Oral squamous cell carcinoma-released brain-derived neurotrophic factor contributes to oral cancer pain by peripheral tropomyosin receptor kinase B activation.

Oral squamous cell carcinoma-released brain-derived neurotrophic factor contributes to oral cancer pain by peripheral tropomyosin receptor kinase B activation.
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DOI:
10.1097/j.pain.0000000000002382
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发表时间:
2022-03-01
期刊:
影响因子:
7.4
通讯作者:
Ruparel S
Ruparel S
中科院分区:
医学1区
文献类型:
--
作者:
Grayson M;Arris D;Wu P;Merlo J;Ibrahim T;Fang-Mei C;Valenzuela V;Ganatra S;Ruparel S

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BACKGROUNDQuality of life of head and neck cancer (HNC) patients is notoriously poor due to the greater prevalence of pain compared to other cancer types [15; 43]. Pain is not only the top ranked symptom for these patients, but unachievable management of this co-morbidity is what drives patients to seek initial treatment [5; 16]. These patients have limited options due to adverse effects of opioids and have higher opioid reescalation index [34; 55]. Mechanisms by which HNC produce pain in not yet clearly understood; however, it is speculated that the greater prevalence and severity of pain is due to the heterogenous properties of HNC tumors and the physiology of orofacial tissues [21]. Oral squamous cell carcinomas (OSCC) located in the tongue or floor of the mouth, report the highest pain severity, originating from site of primary tumor development even when the tumor is small in size [8; 9; 15; 32]. Spontaneous pain, pain while chewing and swallowing, and referred pain across the orofacial area is frequently reported by these patients [8; 9].
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