在过渡到慢性疼痛的过程中,性别差异
Angela F Smith1, Ashley N Plumb2, Giovanni Berardi1
1Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa, USA.
The Journal of clinical investigation
|June 2, 2025
概括
慢性疼痛不成比例地影响女性. 需要进行研究,以了解驱动从急性疼痛过渡到慢性疼痛的性别特异生物机制,从而影响治疗策略.
科学领域:
- 疼痛研究 疼痛研究
- 医学中的性别差异
- 翻译性疼痛科学
背景情况:
- 慢性疼痛影响超过5000万美国人,女性经历的严重程度和残疾更大.
- 从急性疼痛过渡到慢性疼痛是多因素的,通常是在受伤或手术后.
- 有限的临床研究存在于慢性疼痛预测因子和生物标志物的性别差异.
研究的目的:
- 审查临床和临床前文献关于性差异在过渡到慢性疼痛.
- 确定外周,中枢神经系统和内分泌系统的性别特异性机制.
- 突出研究缺口,并建议未来的方向.
主要方法:
- 临床研究和慢性疼痛的临床前动物模型的审查.
- 在多个生物系统中研究性别特异性机制的研究分析.
- 对外围,中枢神经系统和内分泌因素的证据综合.
主要成果:
- 临床前模型揭示了慢性疼痛发展的新兴男性特异性和女性特异性机制.
- 有证据表明,共同和独特的生物学途径都会导致男性和女性的慢性疼痛.
- 性别差异在周边,免疫系统,中枢神经系统和内分泌系统中被观察到.
结论:
- 了解性别特异性机制对于开发有针对性的慢性疼痛疗法至关重要.
- 需要进一步的临床和临床前研究来阐明慢性疼痛过渡中的性别差异.
- 未来的研究应该专注于确定慢性疼痛的性别特异性预测因子和生物标志物.
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