Pain,
Journal Year:
2023,
Volume and Issue:
unknown
Published: Nov. 14, 2023
The
past
20
years
have
seen
a
dramatic
shift
in
our
understanding
of
the
role
immune
system
initiating
and
maintaining
pain.
Myeloid
cells,
including
macrophages,
dendritic
Langerhans
mast
are
increasingly
implicated
bidirectional
interactions
with
nerve
fibres
rodent
pain
models.
However,
human
setting
is
still
poor.
High-dimensional
functional
analyses
substantially
changed
myeloid
cell
classifications,
recently
described
subsets
such
as
epidermal
cells
DC3s
unveiling
new
insight
into
how
interact
fibres.
it
unclear
whether
this
has
informed
study
chronic
In
article,
we
perform
scoping
review
investigating
neuroimmune
between
peripheral
conditions.
We
found
37
papers
from
multiple
states
addressing
aim
skin,
cornea,
nerve,
endometrium,
tumour,
most
investigated.
directionality
results
studies
was
inconsistent,
although
clearest
pattern
an
increase
macrophage
frequency
across
conditions,
phases,
tissues.
definitions
were
often
outdated
lacked
correspondence
stated
types
interest;
overreliance
on
morphology
traditional
structural
markers
gave
limited
characteristics
investigated
cells.
therefore
critically
reappraise
existing
literature
considering
contemporary
biology
advocate
for
application
established
emerging
high-dimensional
proteomic
transcriptomic
single-cell
technologies
to
clarify
specific
The Anatomical Record,
Journal Year:
2022,
Volume and Issue:
305(12), P. 3543 - 3608
Published: Feb. 28, 2022
Abstract
The
skin
is
a
barrier
between
the
internal
and
external
environment
of
an
organism.
Depending
on
species,
it
participates
in
multiple
functions.
organ
that
holds
body
together,
covers
protects
it,
provides
communication
with
its
environment.
It
also
body's
primary
line
defense,
especially
for
anamniotes.
All
vertebrates
have
multilayered
composed
three
main
layers:
epidermis,
dermis,
hypodermis.
vital
mission
integument
aquatic
mucus
secretion.
Cornification
began
apmhibians,
improved
reptilians,
endured
avian
mammalian
epidermis.
feather,
most
ostentatious
functional
structure
skin,
evolved
Mesozoic
period.
After
extinction
dinosaurs,
birds
continued
to
diversify,
followed
by
enlargement,
expansion,
diversification
mammals,
which
brings
us
complicated
organization
mammals
differing
glands,
cells,
physiological
pathways,
evolution
hair.
Throughout
these
radical
changes,
some
features
were
preserved
among
classes
such
as
basic
dermal
structure,
pigment
cell
types,
coloration
genetics,
similar
sensory
features,
enable
track
evolutionary
path.
structural
properties
all
are
presented.
purpose
this
review
go
way
back
agnathans
follow
path
step
up
provide
comparative
large
updated
survey
about
vertebrate
terms
morphology,
physiology,
ecology,
immunology.
Atopic
dermatitis
is
a
chronic
inflammatory
skin
disease.
Patients
with
atopic
experience
lesions
associated
intense
itch
and
pain,
which
lead
to
sleep
disturbance
poor
mental
health
quality
of
life.
We
review
the
molecular
mechanisms
underlying
pain
symptoms
in
discuss
current
clinical
development
treatments
for
moderate-to-severe
dermatitis.
The
pathology
includes
aberrant
immune
activation
involving
significant
cross-talk
among
neuronal
cells.
Exogenous
endogenous
triggers
modulate
stimulation
mediators
including
cytokine/chemokine
expression/release
by
cells,
causes
inflammation,
barrier
disruption,
growth
sensory
neurons,
pain.
These
complex
interactions
cell
types
are
mediated
primarily
cytokines,
but
also
involve
chemokines,
neurotransmitters,
lipids,
proteases,
antimicrobial
peptides,
agonists
ion
channels
or
various
G
protein-coupled
receptors.
have
cytokine
profile
characterised
abnormal
levels
interleukins
4,
12,
13,
18,
22,
31
33;
thymic
stromal
lymphopoietin;
interferon
gamma.
Cytokine
receptors
mainly
signal
through
Janus
kinase/signal
transducer
activator
transcription
pathway.
Among
emerging
novel
therapeutics,
several
kinase
inhibitors
being
developed
topical
systemic
treatment
because
their
potential
expression
release.
changes
gene
that
favourable
effects
on
local
release,
probably
other
mediators,
thus
successfully
modulating
responsible
Nature Communications,
Journal Year:
2023,
Volume and Issue:
14(1)
Published: April 10, 2023
Abstract
Dermal
fibroblasts
and
cutaneous
nerves
are
important
players
in
skin
diseases,
while
their
reciprocal
roles
during
inflammation
have
not
been
characterized.
