Deconstructing the neuropathic pain phenotype to reveal neural mechanisms.

Deconstructing the neuropathic pain phenotype to reveal neural mechanisms.
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DOI:
10.1016/j.neuron.2012.02.008
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发表时间:
2012-02-23
期刊:
影响因子:
16.2
通讯作者:
Woolf CJ
Woolf CJ
中科院分区:
医学1区
文献类型:
--
作者:
von Hehn CA;Baron R;Woolf CJ

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神经损伤后,受伤的感觉神经元以及中枢神经系统内的整个伤害感受通路可能会发生适应不良的变化,这可能导致自发性疼痛或疼痛超敏反应。由此产生的神经性疼痛综合征表现为阴性和阳性症状的复杂组合,每个人的情况差异很大。这种变异取决于由病因学、基因型和环境因素共同作用而产生的潜在病理生理变化的多样性。因此,疼痛表型可以作为了解潜在病理生理神经机制的窗口,并作为开发个性化疼痛医学的指南。
After nerve injury maladaptive changes can occur in injured sensory neurons and along the entire nociceptive pathway within the CNS, which may lead to spontaneous pain or pain hypersensitivity. The resulting neuropathic pain syndromes present as a complex combination of negative and positive symptoms, which vary enormously from individual to individual. This variation depends on a diversity of underlying pathophysiological changes resulting from the convergence of etiological, genotypic and environmental factors. The pain phenotype can serve therefore, as a window on underlying pathophysiological neural mechanisms, and as a guide for developing personalized pain medicine.
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