Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques,
Год журнала:
2023,
Номер
51(1), С. 32 - 39
Опубликована: Фев. 17, 2023
ABSTRACT:
Patients
with
neuropathic
pain
are
heterogeneous
in
pathophysiology,
etiology,
and
clinical
presentation.
Signs
symptoms
determined
by
the
nature
of
injury
factors
such
as
genetics,
sex,
prior
injury,
age,
culture,
environment.
Basic
science
has
provided
general
information
about
etiology
studying
consequences
peripheral
rodent
models.
This
is
associated
release
inflammatory
cytokines,
chemokines,
growth
that
sensitize
sensory
nerve
endings,
alter
gene
expression,
promote
post-translational
modification
proteins,
ion
channel
function.
leads
to
spontaneous
activity
primary
afferent
neurons
crucial
for
onset
persistence
secondary
mediators
colony-stimulating
factor
1
from
terminals.
These
tertiary
brain-derived
neurotrophic
interleukin-1β
microglia
astrocytes.
Tertiary
facilitate
transmission
nociceptive
at
spinal,
thalamic,
cortical
levels.
For
most
part,
these
findings
have
failed
identify
new
therapeutic
approaches.
More
recent
basic
better
mirrored
situation
addressing
pathophysiology
specific
types
refinement
methodology,
attention
various
contributory
sex.
Improved
quantification
profiles
each
patient
their
distribution
into
defined
clusters
may
improve
translation
between
practice.
If
can
be
traced
back
cellular
molecular
aspects
this
lead
personalized
medicine
approaches
dictate
a
rational
approach
individual.
Nature Communications,
Год журнала:
2021,
Номер
12(1)
Опубликована: Сен. 29, 2021
Abstract
Single-cell
RNA
sequencing
data
can
unveil
the
molecular
diversity
of
cell
types.
Cell
type
atlases
mouse
spinal
cord
have
been
published
in
recent
years
but
not
integrated
together.
Here,
we
generate
an
atlas
types
based
on
single-cell
transcriptomic
data,
unifying
available
datasets
into
a
common
reference
framework.
We
report
hierarchical
structure
postnatal
relationships,
with
location
providing
highest
level
organization,
then
neurotransmitter
status,
family,
and
finally,
dozens
refined
populations.
validate
combinatorial
marker
code
for
each
neuronal
map
their
spatial
distributions
adult
cord.
also
show
complex
lineage
relationships
among
Additionally,
develop
open-source
classifier,
SeqSeek,
to
facilitate
standardization
identification.
This
work
provides
view
types,
gene
expression
signatures,
organization.
Frontiers in Pain Research,
Год журнала:
2021,
Номер
2
Опубликована: Авг. 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
Frontiers in Pain Research,
Год журнала:
2021,
Номер
2
Опубликована: Дек. 13, 2021
The
persistence
of
increased
excitability
and
spontaneous
activity
in
injured
peripheral
neurons
is
imperative
for
the
development
many
forms
neuropathic
pain.
This
aberrant
involves
and/or
expression
voltage-gated
Na
Inflammation and Regeneration,
Год журнала:
2022,
Номер
42(1)
Опубликована: Май 3, 2022
Neuropathic
pain
is
often
chronic
and
can
persist
after
overt
tissue
damage
heals,
suggesting
that
its
underlying
mechanism
involves
the
alteration
of
neuronal
function.
Such
an
be
a
direct
consequence
nerve
or
result
neuroplasticity
secondary
to
tissues
neurons.
Recent
studies
have
shown
linked
causing
neuropathic
in
response
damage,
which
may
occur
adjacent
remotely
from
site
injury.
Furthermore,
revealed
relevant
modulated
by
microglia,
resident
immune
cells
central
nervous
system
(CNS).
Microglia
directly
contribute
synaptic
remodeling
altering
circuits,
indirectly
through
property
changes,
including
secretion
growth
factors.
We
herein
highlight
mechanisms
somatosensory
circuit
spinal
dorsal
horn,
thalamus,
cortex
associated
with
following
injury
peripheral
(PNS)
CNS.
also
discuss
dynamic
functions
microglia
shaping
related
pain.
suggest
further
understanding
post-injury
ectopic
plasticity
circuits
shed
light
on
differential
nociceptive,
neuropathic,
nociplastic-type
While
one
prominent
roles
played
appears
modulation
neuroplasticity.
