Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: May 25, 2023
Postherpetic
neuralgia
(PHN)
is
a
debilitating
complication
of
herpes
zoster,
characterized
by
persistent
neuropathic
pain
that
significantly
impairs
patients'
quality
life.
Identifying
factors
determine
PHN
susceptibility
crucial
for
its
management.
Interleukin-18
(IL-18),
pro-inflammatory
cytokine
implicated
in
chronic
pain,
may
play
critical
role
development.In
this
study,
we
conducted
bidirectional
two-sample
Mendelian
randomization
(MR)
analyses
to
assess
genetic
relationships
and
potential
causal
associations
between
IL-18
protein
levels
increasing
risk,
utilizing
genome-wide
association
study
(GWAS)
datasets
on
these
traits.
Two
obtained
from
the
EMBL's
European
Bioinformatics
Institute
database
which
contained
21,758
individuals
with
13,102,515
SNPs
Complete
GWAS
summary
data
3,394
5,270,646
SNPs.
The
dataset
FinnGen
biobank
had
195,191
16,380,406
SNPs.Our
findings
two
different
suggest
correlation
genetically
predicted
elevations
an
increased
PHN.(IVW,
OR
95%
CI:
2.26,
1.07
4.78;
p
=
0.03
2.15,
1.10
4.19;
=0.03,
respectively),
potentially
indicating
effect
risk.
However,
did
not
detect
any
liability
risk
levels.These
new
insights
into
identifying
at
developing
aid
development
novel
prevention
treatment
approaches
PHN.
Chemical Reviews,
Journal Year:
2018,
Volume and Issue:
119(2), P. 1519 - 1624
Published: Nov. 29, 2018
The
immune
system
deploys
a
multitude
of
innate
and
adaptive
mechanisms
not
only
to
ward
off
pathogens
but
also
prevent
malignant
transformation
("immune
surveillance").
Hence,
clinically
apparent
tumor
already
reflects
selection
for
those
cell
clones
capable
evading
recognition
evasion").
Metal
drugs,
besides
their
well-investigated
cytotoxic
anticancer
effects,
massively
interact
with
the
cancer-immune
interface
can
reverse
important
aspects
evasion.
This
topic
has
recently
gained
intense
attention
based
on
combination
approaches
immunotherapy
(e.g.,
checkpoint
inhibitors),
strategy
delivering
first
exciting
results
in
clinical
settings.
review
summarizes
promising
still
extremely
fragmentary
knowledge
interplay
metal
drugs
fidelity
responses
role
adverse
effects.
It
highlights
that,
at
least
some
cases,
induce
long-lasting
responses.
Important
steps
this
process
comprise
altered
visibility
susceptibility
cancer
cells
toward
immunity,
as
well
direct
impacts
populations
microenvironment.
On
basis
gathered
information,
we
suggest
initiating
joint
multidisciplinary
programs
implement
comprehensive
analyses
into
strategies
develop
novel
smart
compounds.
CNS Drugs,
Journal Year:
2021,
Volume and Issue:
35(9), P. 935 - 963
Published: June 18, 2021
Epilepsy
is
one
of
the
most
common
and
disabling
chronic
neurological
disorders.
Antiseizure
medications
(ASMs),
previously
referred
to
as
anticonvulsant
or
antiepileptic
drugs,
are
mainstay
symptomatic
epilepsy
treatment.
a
multifaceted
complex
disease
so
its
Currently,
about
30
ASMs
available
for
therapy.
Furthermore,
several
approved
therapies
in
nonepileptic
conditions,
including
neuropathic
pain,
migraine,
bipolar
disorder,
generalized
anxiety
disorder.
Because
this
wide
spectrum
therapeutic
activity,
among
often
prescribed
centrally
active
agents.
Most
act
by
modulation
voltage-gated
ion
channels;
enhancement
gamma
aminobutyric
acid-mediated
inhibition;
through
interactions
with
elements
synaptic
release
machinery;
blockade
ionotropic
glutamate
receptors;
combinations
these
mechanisms.
differences
their
mechanisms
action,
do
not
suppress
all
types
seizures,
appropriate
treatment
choices
important.
The
goal
therapy
complete
elimination
seizures;
however,
achievable
one-third
patients.
Both
vivo
vitro
models
seizures
used
discover
that
more
effective
patients
continued
drug-resistant
seizures.
specific
etiology
being
developed.
~
new
compounds
diverse
antiseizure
preclinical
clinical
drug
development
pipeline.
Moreover,
potential
antiepileptogenic
disease-modifying
effects
development.
Overall,
world
changing
evolving
many
exciting
important
ways.
