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:
2022,
Номер
13(1)
Опубликована: Сен. 3, 2022
Abstract
Allodynia
is
a
state
in
which
pain
elicited
by
innocuous
stimuli.
Capsaicin
applied
to
the
skin
results
an
allodynia
that
extends
broad
region
beyond
application
site.
This
sensitization
thought
be
mediated
spinal
networks;
however,
we
do
not
have
clear
picture
of
neurons
mediate
this
phenomenon.
To
address
gap,
used
two-photon
calcium
imaging
excitatory
interneurons
and
projection
mouse
dorsal
horn.
distinguish
among
neuronal
subtypes,
developed
CICADA,
cell
profiling
approach
identify
types
during
imaging.
We
then
identified
capsaicin-responsive
capsaicin-sensitized
populations.
Capsaicin-sensitized
showed
emergent
responses
input
increased
receptive
field
sizes
consistent
with
psychophysical
reports.
Finally,
output
enhanced
from
input.
These
experiments
provide
population-level
view
central
framework
model
somatosensory
integration
Biomolecules,
Год журнала:
2021,
Номер
11(6), С. 846 - 846
Опубликована: Июнь 6, 2021
Diminished
inhibitory
control
of
spinal
nociception
is
one
the
major
culprits
chronic
pain
states.
Restoring
proper
synaptic
inhibition
a
well-established
rational
therapeutic
approach
explored
by
several
pharmaceutical
companies.
A
particular
challenge
arises
from
need
for
site-specific
intervention
to
avoid
deleterious
side
effects
such
as
sedation,
addiction,
or
impaired
motor
control,
which
would
arise
wide-range
facilitation
inhibition.
Specific
targeting
glycinergic
inhibition,
dominates
in
cord
and
parts
hindbrain,
may
help
reduce
these
effects.
Selective
α3
subtype
glycine
receptors
(GlyRs),
highly
enriched
superficial
layers
dorsal
horn,
key
site
nociceptive
processing,
further
narrow
down
pharmacological
on
system
increase
tolerability.
This
review
provides
an
update
physiological
properties
functions
GlyRs
present
state
related
drug
discovery
programs.
Pain,
Год журнала:
2021,
Номер
163(3), С. e432 - e452
Опубликована: Июль 28, 2021
Abstract
Parvalbumin-expressing
interneurons
(PVINs)
in
the
spinal
dorsal
horn
are
found
primarily
laminae
II
inner
and
III.
Inhibitory
PVINs
play
an
important
role
segregating
innocuous
tactile
input
from
pain-processing
circuits
through
presynaptic
inhibition
of
myelinated
low-threshold
mechanoreceptors
postsynaptic
distinct
circuits.
By
comparison,
relatively
little
is
known
excitatory
(ePVINs)
sensory
processing.
Here,
we
use
neuroanatomical
optogenetic
approaches
to
show
that
ePVINs
comprise
a
larger
proportion
PVIN
population
than
previously
reported
both
ePVIN
inhibitory
populations
form
synaptic
connections
among
(and
between)
themselves.
We
find
these
cells
contribute
neuronal
networks
influence
activity
within
several
functionally
aberrant
under
pathological
conditions
well
placed
development
mechanical
hypersensitivity.
Frontiers in Molecular Neuroscience,
Год журнала:
2022,
Номер
15
Опубликована: Март 31, 2022
For
decades,
N
-methyl-
D
-aspartate
(NMDA)
receptors
have
been
known
to
play
a
critical
role
in
the
modulation
of
both
acute
and
chronic
pain.
Of
particular
interest
are
NMDA
expressed
superficial
dorsal
horn
(SDH)
spinal
cord,
which
houses
nociceptive
processing
circuits
cord.
In
SDH,
undergo
potentiation
increases
trafficking
synapse,
contribute
excitability
plastic
output
from
SDH
brain.
Research
efforts
primarily
focused
on
postsynaptic
receptors,
despite
findings
that
presynaptic
can
similar
changes
their
counterparts.
Recent
technological
advances
pivotal
discovery
mechanisms
within
SDH.
Here,
we
highlight
these
recent
understanding
receptor
physiology
models
We
discuss
specific
subunits
membranes
afferents
local
interneurons,
including
across
pain
modalities.
Furthermore,
how
barriers
such
as
lack
sex-inclusive
research
differences
neurodevelopmental
timepoints
complicated
investigations
into
roles
pathological
states.
A
more
complete
function
states
is
needed
shed
light
potential
new
therapeutic
treatments
for
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.