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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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[Neuropathic pain decoded by microglial heterogeneity].

Makoto Tsuda1, Keita Kohno1

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Microglia in the spinal cord play dynamic roles in neuropathic pain. Specific CD11c-positive microglia are crucial for pain remission, highlighting cellular heterogeneity in neurological disease.

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Area of Science:

  • Neuroscience
  • Immunology
  • Pain Research

Context:

  • Neuropathic pain, a chronic pain condition, arises from damage to the somatosensory system.
  • Spinal cord microglia are known to contribute to neuropathic pain onset and maintenance.
  • The heterogeneity of microglial function across different pain phases is increasingly recognized.

Purpose:

  • To investigate the dynamic roles of microglia in the onset, maintenance, and remission phases of neuropathic pain.
  • To characterize the function of CD11c-positive microglia during neuropathic pain remission.

Summary:

  • Microglia in the spinal cord undergo significant changes in morphology, gene expression, and function following nerve damage, contributing to neuropathic pain.
  • A distinct subset, CD11c-positive microglia, emerges during the remission phase and is essential for spontaneous pain remission and maintaining the pain-free state.
  • These findings reveal that microglial roles in neuropathic pain are phase-dependent and not monolithic.

Impact:

  • Suggests that targeting specific microglial subsets could offer novel therapeutic strategies for neuropathic pain.
  • Highlights the importance of understanding microglial heterogeneity for deciphering complex neurological diseases.
  • Provides a foundation for developing new approaches to treat chronic pain and related neurological disorders.