与慢性胸腔切除术后疼痛相关的神经炎症途径:对当前文献的综述
Adham H El Sherbini1, Amin Hasheminia1, Mohamed R Gemae2
1Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Molecular neurobiology
|October 29, 2024
概括
胸切除术后的慢性疼痛涉及神经炎症. 动物模型中涉及7个细胞通路和6个细胞因子,但临床相关性需要进一步研究.
科学领域:
- 疼痛研究 疼痛研究
- 神经炎症是一种神经炎症.
- 细胞信号传输 细胞信号传输
背景情况:
- 胸切除术后的慢性疼痛 (CPTP) 影响了胸部手术后的35-55%的患者.
- 神经炎症和细胞信号通路被怀疑是CPTP病原体的贡献者.
研究的目的:
- 审查目前关于细胞信号通路和CPTP炎症变化的证据.
- 探索这些发现的潜在临床应用.
主要方法:
- 综合的电子文献搜索 (Medline,EMBASE,Cochrane,谷歌学者,临床试验.
- 在CPTP中包括了9项动物模型临床前研究,评估细胞路径或炎症过程.
主要成果:
- 确定了七种细胞通路:NK-1受体,Glutaminase 1,TLR4,Resolvins,Ror-2,Shh,以及Wnt5a/Wnts. 这些通路包括:
- 确定了六种细胞因子:IL-1β,IL-6,IL-8,IL-10,IFN-γ和TNF-α.
- 这些途径和细胞因子与动物模型中CPTP诱导和维持有关.
结论:
- 在动物模型中,多个细胞信号通路和炎症性细胞因子在CPTP神经炎症中起作用.
- 这些发现的临床影响和治疗效用仍需证明.
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