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P 物质对慢性疼痛和精神疾病的影响——叙述性综述。

Substance P's Impact on Chronic Pain and Psychiatric Conditions-A Narrative Review.

机构信息

Department of Anesthesiology, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA.

Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA.

出版信息

Int J Mol Sci. 2024 May 28;25(11):5905. doi: 10.3390/ijms25115905.

Abstract

Substance P (SP) plays a crucial role in pain modulation, with significant implications for major depressive disorder (MDD), anxiety disorders, and post-traumatic stress disorder (PTSD). Elevated SP levels are linked to heightened pain sensitivity and various psychiatric conditions, spurring interest in potential therapeutic interventions. In chronic pain, commonly associated with MDD and anxiety disorders, SP emerges as a key mediator in pain and emotional regulation. This review examines SP's impact on pain perception and its contributions to MDD, anxiety disorders, and PTSD. The association of SP with increased pain sensitivity and chronic pain conditions underscores its importance in pain modulation. Additionally, SP influences the pathophysiology of MDD, anxiety disorders, and PTSD, highlighting its potential as a therapeutic target. Understanding SP's diverse effects provides valuable insights into the mechanisms underlying these psychiatric disorders and their treatment. Further research is essential to explore SP modulation in psychiatric disorders and develop more effective treatment strategies.

摘要

P 物质(SP)在疼痛调节中起着至关重要的作用,对重度抑郁症(MDD)、焦虑症和创伤后应激障碍(PTSD)有重大影响。SP 水平升高与疼痛敏感性增加和各种精神疾病有关,这激发了对潜在治疗干预的兴趣。在与 MDD 和焦虑症相关的慢性疼痛中,SP 成为疼痛和情绪调节的关键介质。本综述探讨了 SP 对疼痛感知的影响及其对 MDD、焦虑症和 PTSD 的贡献。SP 与疼痛敏感性增加和慢性疼痛疾病的关联突显了其在疼痛调节中的重要性。此外,SP 影响 MDD、焦虑症和 PTSD 的病理生理学,突出了其作为治疗靶点的潜力。了解 SP 的多种作用为这些精神疾病及其治疗的机制提供了有价值的见解。进一步的研究对于探索 SP 在精神疾病中的调节作用以及开发更有效的治疗策略至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/400e/11172719/b5de30ae4185/ijms-25-05905-g001.jpg

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