Therefore,
future
molecular-
genetics-based
address
microglia-mediated
development
novel
therapies
for
Functionally
distinct
subtypes/clusters
of
dorsal
root
ganglion
(DRG)
neurons
may
play
different
roles
in
nerve
regeneration
and
pain.
However,
details
about
their
transcriptomic
changes
under
neuropathic
pain
conditions
remain
unclear.
Chronic
constriction
injury
(CCI)
the
sciatic
represents
a
well-established
model
pain,
we
conducted
single-cell
RNA-sequencing
(scRNA-seq)
to
characterize
subtype-specific
perturbations
transcriptomes
lumbar
DRG
on
day
7
post-CCI.
By
using
PirtEGFPf
mice
that
selectively
express
an
enhanced
green
fluorescent
protein
neurons,
established
highly
efficient
purification
process
enrich
for
scRNA-seq.
We
observed
emergence
four
prominent
CCI-induced
clusters
loss
marker
genes
injured
neurons.
Importantly,
portion
from
several
were
spared
injury-induced
identity
loss,
suggesting
Moreover,
uninjured
which
are
necessary
mediating
evoked
also
demonstrated
cell-type-specific
these
clusters,
but
not
others.
Notably,
male
female
showed
differential
multiple
neuronal
after
CCI,
sexual
dimorphism
injury.
Using
Fgf3
as
proof-of-principle,
RNAscope
study
provided
further
evidence
increased
supporting
scRNA-seq
analysis,
calcium
imaging
unraveled
functional
role
excitability.
These
findings
contribute
identification
new
target
development
neuron
therapies
optimizing
treatment
regeneration.
Spinally
projecting
serotonergic
neurons
play
a
key
role
in
controlling
pain
sensitivity
and
can
either
increase
or
decrease
nociception
depending
on
physiological
context.
It
is
currently
unknown
how
mediate
these
opposing
effects.
Utilizing
virus-based
strategies
Tph2-Cre
transgenic
mice,
we
identified
two
anatomically
separated
populations
of
hindbrain
located
the
lateral
paragigantocellularis
(LPGi)
medial
hindbrain,
which
respectively
innervate
superficial
deep
spinal
dorsal
horn
have
contrasting
effects
sensory
perception.
Our
tracing
experiments
revealed
that
LPGi
were
much
more
susceptible
to
transduction
with
spinally
injected
AAV2retro
vectors
than
neurons.
Taking
advantage
this
difference,
employed
intersectional
chemogenetic
approaches
demonstrate
activation
projections
decreases
thermal
sensitivity,
whereas
increases
mechanical
von
Frey
stimulation.
Together
results
suggest
there
are
functionally
distinct
classes
differ
their
anatomical
location
postsynaptic
targets
cord,
impact
nociceptive
sensitivity.
The
give
rise
rather
global
bilateral
throughout
rostrocaudal
extent
cord
appear
be
ideally
poised
contribute
widespread
systemic
control.
CNS Neuroscience & Therapeutics,
Год журнала:
2023,
Номер
29(12), С. 4043 - 4058
Опубликована: Июль 3, 2023
Abstract
Aims
Epidemiological
studies
in
patients
with
neuropathic
pain
have
demonstrated
a
strong
association
between
and
psychiatric
conditions
such
as
anxiety.
Preclinical
clinical
work
has
that
electroacupuncture
(EA)
effectively
alleviates
anxiety‐like
behaviors
induced
by
chronic
pain.
In
this
study,
potential
neural
circuitry
underlying
the
therapeutic
action
of
EA
was
investigated.
Methods
The
effects
stimulation
on
mechanical
allodynia
animal
models
spared
nerve
injury
(SNI)
were
examined.
plus
chemogenetic
manipulation
glutamatergic
(Glu)
neurons
projecting
from
rostral
anterior
cingulate
cortex
(rACC
Glu
)
to
dorsal
raphe
nucleus
(DRN)
used
explore
changes
SNI
mice.
Results
Electroacupuncture
significantly
alleviated
both
increased
activities
rACC
serotoninergic
DRN.
Chemogenetic
activation
‐DRN
projections
attenuated
mice
at
day
14
after
SNI.
inhibition
pathway
did
not
induce
under
physiological
conditions,
but
inhibiting
produced
7
SNI;
effect
reversed
EA.
circuit
produce
synergistic
behaviors.
analgesic
anxiolytic
could
be
blocked
pathway.
Conclusions
role
may
different
during
progression
these
related
These
findings
describe
novel
through
which
exerts
exhibiting
Frontiers in Pain Research,
Год журнала:
2023,
Номер
4
Опубликована: Сен. 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.