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三叉神经痛的光遗传学方法及潜在问题:临床前见解

Optogenetic Approach in Trigeminal Neuralgia and Potential Concerns: Preclinical Insights.

作者信息

Kc Elina, Islam Jaisan, Lee Gabsang, Park Young Seok

机构信息

Program in Neuroscience, Department of Medicine, College of Medicine, Chungbuk National University, Cheongju, Republic of Korea.

Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

出版信息

Mol Neurobiol. 2024 Mar;61(3):1769-1780. doi: 10.1007/s12035-023-03652-w. Epub 2023 Sep 29.

DOI:10.1007/s12035-023-03652-w
PMID:37775720
Abstract

The integration of optogenetics in the trigeminal pain circuitry broadens and reinforces existing pain investigations. Similar to research on spinal neuropathic pain, the exploration of the underlying determinants of orofacial pain is expanding. Optogenetics facilitates more direct, specific, and subtle investigations of the neuronal circuits involved in orofacial pain. One of the most significant concerns of both dentistry and medicine is trigeminal neuralgia (TN) management due to its substantial impact on a patient's quality of life. Our objective is to gather insights from preclinical studies conducted in TN employing an optogenetic paradigm, thereby extending the prospects for in-depth neurobiological research. This review highlights optogenetic research in trigeminal pain circuitry involving TN. We outline the central and peripheral regions associated with pain-that have been investigated using optogenetics in the trigeminal pain circuitry. The study further reports its scope and limitations as well as its potential for future applications from bench to bedside.

摘要

光遗传学在三叉神经痛传导通路中的整合拓宽并加强了现有的疼痛研究。与脊髓神经性疼痛的研究类似,对口面部疼痛潜在决定因素的探索也在不断扩展。光遗传学有助于更直接、更具体且更精细地研究参与口面部疼痛的神经回路。由于三叉神经痛(TN)对患者生活质量有重大影响,因此它是牙科和医学最关注的问题之一。我们的目标是从采用光遗传学范式对TN进行的临床前研究中获取见解,从而拓展深入神经生物学研究的前景。本综述重点介绍了涉及TN的三叉神经痛传导通路中的光遗传学研究。我们概述了在三叉神经痛传导通路中使用光遗传学进行研究的与疼痛相关的中枢和外周区域。该研究进一步报告了其范围和局限性以及从实验室到床边的未来应用潜力。

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引用本文的文献

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Optogenetic inhibition of ventrolateral orbitofrontal cortex astrocytes facilitates ventrolateral periaqueductal gray glutamatergic activity to reduce hypersensitivity in infraorbital nerve injury rat model.光遗传学抑制腹外侧眶额皮质星形胶质细胞可促进腹外侧导水管周围灰质谷氨酸能活性,以减轻眶下神经损伤大鼠模型的超敏反应。
J Headache Pain. 2025 Feb 25;26(1):41. doi: 10.1186/s10194-025-01977-6.

本文引用的文献

1
The Molecular Basis and Pathophysiology of Trigeminal Neuralgia.三叉神经痛的分子基础与病理生理学
Int J Mol Sci. 2022 Mar 25;23(7):3604. doi: 10.3390/ijms23073604.
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Dissecting the Neural Circuitry for Pain Modulation and Chronic Pain: Insights from Optogenetics.解析用于疼痛调制和慢性疼痛的神经回路:光遗传学的见解。
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一种多学科方法,用于在自由活动小鼠的脑神经元光遗传学刺激期间同时监测实时神经元活动和疼痛行为。
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Cell Rep. 2021 Jul 20;36(3):109411. doi: 10.1016/j.celrep.2021.109411.
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Early-life inflammation promotes depressive symptoms in adolescence via microglial engulfment of dendritic spines.早期生活中的炎症通过小胶质细胞吞噬树突棘促进青少年时期的抑郁症状。
Neuron. 2021 Aug 18;109(16):2573-2589.e9. doi: 10.1016/j.neuron.2021.06.012. Epub 2021 Jul 6.
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Optogenetic Spreading Depression Elicits Trigeminal Pain and Anxiety Behavior.光遗传学扩散性抑制引发三叉神经痛和焦虑行为。
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