Neuro-Nutritional Approach to Neuropathic Pain Management: A Critical Review
Giorgia Cominelli,
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Francesca Sulas,
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Daniela Pinto
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et al.
Nutrients,
Journal Year:
2025,
Volume and Issue:
17(9), P. 1502 - 1502
Published: April 29, 2025
Pain
is
a
significant
global
public
health
issue
that
can
interfere
with
daily
activities,
sleep,
and
interpersonal
relationships
when
it
becomes
chronic
or
worsens,
ultimately
impairing
quality
of
life.
Despite
ongoing
efforts,
the
efficacy
pain
treatments
in
improving
outcomes
for
patients
remains
limited.
At
present,
challenge
lies
developing
personalized
care
management
plan
helps
to
maintain
patient
activity
levels
effectively
manages
pain.
Neuropathic
condition
resulting
from
damage
somatosensory
nervous
system,
significantly
impacting
It
partly
thought
be
caused
by
inflammation
oxidative
stress,
clinical
research
has
suggested
link
between
this
diet.
However,
these
links
are
not
yet
well
understood
require
further
investigation
evaluate
pathways
involved
neuropathic
Specifically,
question
whether
supplementation
dietary
antioxidants,
such
as
melatonin,
could
serve
potential
adjunctive
treatment
modulation.
Melatonin,
primarily
secreted
pineal
gland
but
also
produced
other
systems
digestive
known
its
anti-inflammatory,
antioxidant,
anti-aging
properties.
found
various
fruits
vegetables,
presence
alongside
polyphenols
foods
may
enhance
melatonin
intake
contribute
improved
health.
The
aim
review
provide
an
overview
examine
role
neuro-nutritional
approach
management.
Language: Английский
Mas Receptor as a Target for Neuropathic Pain Management: Insights into Angiotensin-(1-7) Signaling and Therapeutic Opportunities
Surekha A. Devi,
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Saajan Kumar Sharma,
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Sandip Tejpal
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et al.
Journal for Research in Applied Sciences and Biotechnology,
Journal Year:
2025,
Volume and Issue:
4(2), P. 167 - 176
Published: April 30, 2025
Mas
is
a
G
protein-coupled
receptor
(GPCR)
that
binds
to
Angiotensin
(1-7)
and
it
evaluated
as
an
important
element
of
non
classical
Renin
System.
While
the
RAS
axis
has
been
considered
pro-inflammatory
pro-nociceptive
by
leveraging
II
AT1
receptor,
/Mas
offers
anti-inflammatory,
vessels
dilating,
neuroprotective
functions.
It
produced
two
mechanisms
first,
obtained
from
via
mechanism
angiotensin
converting
enzyme
2
(ACE2)
also
binding
formed
Ang-(1-7)
its
activates
several
signaling
pathways
such
PI3K/Akt,
ERK1/2
nitric
oxide
(NO).
These
together
prevent
neuronal
death,
decrease
oxidative
stress
inhibit
nuclear
factor-kappa
B
(NF-κB),
reduces
expression
various
cytokines
like
TNF-α,
IL-1β
IL-6.
With
regard
neuropathic
pain,
contributes
regulation
glial-neuronal
crosstalk
negative
microglial
astrocytic
activity
neuroimmune
balance.
Experimental
studies
have
shown
use
or
synthetic
activators
attenuates
mechanical
alodynia
thermal
hypoesthesia,
proving
Marques
colleagues’
hypothesis
possible
therapeutic
applications.
Also,
functional
cross-talk
with
other
pain-modulatory
systems,
including
endogenous
opioid
endocannabinoid
contributing
enhancer
this
sort
analgesia.
Thus,
novel
(1-7)/Mas
pathway
can
be
promising
candidate
for
new
non-opioid
analgesic
treatment
pain.
Further
research
in
agonists,
peptide
analogs,
targeted
drug
delivery
system
shows
there
potential
practical
application
these
discoveries.
Language: Английский