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The Role of Neuro-Immune Interactions in Chronic Pain: Implications for Clinical Practice

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机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA [2]Sun Yat Sen Univ, Affiliated Hosp 1, Dept Anesthesiol, Guangzhou, Peoples R China [3]Capital Med Univ, Xuanwu Hosp, Dept Pain Management, Beijing, Peoples R China
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关键词: neuroimmune chronic pain glial cells macrophage T-cells

摘要:
Chronic pain remains a public health problem and contributes to the ongoing opioid epidemic. Current pain management therapies still leave many patients with poorly controlled pain, thus new or improved treatments are desperately needed. One major challenge in pain research is the translation of preclinical findings into effective clinical practice. The local neuroimmune interface plays an important role in the initiation and maintenance of chronic pain and is therefore a promising target for novel therapeutic development. Neurons interface with immune and immunocompetent cells in many distinct microenvironments along the nociceptive circuitry. The local neuroimmune interface can modulate the activity and property of the neurons to affect peripheral and central sensitization. In this review, we highlight a specific subset of many neuroimmune interfaces. In the central nervous system, we examine the interface between neurons and microglia, astrocytes, and T lymphocytes. In the periphery, we profile the interface between neurons in the dorsal root ganglion with T lymphocytes, satellite glial cells, and macrophages. To bridge the gap between preclinical research and clinical practice, we review the preclinical studies of each neuroimmune interface, discuss current clinical treatments in pain medicine that may exert its action at the neuroimmune interface, and highlight opportunities for future clinical research efforts.

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 4 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学
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出版当年[2020]版:
Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 CLINICAL NEUROLOGY

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第一作者机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA
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通讯机构: [1]Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA [*1]Department of Anesthesia and Perioperative Care, University of California San Francisco, San Francisco, CA, USA
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