However,
while
developed,
knowledge
pharmacokinetics,
efficacy
spectrum,
adverse
effect
profiles
currently
an
essential
component
treating
successfully
maintaining
high
quality
life
every
patient,
particularly
those
receiving
polypharmacy
Cell and Tissue Research,
Journal Year:
2018,
Volume and Issue:
375(1), P. 227 - 241
Published: Oct. 3, 2018
Substance
P
(SP)
is
a
highly
conserved
member
of
the
tachykinin
peptide
family
that
widely
expressed
throughout
animal
kingdom.
The
numerous
members
are
involved
in
multitude
neuronal
signaling
pathways,
mediating
sensations
and
emotional
responses
(Steinhoff
et
al.
Physiol
Rev
94:265–301,
2014).
In
contrast
to
receptors
for
classical
transmitters,
such
as
glutamate
(Parsons
Handb
Exp
Pharmacol
249–303,
2005),
only
minority
neurons
certain
brain
areas
express
neurokinin
(NKRs)
(Mantyh
J
Clin
Psychiatry
63:6–10,
2002).
SP
also
by
variety
non-neuronal
cell
types
microglia,
well
immune
cells
(Mashaghi
Cell
Mol
Life
Sci
73:4249–4264,
2016).
an
11-amino
acid
neuropeptide
preferentially
activates
neurokinin-1
receptor
(NK1R).
It
transmits
nociceptive
signals
via
primary
afferent
fibers
spinal
brainstem
second-order
(Cao
Nature
392:390–394,
1998).
Compounds
inhibit
SP's
action
being
investigated
potential
drugs
relieve
pain.
More
recently,
NKR
have
gained
attention
their
role
complex
psychiatric
processes.
key
goal
field
pain
research
understand
mechanisms
transition
between
acute
chronic
influence
cognitive
inputs
feedbacks
from
different
makes
not
perception
but
experience
(Zieglgänsberger
CNS
Spectr
10:298–308,
2005;
Trenkwaldner
Sleep
Med
31:78–85,
2017).
This
review
focuses
on
functional
plasticity
dorsal
horn
major
relay
information.
International Journal of Molecular Sciences,
Journal Year:
2021,
Volume and Issue:
22(13), P. 7112 - 7112
Published: July 1, 2021
Chronic
orofacial
pain
conditions
can
be
particularly
difficult
to
diagnose
and
treat
because
of
their
complexity
limited
understanding
the
mechanisms
underlying
aetiology
pathogenesis.
Furthermore,
there
is
considerable
variability
between
individuals
in
susceptibility
risk
factors
predisposing
them
development
maintenance
chronic
as
well
expression
features
such
allodynia,
hyperalgesia
extraterritorial
sensory
spread.
The
suggests
that
genetic
environmental
may
contribute
pain.
This
article
reviews
these
pain,
outlines
findings
from
studies
animal
models
behavioural
characteristics
related
trigeminal
neuropathic
particular.
review
also
considers
role
especially
models,
focussing
on
differences
strains
These
are
not
only
relevant
patients
development,
but
underscore
importance
for
considering
strain
model
explore
processes.
Neurotherapeutics,
Journal Year:
2020,
Volume and Issue:
17(3), P. 874 - 885
Published: July 1, 2020
Pain
is
a
percept
of
critical
importance
to
our
daily
survival.
In
most
cases,
it
serves
both
an
adaptive
function
by
helping
us
respond
appropriately
in
potentially
hostile
environment
and
also
protective
role
alerting
tissue
damage.
Normally,
evoked
the
activation
peripheral
nociceptive
nerve
endings
subsequent
relay
information
distinct
cortical
sub-cortical
regions,
but
under
pathological
conditions
that
result
chronic
pain,
can
become
spontaneous.
Given
one
three
pain
patients
do
not
treatments
currently
available,
need
for
more
effective
analgesics
evident.
Two
principal
obstacles
development
novel
analgesic
therapies
are
limited
understanding
how
neuronal
circuits
comprise
these
pathways
transmit
modulate
sensory
normal
circumstances
change
leading
states.
this
review,
we
focus
on
inhibitory
interneurons
setting
thresholds
and,
particular,
disinhibition
spinal
dorsal
horn
lead
aberrant
processing
associated
with
Frontiers in Pain Research,
Journal Year:
2021,
Volume and Issue:
2
Published: Aug. 25, 2021
Intractable
neuropathic
pain
is
a
frequent
consequence
of
nerve
injury
or
disease.
When
peripheral
nerves
are
injured,
damaged
axons
undergo
Wallerian
degeneration.