Here
we
identify
an
inflammation-induced
subset
of
papillary
that
promotes
aberrant
neurite
outgrowth
psoriasiform
by
secreting
the
extracellular
matrix
protein
tenascin-C
(TNC).
Single-cell
analysis
fibroblast
lineages
reveals
a
Tnc
+
with
pro-axonogenesis
neuro-regulation
transcriptomic
hallmarks.
TNC
overexpression
boosts
co-cultured
neurons,
fibroblast-specific
ablation
suppresses
hyperinnervation
alleviates
male
mice
modeling
psoriasis.
γδT
cells,
main
producers
type
17
pathogenic
cytokines,
frequently
contact
nerve
fibers
mouse
lesions
likely
modulated
postsynaptic
signals.
Overall,
our
results
highlight
role
inflammation-responsive
facilitating
neuro-immune
synapse
formation
suggest
potential
avenues
for
future
therapeutic
research.
Frontiers in Neuroscience,
Journal Year:
2024,
Volume and Issue:
17
Published: Feb. 7, 2024
In
the
past
few
decades,
use
of
acupuncture
analgesia
in
clinical
practice
has
increased
worldwide.
This
is
due
to
its
various
benefits,
including
natural
alleviation
pain
without
causing
adverse
effects
associated
with
non-steroidal
anti-inflammatory
drugs
(NSAID)
and
opioids.
The
acupoint
represents
initial
site
stimulation,
where
diverse
types
nerve
fibers
located
at
hold
significant
roles
generation
transmission
acupuncture-related
information.
this
study,
we
analyzed
patterns
mechanisms
analgesic
mediated
by
afferent
fibers,
found
that
stimulates
acupoints
which
rapidly
directly
induces
activation
high-density
primary
under
acupoints,
myelinated
A
unmyelinated
C
fibers.
During
stimulation
muscle
layer,
can
be
induced
fiber
threshold
intensity.
At
skin
only
produced
Electroacupuncture
(EA)
activates
while
manual
(MA)
both
Furthermore,
alters
microenvironments,
positively
modulates
enhancing
signals.
addition
local
conduction
mediate
information
centers.
spinal
cord,
neurons
inducing
depolarization,
modulating
gating,
inhibiting
long-term
potentiation
(LTP)
dorsal
horn
wide
dynamic
range
(WDR)
neuronal
activities.
higher
centers,
inhibits
pain-related
brain
regions.
summary,
signal
peripheral
central
systems
activating
different
on
layers
acupoints.
study
provides
ideas
for
precise
application
translation
acupuncture.
Frontiers in Neuroscience,
Journal Year:
2022,
Volume and Issue:
16
Published: May 10, 2022
Acupoint
is
the
key
area
for
needling
treatment,
but
its
physiology
not
yet
understood.
Nociceptors,
one
of
responders
in
acupoints,
are
responsible
acupuncture
manipulation
and
delivering
signals
to
spinal
or
supraspinal
level.
Recent
evidence
has
shown
that
various
diseases
led
sensory
hypersensitivity
functional
plasticity
sensitized
namely,
acupoint
sensitization.
Neurogenic
inflammation
predominant
pathological
characteristic
acupoints;
however,
underlying
mechanism
sensitization
remains
unclear.
studies
have
reported
silent
C-nociceptors
(SNs),
a
subtype
C
nociceptors,
can
be
“awakened”
by
inflammatory
substances
released
terminals
immune
cells
under
tissue
injury
visceral
dysfunction.
SNs
transform
from
mechano-insensitive
nociceptors
healthy
state
mechanosensitive
nociceptors.
Activated
play
vital
role
pain
modulation
amplify
inputs
injured
then
mediate
hyperalgesia.
Whether
activated
involved
contributes
delivery
mechanical
unclear?
In
this
review,
we
discuss
known
functions
cutaneous
focus
on
recent
highlighting
plasticity.
Brain,
Journal Year:
2023,
Volume and Issue:
147(3), P. 1025 - 1042
Published: Sept. 29, 2023
Progress
in
the
development
of
effective
chemotherapy
is
producing
a
growing
population
patients
with
acute
and
chronic
painful
chemotherapy-induced
peripheral
neuropathy
(CIPN),
serious
treatment-limiting
side
effect
for
which
there
currently
no
US
Food
Drug
Administration-approved
treatment.
CIPNs
induced
by
diverse
classes
drugs
have
remarkably
similar
clinical
presentations,
leading
to
suggestion
they
share
underlying
mechanisms.
Sensory
neurons
immune
cells
ability
detect
damage
associated
molecular
patterns
(DAMPs),
molecules
produced
cell
types
response
cellular
stress
injury,
including
drugs.
