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慢性内脏痛的病理机制与临床治疗进展

Advances in the pathological mechanisms and clinical treatments of chronic visceral pain.

作者信息

Li Yong-Chang, Zhang Fu-Chao, Xu Timothy W, Weng Rui-Xia, Zhang Hong-Hong, Chen Qian-Qian, Hu Shufen, Gao Rong, Li Rui, Xu Guang-Yin

机构信息

Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, Jiangsu Key Laboratory of Neuropsychiatric Diseases and Institute of Neuroscience, Soochow University, Suzhou, Jiangsu, China.

Translational Medicine Center, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, Jiangsu, China.

出版信息

Mol Pain. 2024 Jan-Dec;20:17448069241305942. doi: 10.1177/17448069241305942.

Abstract

Chronic visceral pain stems from internal organs and is frequently associated with functional gastrointestinal disorders, like irritable bowel syndrome (IBS). Since the underlying mechanisms of visceral pain remain largely unclear, clinical management is often limited and ineffective. Comprehensive research into the pathogenesis of visceral pain, along with the development of personalized therapeutic strategies, is crucial for advancing treatment options. Studies suggest that imbalances in purinergic receptors and neural circuit function are closely linked to the onset of visceral pain. In this review, we will explore the etiology and pathological mechanisms underlying visceral pain, with a focus on ion channels, epigenetic factors, and neural circuits, using functional gastrointestinal disorders as case studies. Finally, we will summarize and evaluate emerging treatments and potential initiatives aimed at managing visceral pain.

摘要

慢性内脏痛源于内部器官,常与功能性胃肠疾病相关,如肠易激综合征(IBS)。由于内脏痛的潜在机制在很大程度上仍不清楚,临床治疗往往有限且无效。对内脏痛发病机制的全面研究以及个性化治疗策略的开发,对于推进治疗方案至关重要。研究表明,嘌呤能受体和神经回路功能的失衡与内脏痛的发作密切相关。在本综述中,我们将以功能性胃肠疾病为案例研究,探讨内脏痛的病因和病理机制,重点关注离子通道、表观遗传因素和神经回路。最后,我们将总结和评估旨在管理内脏痛的新兴治疗方法和潜在举措。

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