疼痛感知和大脑调制的性别差异:岛内皮层刺激对慢性疼痛缓解的影响
Minjee Kwon1, Kyeongmin Kim2,3, Young-Ji Eum4
1Department of Nursing, Kyungil University, Gyeongsan 38428, Republic of Korea.
Brain communications
|October 6, 2025
概括
慢性疼痛对男性和女性的大脑路径的影响不同. 岛内皮层刺激揭示了不同的性别特异的神经回路反应,指导个性化疼痛治疗.
科学领域:
- 神经科学是一个神经科学.
- 疼痛研究 疼痛研究
- 医学中的性别差异.
背景情况:
- 慢性疼痛机制和大脑激活中的性别特异性差异尚未完全理解.
- 岛内皮层在疼痛处理中的作用及其对男性和女性神经通路的差异影响需要进一步研究.
研究的目的:
- 在慢性神经病痛的小鼠模型中,研究岛内皮层刺激诱导的疼痛调节电路的性别依赖差异.
主要方法:
- 在雄性和雌性大鼠中诱导了神经病痛.
- 岛内皮层刺激被应用,随后评估疼痛敏感性 (机械度).
- 使用扩散张力成像 (DTI) 分析了功能性大脑连接,以计算分数异构 (FA) 值.
主要成果:
- 在慢性疼痛状态下,两性都显示了FA值的降低,而女性则显示了腹部后部乳头核-杏仁核通路的更大降低.
- 在岛内皮层刺激后,男性的FA值比女性显著增加.
- 在多个途径中观察到FA值的显著性别差异,包括腹腔后部乳头核-前环皮质和主要体感皮质-前额皮质.
结论:
- 岛内皮层刺激引起与慢性疼痛调节相关的大脑连接的明显的性别特异性变化.
- 这些发现强调了将性视为生物学变量在理解和治疗慢性疼痛方面的重要性.
- 了解这些与性别相关的差异可以帮助制定针对慢性疼痛管理的量身定制干预措施,并改善患者的治疗结果.
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