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从急性疼痛到慢性疼痛转变过程中的神经可塑性。

Neuroplasticity in the transition from acute to chronic pain.

作者信息

Song Qingbiao, E Sihan, Zhang Zhiyu, Liang Yingxia

机构信息

School of Anesthesiology, Shandong Second Medical University, Weifang 261053, China.

Department of Orthopedics, Affiliated Hospital of Shandong Second Medical University, Weifang 261035, China.

出版信息

Neurotherapeutics. 2024 Oct;21(6):e00464. doi: 10.1016/j.neurot.2024.e00464. Epub 2024 Oct 21.

Abstract

Acute pain is a transient sensation that typically serves as part of the body's defense mechanism. However, in certain patients, acute pain can evolve into chronic pain, which persists for months or even longer. Neuroplasticity refers to the capacity for variation and adaptive alterations in the morphology and functionality of neurons and synapses, and it plays a significant role in the transmission and modulation of pain. In this paper, we explore the molecular mechanisms and signaling pathways underlying neuroplasticity during the transition of pain. We also examine the effects of neurotransmitters, inflammatory mediators, and central sensitization on neuroplasticity, as well as the potential of neuroplasticity as a therapeutic strategy for preventing chronic pain. The aims of this article is to clarify the role of neuroplasticity in the transformation from acute pain to chronic pain, with the hope of providing a novel theoretical basis for unraveling the pathogenesis of chronic pain and offering more effective strategies and approaches for its diagnosis and treatment.

摘要

急性疼痛是一种短暂的感觉,通常作为身体防御机制的一部分。然而,在某些患者中,急性疼痛可能会演变成慢性疼痛,持续数月甚至更长时间。神经可塑性是指神经元和突触的形态与功能发生变化及适应性改变的能力,它在疼痛的传递和调节中起重要作用。在本文中,我们探讨疼痛转变过程中神经可塑性的分子机制和信号通路。我们还研究神经递质、炎症介质和中枢敏化对神经可塑性的影响,以及神经可塑性作为预防慢性疼痛治疗策略的潜力。本文旨在阐明神经可塑性在从急性疼痛转变为慢性疼痛过程中的作用,以期为揭示慢性疼痛的发病机制提供新的理论基础,并为其诊断和治疗提供更有效的策略和方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa2c/11585895/2b3d7151e606/gr1.jpg

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