Schwann
cells,
mast
fibroblasts,
keratinocytes
and
epithelial
cells
activated
leading
to
the
generation
an
"inflammatory
soup"
containing
cytokines,
chemokines
growth
factors.
These
primary
mediators
sensitize
sensory
endings,
attract
macrophages,
neutrophils
lymphocytes,
alter
gene
expression,
promote
post-translational
modification
proteins,
ion
channel
function
in
afferent
neurons.
This
leads
increased
excitability
spontaneous
activity
secondary
including
colony
stimulating
factor
1
(CSF-1),
chemokine
C-C
motif
ligand
21
(CCL-21),
Wnt3a,
Wnt5a.
Release
these
from
neurons
alters
properties
spinal
microglial
causing
them
release
tertiary
mediators,
many
situations
Molecular Pain,
Journal Year:
2021,
Volume and Issue:
17
Published: Jan. 1, 2021
Microglia
activation
and
subsequent
pro-inflammatory
responses
play
a
key
role
in
the
development
of
neuropathic
pain.
The
process
microglia
polarization
towards
phenotype
often
occurs
during
neuroinflammation.
Recent
studies
have
demonstrated
an
active
for
gut
microbiota
promoting
microglial
full
maturation
inflammatory
capabilities
via
production
Short-Chain
Fatty
Acids
(SCFAs).
However,
it
remains
unclear
whether
SCFAs
is
involved
pro-inflammatory/anti-inflammatory
phenotypes
In
present
study,
chronic
constriction
injury
(CCI)
was
used
to
induce
pain
mice,
mechanical
withdrawal
threshold,
thermal
hyperalgesia
were
accomplished.
levels
markers
including
ionized
calcium-binding
adaptor
molecule
1
(Iba1),
cluster
differentiation
11b
(CD11b),
CD68,
interleukin-1β
(IL-1β),
tumor
necrosis
factor-α
(TNF-α),
anti-inflammatory
CD206,
IL-4
hippocampus
spinal
cord
determined
on
day
21
after
CCI.
results
showed
that
CCI
produced
allodynia
hyperalgesia,
also
increased
expressions
(Iba1,
CD11b)
(CD68,
IL-1β,
TNF-α),
but
not
marker
(CD206,
IL-4)
cord,
accompanied
by
gut.
Notably,
antibiotic
administration
reversed
these
abnormalities,
its
effects
bloked
administration.
conclusion,
data
from
our
study
suggest
can
lead
while
pathogenesis
regulating
polarization.
Antibiotic
may
be
new
treatment
reducing
further
inhibiting
Frontiers in Pain Research,
Journal Year:
2023,
Volume and Issue:
4
Published: Sept. 22, 2023
Neuropathic
pain
can
result
from
injury
to,
or
disease
of
the
nervous
system.
It
is
notoriously
difficult
to
treat.
Peripheral
nerve
promotes
Schwann
cell
activation
and
invasion
immunocompetent
cells
into
site
injury,
spinal
cord
higher
sensory
structures
such
as
thalamus
cingulate
cortices.
Various
cytokines,
chemokines,
growth
factors,
monoamines
neuropeptides
effect
two-way
signalling
between
neurons,
glia
immune
cells.
This
sustained
hyperexcitability
spontaneous
activity
in
primary
afferents
that
crucial
for
onset
persistence
well
misprocessing
information
supraspinal
structures.
Much
current
understanding
aetiology
identification
drug
targets
derives
studies
consequences
peripheral
rodent
models.
Although
a
vast
amount
has
been
forthcoming,
translation
this
clinical
arena
minimal.
Few,
if
any,
major
therapeutic
approaches
have
appeared
since
mid
1990's.
may
reflect
failure
recognise
differences
processing
males
vs.
females,
cellular
responses
different
types
humans
animals.
Basic
science
which
seek
bridge
knowledge
gap
include
better
assessment
animal
models,
use
models
emulate
human
disease,
stratification
phenotypes
according
quantitative
signs
symptoms
disease.
lead
more
personalized
effective
treatments
individual
patients.
Significance
statement:
There
an
urgent
need
find
new
neuropathic
pain.
classical
revealed
essential
features
central
sensitization
some
molecular
mechanisms
involved,
they
do
not
adequately
model
multiplicity
states
injuries
bring
forth
clinic.
review
seeks
integrate
disciplines
understand
pain;
including
immunology,
biology,
electrophysiology
biophysics,
anatomy,
neurology,
pharmacology
behavioral
science.
Beyond
this,
it
underlines
ongoing
refinements
basic
practice
will
engender
improved
management.