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探索病毒性神经病理性疼痛:分子机制与治疗意义

Exploring viral neuropathic pain: Molecular mechanisms and therapeutic implications.

作者信息

Xu Songchao, Li Huili, Ai Zhangran, Guo Ruijuan, Cheng Hao, Wang Yun

机构信息

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Department of Anesthesiology, Beijing Ditan Hospital, Capital Medical University, Beijing, China.

出版信息

PLoS Pathog. 2024 Aug 8;20(8):e1012397. doi: 10.1371/journal.ppat.1012397. eCollection 2024 Aug.

Abstract

As the Coronavirus Disease 2019 (COVID-19) pandemic continues, there is a growing concern regarding the relationship between viral infections and neuropathic pain. Chronic neuropathic pain resulting from virus-induced neural dysfunction has emerged as a significant issue currently faced. However, the molecular mechanisms underlying this phenomenon remain unclear, and clinical treatment outcomes are often suboptimal. Therefore, delving into the relationship between viral infections and neuropathic pain, exploring the pathophysiological characteristics and molecular mechanisms of different viral pain models, can contribute to the discovery of potential therapeutic targets and methods, thereby enhancing pain relief and improving the quality of life for patients. This review focuses on HIV-related neuropathic pain (HNP), postherpetic neuralgia (PHN), and neuropathic pain caused by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections, examining rodent models and relevant cellular molecular pathways. Through elucidating the connection between viral infections and neuropathic pain, it aims to delineate the current limitations and challenges faced by treatments, thereby providing insights and directions for future clinical practice and research.

摘要

随着2019冠状病毒病(COVID-19)大流行的持续,人们越来越关注病毒感染与神经性疼痛之间的关系。由病毒引起的神经功能障碍导致的慢性神经性疼痛已成为当前面临的一个重大问题。然而,这一现象背后的分子机制仍不清楚,临床治疗效果往往不尽人意。因此,深入研究病毒感染与神经性疼痛之间的关系,探索不同病毒疼痛模型的病理生理特征和分子机制,有助于发现潜在的治疗靶点和方法,从而增强疼痛缓解效果,提高患者生活质量。本综述聚焦于与人类免疫缺陷病毒(HIV)相关的神经性疼痛(HNP)、带状疱疹后神经痛(PHN)以及由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的神经性疼痛,研究啮齿动物模型及相关细胞分子途径。通过阐明病毒感染与神经性疼痛之间的联系,旨在明确当前治疗面临的局限性和挑战,从而为未来的临床实践和研究提供见解和方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d0b9/11309435/4e14122fe68f/ppat.1012397.g001.jpg

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