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骨关节炎中的神经炎症:从疼痛到情绪障碍。

Neuroinflammation in osteoarthritis: From pain to mood disorders.

机构信息

Laboratory of Pain Therapy and Neuroimmunology, Department of Pharmacological and Biomolecular Sciences "Rodolfo Paoletti", Università degli Studi di Milano, Via Balzaretti, 9 -20133 Milan (IT), Italy.

Laboratory of Pain Therapy and Neuroimmunology, Department of Pharmacological and Biomolecular Sciences "Rodolfo Paoletti", Università degli Studi di Milano, Via Balzaretti, 9 -20133 Milan (IT), Italy.

出版信息

Biochem Pharmacol. 2024 Oct;228:116182. doi: 10.1016/j.bcp.2024.116182. Epub 2024 Mar 30.


DOI:10.1016/j.bcp.2024.116182
PMID:38556026
Abstract

Osteoarthritis (OA) is the most common form of musculoskeletal disease, and its prevalence is increasing due to the aging of the population. Chronic pain is the most burdensome symptom of OA that significantly lowers patients' quality of life, also due to its frequent association with emotional comorbidities, such as anxiety and depression. In recent years, both chronic pain and mood alterations have been linked to the development of neuroinflammation in the peripheral nervous system, spinal cord and supraspinal brain areas. Thus, mechanisms at the basis of the development of the neuroinflammatory process may indicate promising targets for novel treatment for pain and affective comorbidities that accompany OA. In order to assess the key role of neuroinflammation in the maintenance of chronic pain and its potential involvement in development of psychiatric components, the monoiodoacetate (MIA) model of OA in rodents has been used and validated. In the present commentary article, we aim to summarize up-to-date results achieved in this experimental model of OA, focusing on glia activation and cytokine production in the sciatic nerve, dorsal root ganglia (DRGs), spinal cord and brain areas. The association of a neuroinflammatory state with the development of pain and anxiety- and depression-like behaviors are discussed. Results suggest that cells and molecules involved in neuroinflammation may represent novel targets for innovative pharmacological treatments of OA pain and mood comorbidities.

摘要

骨关节炎(OA)是最常见的肌肉骨骼疾病,由于人口老龄化,其患病率正在增加。慢性疼痛是 OA 最具负担性的症状,它显著降低了患者的生活质量,也因为它经常与情绪共病有关,如焦虑和抑郁。近年来,慢性疼痛和情绪改变都与外周神经系统、脊髓和脑区的神经炎症的发展有关。因此,神经炎症发展机制可能为 OA 伴随的疼痛和情感共病的新型治疗提供有希望的靶点。为了评估神经炎症在维持慢性疼痛中的关键作用及其在精神疾病发展中的潜在作用,已经在啮齿动物中使用并验证了单碘乙酸(MIA)OA 模型。在本评论文章中,我们旨在总结该 OA 实验模型中最新取得的结果,重点关注坐骨神经、背根神经节(DRG)、脊髓和脑区中的神经胶质细胞激活和细胞因子产生。讨论了神经炎症状态与疼痛以及焦虑和抑郁样行为的发展之间的关联。结果表明,神经炎症涉及的细胞和分子可能是 OA 疼痛和情绪共病的创新药物治疗的新靶点。

相似文献

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Neuroinflammation in osteoarthritis: From pain to mood disorders.

Biochem Pharmacol. 2024-10

[2]
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[3]
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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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引用本文的文献

[1]
Traditional and Complementary Approaches in Combating Central Sensitisation of Pain in Osteoarthritis: Trends and Advances.

Ann Neurosci. 2025-8-9

[2]
Signal Transduction Pathways Involved in Acupuncture-Mediated Inhibition of Synovitis in Knee Osteoarthritis: A Comprehensive Review.

Int J Gen Med. 2025-7-29

[3]
Clinical expert statement on osteoarthritis: diagnosis and therapeutic choices.

Reumatologia. 2025-4-1

[4]
The causal relationship between emotions and osteoarthritis: A bidirectional Mendelian randomization study.

Medicine (Baltimore). 2025-5-23

[5]
Widespread and prolonged pain may reduce brain clearance capacity only via sleep impairment: Evidence from participants with knee pain.

J Pain. 2025-5

[6]
Transcutaneous vagus nerve stimulation as a pain modulator in knee osteoarthritis: a randomized controlled clinical trial.

BMC Musculoskelet Disord. 2025-1-20

[7]
Predictive analysis of osteoarthritis and chronic pancreatitis comorbidity: complications and risk factors.

Front Endocrinol (Lausanne). 2024

[8]
Chemokine CXCL13-CXCR5 signaling in neuroinflammation and pathogenesis of chronic pain and neurological diseases.

Cell Mol Biol Lett. 2024-10-29

[9]
Impact of Chondrocyte Inflammation on Glial Cell Activation: The Mediating Role of Nitric Oxide.

Cartilage. 2024-10-29

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