Pathological and protective roles of glia in chronic pain.

Pathological and protective roles of glia in chronic pain.
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DOI:
10.1038/nrn2533
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发表时间:
2009-01
期刊:
Nature reviews. Neuroscience
影响因子:
--
通讯作者:
Watkins LR
Watkins LR
中科院分区:
其他
文献类型:
--
作者:
Milligan ED;Watkins LR

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胶质细胞已经成为病理性和慢性疼痛机制的关键贡献者。在激活时,星形胶质细胞和小胶质细胞都响应并释放许多信号分子,其具有保护和/或病理功能。在这里,我们回顾了目前的理解,神经胶质细胞的病理性疼痛和神经保护的贡献,以及如何保护,神经胶质细胞的抗炎作用被利用来开发新的药物靶点神经病理性疼痛控制。鉴于慢性疼痛的流行和目前药物的部分疗效,专门针对神经元的机制,新的策略来操纵神经元-胶质细胞在疼痛处理的相互作用有相当大的希望。
Glia have emerged as key contributors to pathological and chronic pain mechanisms. On activation, both astrocytes and microglia respond to and release a number of signalling molecules, which have protective and/or pathological functions. Here we review the current understanding of the contribution of glia to pathological pain and neuroprotection, and how the protective, anti-inflammatory actions of glia are being harnessed to develop new drug targets for neuropathic pain control. Given the prevalence of chronic pain and the partial efficacy of current drugs, which exclusively target neuronal mechanisms, new strategies to manipulate neuron–glia interactions in pain processing hold considerable promise.
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