb;19(2):296-301. doi: 10.4103/1673-5374.374655.
Neuropathic pain is a severe and chronic condition widely found in the general population. The reason for this is the extensive variety of damage or diseases that can spark this unpleasant constant feeling in patients. During the processing of pain, the dorsal root ganglia constitute an important region where dorsal root ganglion neurons play a crucial role in the transmission and propagation of sensory electrical stimulation. Furthermore, the dorsal root ganglia have recently exhibited a regenerative capacity that should not be neglected in the understanding of the development and resolution of neuropathic pain and in the elucidation of innovative therapies. Here, we will review the complex interplay between cells (satellite glial cells and inflammatory cells) and factors (cytokines, neurotrophic factors and genetic factors) that takes place within the dorsal root ganglia and accounts for the generation of the aberrant excitation of primary sensory neurons occurring in neuropathic pain. More importantly, we will summarize an updated view of the current pharmacologic and nonpharmacologic therapies targeting the dorsal root ganglia for the treatment of neuropathic pain.
神经性疼痛是一种严重的慢性疾病,在普通人群中广泛存在。原因在于能引发患者这种令人不适的持续痛感的损伤或疾病种类繁多。在疼痛处理过程中,背根神经节是一个重要区域,背根神经节神经元在感觉电刺激的传递和传播中起关键作用。此外,背根神经节最近展现出一种再生能力,在理解神经性疼痛的发生发展及缓解过程以及阐明创新疗法方面,这种能力不容忽视。在此,我们将综述背根神经节内细胞(卫星胶质细胞和炎性细胞)与因子(细胞因子、神经营养因子和遗传因子)之间复杂的相互作用,这种相互作用导致了神经性疼痛中初级感觉神经元异常兴奋的产生。更重要的是,我们将总结针对背根神经节治疗神经性疼痛的当前药物和非药物疗法的最新观点。