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Chronic pain and neuroinflammation.

Pascale Vergne-Salle1, Philippe Bertin1

  • 1Service de rhumatologie, CHU de Dupuytren 2, 16, rue Bernard-Descottes, 87042 Limoges, France.

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Chronic pain can persist after injury due to central sensitization, a process involving nervous and immune system interactions. This neuroinflammation amplifies pain signals, affecting emotional and cognitive aspects.

Keywords:
AstrocytesCentral sensitizationChronic painImmune systemMicrogliaNeuroinflammation

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Area of Science:

  • Rheumatology
  • Neuroscience
  • Immunology

Background:

  • Chronic pain often arises after musculoskeletal injury, persisting due to central sensitization rather than solely injury progression.
  • Central sensitization involves complex interactions between the nervous and immune systems, leading to amplified pain signaling.
  • Peripheral sensitization, linked to inflammation, involves afferent nerve fibers releasing neurotransmitters that activate microglia.

Purpose of the Study:

  • To describe the pathophysiology of chronic pain.
  • Incorporate the latest scientific data on neuroplasticity and neuroinflammation in chronic pain.
  • Explain the mechanisms of central sensitization and neuroinflammation.

Main Methods:

  • Review of scientific literature on chronic pain pathophysiology.
  • Analysis of data on nervous and immune system interactions.
  • Exploration of neuroplasticity and neuroinflammation in pain signaling.

Main Results:

  • Central sensitization is driven by neuroinflammatory processes initiated by activated microglia.
  • Neuroinflammation amplifies pain hypersensitivity in second-order neurons.
  • Neuroinflammation impacts higher brain structures involved in pain modulation and emotional/cognitive processing.

Conclusions:

  • Central sensitization and neuroinflammation are key mechanisms in chronic pain pathophysiology.
  • Understanding these processes is crucial for developing effective pain management strategies.
  • Latest research highlights the intricate interplay between neuroplasticity and neuroinflammation in persistent pain.