García-Domínguez Mario
Program of Immunology and Immunotherapy, CIMA-Universidad de Navarra, 31008 Pamplona, Spain.
Department of Immunology and Immunotherapy, Clínica Universidad de Navarra, 31008 Pamplona, Spain.
Biomedicines. 2025 Jan 11;13(1):165. doi: 10.3390/biomedicines13010165.
Fibromyalgia represents a chronic pain disorder characterized by musculoskeletal pain, fatigue, and cognitive impairments. The exact mechanisms underlying fibromyalgia remain undefined; as a result, diagnosis and treatment present considerable challenges. On the other hand, the endogenous opioid system is believed to regulate pain intensity and emotional responses; hence, it might be expected to play a key role in the enhanced sensitivity experienced by fibromyalgia patients. One explanation for the emergence of disrupted pain modulation in individuals with fibromyalgia is a significant reduction in opioid receptor activity or an imbalance in the levels of endogenous opioid peptides. Further research is essential to clarify the complex details of the mechanisms underlying this abnormality. This complexity arises from the notion that an improved understanding could contribute to the development of innovative therapeutic strategies aimed at targeting the endogenous opioid system in the context of fibromyalgia. Although progress is being made, a complete understanding of these complexities remains a significant challenge. This paradigm has the potential to revolutionize the complex management of fibromyalgia, although its implementation may experience challenges. The effectiveness of this approach depends on multiple factors, but the implications could be profound. Despite the challenges involved in this transformation, the potential for improving patient care is considerable, as this condition has long been inadequately treated.
纤维肌痛是一种慢性疼痛疾病,其特征为肌肉骨骼疼痛、疲劳和认知障碍。纤维肌痛的确切发病机制尚不清楚;因此,诊断和治疗面临相当大的挑战。另一方面,内源性阿片系统被认为可调节疼痛强度和情绪反应;因此,它可能在纤维肌痛患者所经历的疼痛敏感性增强中起关键作用。纤维肌痛患者疼痛调节功能紊乱的一种解释是阿片受体活性显著降低或内源性阿片肽水平失衡。进一步的研究对于阐明这种异常现象背后机制的复杂细节至关重要。这种复杂性源于这样一种观念,即更深入的理解可能有助于开发针对纤维肌痛背景下内源性阿片系统的创新治疗策略。尽管正在取得进展,但全面理解这些复杂性仍然是一项重大挑战。这种模式有可能彻底改变纤维肌痛的复杂管理方式,尽管其实施可能会遇到挑战。这种方法的有效性取决于多个因素,但其影响可能是深远的。尽管这种转变面临挑战,但改善患者护理的潜力相当大,因为这种疾病长期以来一直未得到充分治疗。