首页> 外文期刊>Expert opinion on therapeutic targets >Targeting invading macrophage-derived PGE2, IL-6 and calcitonin gene-related peptide in injured nerve to treat neuropathic pain.
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Targeting invading macrophage-derived PGE2, IL-6 and calcitonin gene-related peptide in injured nerve to treat neuropathic pain.

机译:在受伤的神经中靶向巨噬细胞衍生的PGE2,IL-6和降钙素基因相关肽,以治疗神经性疼痛。

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摘要

Immune and inflammatory responses occurring in an injured nerve have been generally believed to contribute to the generation and maintenance of neuropathic pain. In this review, the authors demonstrate the upregulation of COX-2/prostaglandin E2, IL-6 and calcitonin gene-related peptide in invading macrophages and discuss possible mechanisms involved in their upregulation and how they contribute to the maintenance of neuropathic pain. By acting on nociceptors in dorsal root ganglion and local inflammatory cells via autocrine or paracrine pathways, these inflammatory mediators facilitate spontaneous ectopic activity and sustain nociceptive responses, an important mechanism underlying both ongoing and evoked neuropathic pain state. Targeting these mediators in injured nerve may provide novel therapeutic avenues to more successfully treat nerve injury-associated neuropathic pain.
机译:通常认为在受伤的神经中发生的免疫和炎症反应有助于神经性疼痛的产生和维持。在这篇综述中,作者证明了侵袭性巨噬细胞中COX-2 /前列腺素E2,IL-6和降钙素基因相关肽的上调,并讨论了其上调涉及的可能机制以及它们如何有助于维持神经性疼痛。这些炎症介质通过自分泌或旁分泌途径作用于背根神经节和局部炎症细胞中的伤害感受器,从而促进自发性异位活性并维持伤害感受性反应,这是正在进行的和诱发的神经性疼痛状态的重要机制。在受伤的神经中靶向这些介体可能会提供新的治疗途径,以更成功地治疗与神经损伤相关的神经性疼痛。

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