生理和病理疼痛的免疫驱动因素
Aakanksha Jain1, Sara Hakim1,2, Clifford J Woolf1,2
1F.M. Kirby Neurobiology Center, Boston Children's Hospital , Boston, MA, USA.
The Journal of experimental medicine
|April 12, 2024
概括
免疫细胞通过与神经元相互作用,显著影响正常和病态疼痛. 针对神经免疫轴提供疼痛治疗潜力,但需要解决临床前测量挑战和性别差异.
科学领域:
- 神经科学是一个神经科学.
- 免疫学 免疫学 免疫学
- 疼痛研究 疼痛研究
背景情况:
- 生理疼痛警告危险,并有助于定位功能障碍.
- 病理性疼痛,例如神经损伤后的慢性疼痛,可能是持久的,使人衰弱的.
- 免疫细胞越来越被认为是疼痛机制的关键参与者.
研究的目的:
- 审查关于免疫细胞与体感神经元在疼痛中介中的相互作用的最新发现.
- 讨论先天性和适应性免疫细胞在疼痛启动,调节和分辨中的作用.
- 突出神经免疫轴作为治疗疼痛管理的治疗目标.
主要方法:
- 关于疼痛中神经免疫相互作用的当前科学文献的综述.
- 分析各种组织 (皮肤,神经,,脊髓) 的免疫细胞如何影响疼痛信号.
- 讨论免疫细胞释放的分子媒介,影响疼痛模式.
主要成果:
- 免疫细胞与皮肤,神经,背部根和脊髓中的神经元相互作用,以调解疼痛.
- 天生的和适应性免疫细胞都会导致疼痛的开始,持续和解决.
- 神经免疫轴在生理和病理疼痛状态中起着基本作用.
结论:
- 神经免疫轴是新型疼痛治疗的有希望的目标.
- 疼痛免疫疗法的开发必须考虑临床前疼痛量化方面的挑战.
- 疼痛的变性差异和免疫调节的潜在不良影响需要仔细考虑.
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