Lu Huan-Jun, Wu Xiao-Bo, Wei Qian-Qi
Institute of Pain Medicine and Special Environmental Medicine, Nantong University, Nantong, China.
Department of Infectious Diseases, General Hospital of Tibet Military Command, Xizang, China.
Front Mol Neurosci. 2023 Aug 17;16:1239599. doi: 10.3389/fnmol.2023.1239599. eCollection 2023.
Cancer-induced bone pain (CIBP) caused by bone metastasis is one of the most prevalent diseases, and current treatments rely primarily on opioids, which have significant side effects. However, recent developments in pharmaceutical science have identified several new mechanisms for CIBP, including the targeted modification of certain ion channels and receptors. Ion channels are transmembrane proteins, which are situated on biological cell membranes, which facilitate passive transport of inorganic ions across membranes. They are involved in various physiological processes, including transmission of pain signals in the nervous system. In recent years, there has been an increasing interest in the role of ion channels in chronic pain, including CIBP. Therefore, in this review, we summarize the current literature on ion channels, related receptors, and drugs and explore the mechanism of CIBP. Targeting ion channels and regulating their activity might be key to treating pain associated with bone cancer and offer new treatment avenues.
由骨转移引起的癌症诱导性骨痛(CIBP)是最常见的疾病之一,目前的治疗主要依赖阿片类药物,而这些药物有显著的副作用。然而,药物科学的最新进展已经确定了几种CIBP的新机制,包括对某些离子通道和受体的靶向修饰。离子通道是跨膜蛋白,位于生物细胞膜上,促进无机离子跨膜的被动运输。它们参与各种生理过程,包括神经系统中疼痛信号的传递。近年来,人们对离子通道在慢性疼痛(包括CIBP)中的作用越来越感兴趣。因此,在本综述中,我们总结了关于离子通道、相关受体和药物的当前文献,并探讨了CIBP的机制。靶向离子通道并调节其活性可能是治疗与骨癌相关疼痛的关键,并提供新的治疗途径。