DAMPs,
turn,
are
ligands
pattern
recognition
receptors
(PRRs),
several
found
on
sensory
neurons,
as
well
satellite
cells,
system.
In
present
experiments,
we
evaluated
role
two
PRRs,
TLR4
RAGE,
dorsal
root
ganglion
(DRG),
CIPN.
Antisense
(AS)-oligodeoxynucleotides
(ODN)
against
RAGE
mRNA
were
administered
intrathecally
before
('prevention
protocol')
or
3
days
after
('reversal
last
administration
each
three
that
treat
cancer
different
mechanisms
(oxaliplatin,
paclitaxel
bortezomib).
AS-ODN
prevented
CIPN
all
reversal
protocol,
however,
while
completely
reversed
oxaliplatin-
paclitaxel-induced
CIPN,
rats
bortezomib-induced
it
only
temporary
attenuation.
AS-ODN,
contrast,
When
antagonist
was
intradermally
nociceptor
terminal,
did
not
affect
any
However,
when
intrathecally,
central
attenuated
hyperalgesia
drugs,
compatible
neurotransmission
at
terminal
but
transduction
terminal.
Finally,
since
has
been
established
cultured
DRG
can
be
used
study
direct
effects
nociceptors,
also
level,
using
patch-clamp
electrophysiology
from
control
chemotherapy-treated
rats.
We
increased
excitability
small-diameter
vivo
vitro
exposure
oxaliplatin
TLR4-dependent.
Our
findings
suggest
addition
contribution
PRR-dependent
neuroimmune
mechanisms,
PRRs
an
important
Journal of Allergy and Clinical Immunology,
Journal Year:
2024,
Volume and Issue:
154(1), P. 11 - 19
Published: March 15, 2024
Various
immune
cells
in
the
skin
contribute
to
its
function
as
a
first
line
of
defense
against
infection
and
disease,
skin's
dense
innervation
by
pain-sensing
sensory
neurons
protects
host
injury
or
damage
signals.
Dendritic
(DCs)
are
heterogeneous
population
that
link
innate
response
adaptive
capturing,
processing,
presenting
antigens
promote
T-cell
differentiation
activation.
DCs
abundant
across
peripheral
tissues,
including
skin,
where
they
found
dermis
epidermis.
Langerhans
(LCs)
DC
subset
located
only
epidermis;
both
populations
can
migrate
lymph
nodes
broad
responses.
Dermal
LCs
close
apposition
with
nerve
fibers
express
neurotransmitter
receptors,
allowing
them
communicate
directly
nervous
system.
Thus,
neuroimmune
signaling
between
and/or
modulate
physiologic
pathophysiologic
pathways,
cell
regulation,
defense,
allergic
response,
homeostasis,
wound
repair.
Here,
we
summarize
latest
discoveries
on
DC-
LC-neuron
interaction
while
providing
an
overview
gaps
areas
not
previously
explored.
Understanding
interactions
these
2
defence
systems
may
provide
key
insight
into
developing
therapeutic
targets
for
treating
diseases
such
psoriasis,
neuropathic
pain,
lupus.
Juntendo Medical Journal,
Journal Year:
2025,
Volume and Issue:
71(1), P. 43 - 50
Published: Jan. 1, 2025
Atopic
dermatitis
(AD)
is
a
common
inflammatory
skin
disease
characterized
by
recurrent
eczematous
lesions
and
intense
itch.
The
pathological
mechanism
of
AD
involves
complex
interaction
between
barrier
dysfunction
predominantly
T
helper
(Th)
2-skewed
immune
dysregulation.
dysfunctional
in
enhances
antigen
penetration,
exacerbating
allergic
reactions.
Scratching
further
damages
the
barrier,
worsens
dryness
increases
release
pro-inflammatory
mediators,
perpetuating
itch-scratch
cycle.
Breaking
this
cycle
with
appropriate
treatments
vital.
Th2
cells
secrete
interleukin
(IL)-4,
IL-13
IL-31
which
play
keys
roles
pathogenesis.
directly
induces
pruritus,
while
IL-4
enhance
itching.
An
increased
density
intraepidermal
nerve
fibers
has
been
observed
disease-state-dependent
manner.
In
normal
skin,
both
semaphorin
3A
(Sema3A;
repulsion
factor)
growth
factor
(NGF;
elongation
are
expressed.
However,
lesions,
Sema3A
expression
decreases
NGF
increases.
These
findings
suggest
that
epidermal
regulated
fine
balance
NGF,
playing
key
role
itch
sensitivity
AD.
healthy
produced
during
early-stage
differentiation
keratinocytes
moves
into
upper
epidermis.
levels
may
vary
depending
on
state
Our
future
research
will
focus
regulatory
mechanisms
potential
clinical
applications.