疼痛和衰老:在神经炎症和行为方面,这是一个独特的挑战
Shishu Pal Singh1, Josee Guindon2, Prapti H Mody1
1Neuroimmunology and Behavior Laboratory, Department of Neuroscience, Center for Advanced Pain Studies (CAPS), School of Behavioral and Brain Sciences, University of Texas at Dallas, Richardson, TX, USA.
Molecular pain
|September 8, 2023
概括
慢性疼痛显著影响老年人,老龄化不同影响神经可塑性和炎症. 了解这些复杂的相互作用对于这种人群的有效疼痛管理至关重要.
科学领域:
- 老年学是一门学科.
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
背景情况:
- 慢性疼痛是老年人的普遍和昂贵的健康问题,随着年龄的增长而增加.
- 性差异,慢性炎症和神经可塑性在与衰老相关的疼痛中的相互作用尚未完全理解.
- 由于老化模型选择的挑战,现有研究提出了相互矛盾的数据.
研究的目的:
- 审查老年人慢性疼痛的临床前和临床数据.
- 为了确定与衰老相关的疼痛机制的知识差距.
- 为未来的研究和临床实践提供信息.
主要方法:
- 临床前研究的系统审查.
- 对老龄人口慢性疼痛的临床数据的分析.
- 在疼痛处理中检查神经可塑性和炎症.
主要成果:
- 神经退行性疾病可能会减少疼痛反应中的神经可塑性.
- 与衰老相关的炎症增加了中枢神经系统 (CNS) 的敏感性,但降低了周围神经系统 (PNS) 的敏感性.
- 在老化模型中存在关于疼痛处理和行为结果的相互矛盾的数据.
结论:
- 需要进一步的临床前研究来阐明与衰老相关的疼痛机制.
- 改进的衰老模型对于将发现转化为人类慢性疼痛至关重要.
- 解决性别差异,炎症和神经可塑性是管理老年人疼痛的关键.
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