Physiology of Visceral Pain DOI

Gerald F. Gebhart,

Klaus Bielefeldt

Comprehensive physiology, Journal Year: 2016, Volume and Issue: unknown, P. 1609 - 1633

Published: Sept. 15, 2016

Pain involving thoracic, abdominal, or pelvic organs is a common cause for physician consultations, including one-third of chronic pain patients who report that visceral contribute to their suffering. Chronic conditions are typically difficult manage effectively, largely because sensory mechanisms and factors the pathogenesis poorly understood. Mechanistic understanding particularly problematic in "functional" diseases where there no apparent pathology principal complaint. We review here anatomical organization innervation distinguishes viscera from all other tissues body. The innervated by two nerves share overlapping functions, but also possess notably distinct functions. Additionally, sparse relative tissues. Accordingly, sensations tend be diffuse character, referred nonvisceral somatic structures thus localize. Early arguments about whether were ("sensate") later, nociceptors, resolved advances reviewed functional attributes receptive endings (i.e., nociceptors). Importantly, contribution plasticity sensitization) peripheral central nociceptive considered context persistent, conditions. concludes with an overview anatomy processing. © 2016 American Physiological Society. Compr Physiol 6:1609-1633, 2016.

Language: Английский

Gut feelings: the emerging biology of gut–brain communication DOI
Erik Mayer

Nature reviews. Neuroscience, Journal Year: 2011, Volume and Issue: 12(8), P. 453 - 466

Published: July 13, 2011

Language: Английский

Citations

1533

Pain regulation by non-neuronal cells and inflammation DOI Open Access
Ru‐Rong Ji, Alexander Chamessian,

Yu‐Qiu Zhang

et al.

Science, Journal Year: 2016, Volume and Issue: 354(6312), P. 572 - 577

Published: Nov. 3, 2016

Acute pain is protective and a cardinal feature of inflammation. Chronic after arthritis, nerve injury, cancer, chemotherapy associated with chronic neuroinflammation, local inflammation in the peripheral or central nervous system. Accumulating evidence suggests that non-neuronal cells such as immune cells, glial keratinocytes, cancer stem play active roles pathogenesis resolution pain. We review how interact nociceptive neurons by secreting neuroactive signaling molecules modulate Recent studies also suggest bacterial infections regulate through direct actions on sensory neurons, specific receptors are present nociceptors to detect danger signals from infections. discuss new therapeutic strategies control neuroinflammation for prevention treatment

Language: Английский

Citations

1093

Neuroinflammation and Central Sensitization in Chronic and Widespread Pain DOI
Ru‐Rong Ji, Andrea G. Nackley, Yul Huh

et al.

Anesthesiology, Journal Year: 2018, Volume and Issue: 129(2), P. 343 - 366

Published: Feb. 16, 2018

Abstract Chronic pain is maintained in part by central sensitization, a phenomenon of synaptic plasticity, and increased neuronal responsiveness pathways after painful insults. Accumulating evidence suggests that sensitization also driven neuroinflammation the peripheral nervous system. A characteristic feature activation glial cells, such as microglia astrocytes, spinal cord brain, leading to release proinflammatory cytokines chemokines. Recent studies suggest chemokines are powerful neuromodulators play sufficient role inducing hyperalgesia allodynia system administration. Sustained increase promotes chronic widespread affects multiple body sites. Thus, drives via sensitization. We discuss sex-dependent glial/immune signaling new therapeutic approaches control for resolution pain.

Language: Английский

Citations

1085

Glia and pain: Is chronic pain a gliopathy? DOI
Ru‐Rong Ji, Temugin Berta, Maiken Nedergaard

et al.

Pain, Journal Year: 2013, Volume and Issue: 154(Supplement 1), P. S10 - S28

Published: June 20, 2013

Activation of glial cells and neuro-glial interactions are emerging as key mechanisms underlying chronic pain. Accumulating evidence has implicated 3 types in the development maintenance pain: microglia astrocytes central nervous system (CNS), satellite dorsal root trigeminal ganglia. Painful syndromes associated with different activation states: (1) reaction (ie, upregulation markers such IBA1 fibrillary acidic protein (GFAP) and/or morphological changes, including hypertrophy, proliferation, modifications networks); (2) phosphorylation mitogen-activated kinase signaling pathways; (3) adenosine triphosphate chemokine receptors hemichannels downregulation glutamate transporters; (4) synthesis release mediators (eg, cytokines, chemokines, growth factors, proteases) to extracellular space. Although widely detected pain resulting from nerve trauma, inflammation, cancer, chemotherapy rodents, more recently, human immunodeficiency virus-associated neuropathy beings, (activation state 1) is not thought mediate sensitivity directly. Instead, states 2 4 have been demonstrated enhance via a number synergistic interactions. Glial shown powerfully modulate excitatory inhibitory synaptic transmission at presynaptic, postsynaptic, extrasynaptic sites. also occurs acute conditions, opioid treatment activates peripheral glia mask analgesia. Thus, could be result "gliopathy," that is, dysregulation functions system. In this review, we provide an update on recent advances discuss remaining questions.

Language: Английский

Citations

1065

Cell transplantation therapy for spinal cord injury DOI
Peggy Assinck, Greg J. Duncan, Brett J. Hilton

et al.

Nature Neuroscience, Journal Year: 2017, Volume and Issue: 20(5), P. 637 - 647

Published: April 25, 2017

Language: Английский

Citations

773

Central mechanisms of pathological pain DOI
Rohini Kuner

Nature Medicine, Journal Year: 2010, Volume and Issue: 16(11), P. 1258 - 1266

Published: Oct. 14, 2010

Language: Английский

Citations

732

TFOS DEWS II pain and sensation report DOI
Carlos Belmonte, Jason J. Nichols,

Stephanie Cox

et al.

The Ocular Surface, Journal Year: 2017, Volume and Issue: 15(3), P. 404 - 437

Published: July 1, 2017

Language: Английский

Citations

533

Roles of inflammation, neurogenic inflammation, and neuroinflammation in pain DOI
Megumi Matsuda, Yul Huh, Ru‐Rong Ji

et al.

Journal of Anesthesia, Journal Year: 2018, Volume and Issue: 33(1), P. 131 - 139

Published: Nov. 17, 2018

Language: Английский

Citations

429

Reward and motivation in pain and pain relief DOI
Edita Navratilova, Frank Porreca

Nature Neuroscience, Journal Year: 2014, Volume and Issue: 17(10), P. 1304 - 1312

Published: Sept. 25, 2014

Language: Английский

Citations

427

An artificial nociceptor based on a diffusive memristor DOI Creative Commons
Jung Ho Yoon, Zhongrui Wang, Kyung Min Kim

et al.

Nature Communications, Journal Year: 2018, Volume and Issue: 9(1)

Published: Jan. 23, 2018

A nociceptor is a critical and special receptor of sensory neuron that able to detect noxious stimulus provide rapid warning the central nervous system start motor response in human body humanoid robotics. It differs from other common receptors with its key features functions, including "no adaptation" "sensitization" phenomena. In this study, we propose experimentally demonstrate an artificial based on diffusive memristor dynamics for first time. Using nociceptor, further built alarm feasibility simplicity integrating such novel devices intelligence systems, as robots.

Language: Английский

Citations

411