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Published on: September 7, 2019
Purinergic systems, neuropathic pain and the role of microglia
1Department of Molecular and System Pharmacology, Graduate School of Pharmaceutical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi, Fukuoka 812-8582, Japan. inoue@phar.kyushu-u.ac.jp
Abstract:
We have learned various data on the role of purinoceptors (P2X4, P2X7, P2Y6 and P2Y12) expressed in spinal microglia and several factors that presumably activate microglia in neuropathic pain after peripheral nerve injury. Purinergic receptor-mediated spinal microglial functions make a critical contribution to pathologically enhanced pain processing in the dorsal horn. Microglial purinoceptors might be promising targets for treating neuropathic pain. A predicted therapeutic benefit of interfering with microglial purinergic receptors may be that normal pain sensitivity would be unaffected since expression or activity of most of these receptors are upregulated or enhanced predominantly in activated microglia in the spinal cord where damaged sensory fibers project.
Insights
Spinal microglia purinoceptors are key players in neuropathic pain after nerve injury. Targeting these receptors may offer pain relief without affecting normal pain sensitivity.
Area of Science:
- Neuroscience
- Pharmacology
Background:
- Neuropathic pain arises from peripheral nerve injury, involving complex spinal cord mechanisms.
- Spinal microglia, immune cells in the central nervous system, are activated in neuropathic pain states.
- Purinergic receptors (P2X4, P2X7, P2Y6, P2Y12) are expressed on microglia and implicated in pain signaling.
Purpose of the Study:
- To investigate the role of specific microglial purinergic receptors in neuropathic pain.
- To explore the potential of targeting these receptors for therapeutic intervention.
Main Methods:
- Analysis of purinoceptor expression and function in spinal microglia following peripheral nerve injury.
- Investigating the contribution of purinergic signaling to enhanced pain processing in the dorsal horn.
Main Results:
- Microglial purinergic receptors significantly contribute to the pathological processing of pain signals in the dorsal horn.
- Upregulation or enhanced activity of these receptors is predominantly observed in activated microglia.
Conclusions:
- Microglial purinergic receptors are critical mediators of neuropathic pain.
- Targeting these receptors presents a promising strategy for treating neuropathic pain, potentially sparing normal pain sensitivity.
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