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湖北中医药大学基础医学院,武汉 430065
武 静,Email:wujingbay@163.com,研究方向:中西医结合治疗慢性内脏痛基础及临床研究工作。现就职于贵州中医药大学基础医学院。
陈 刚,Email:250149976@qq.com。
收稿:2023-10-17,
修回:2024-05-28,
录用:2024-08-02,
纸质出版:2024-11-28
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武静,彭汀汀,周勇,等.脊髓胶质细胞参与慢性内脏痛发病机制研究[J].重庆医科大学学报,2024,49(11):1356-1360.
Wu Jing,Peng Tingting,Zhou Yong,et al.Involvement of spinal glial cells in the pathogenesis of chronic visceral pain[J].Journal of Chongqing Medical University,2024,49(11):1356-1360.
武静,彭汀汀,周勇,等.脊髓胶质细胞参与慢性内脏痛发病机制研究[J].重庆医科大学学报,2024,49(11):1356-1360. DOI: 10.13406/j.cnki.cyxb.003627.
Wu Jing,Peng Tingting,Zhou Yong,et al.Involvement of spinal glial cells in the pathogenesis of chronic visceral pain[J].Journal of Chongqing Medical University,2024,49(11):1356-1360. DOI: 10.13406/j.cnki.cyxb.003627.
慢性内脏痛(chronic visceral pain,CVP)是由人体内脏器官基础疾病引发的多种疾病的常见症状之一。其原因包括血管机制、机械因素、持续炎症和不明原因的功能机制。虽然其发病机制尚不明确,但近年来越来越多的研究已开始从神经元转向胶质细胞。脊髓胶质细胞,尤其是星形胶质细胞和小胶质细胞在CVP中起重要作用。基于此,本研究对二者在CVP中的作用机制进行阐述,包括细胞因子、趋化因子和神经活性物质的释放以及细胞内信号通路的改变。最后,由于CVP可发生在多种疾病中,针对星形胶质细胞和小胶质细胞为药用靶点治疗疾病有广阔的应用前景。
Chronic visceral pain(CVP) is one of the common symptoms of many diseases triggered by underlying diseases in the visceral organs of the human body. Its causes include vascular mechanisms,mechanical factors,persistent inflammation,and unexplained functional mechanisms. Although the pathogenesis is unclear,more and more research has begun to shift from the neuronal aspect to glial cells in recent years. Spinal glial cells,particularly astrocytes and microglial cells,play an essential role in CVP. Based on this,this study elaborated on the mechanisms of action of astrocytes and microglial cells in CVP,including the release of cytokines,chemokines,and neuroactive substances and the alterations in intracellular signaling pathways. Because CVP is widespread in various diseases,drug treatments targeting astrocytes and microglial cells present broad application prospect.
Aziz Q , Giamberardino MA , Barke A , et al . The IASP classification of chronic pain for ICD-11:chronic secondary visceral pain [J ] . Pain , 2019 , 160 ( 1 ): 69 - 76 .
Treede RD , Rief W , Barke A , et al . Chronic pain as a symptom or a disease:the IASP Classification of Chronic Pain for the International Classification of Diseases(ICD-11) [J ] . Pain , 2019 , 160 ( 1 ): 19 - 27 .
Chey WD , Kurlander J , Eswaran S . Irritable bowel syndrome:a clinical review [J ] . JAMA , 2015 , 313 ( 9 ): 949 - 958 .
Jäkel S , Agirre E , Mendanha Falcão A , et al . Altered human oligodendrocyte heterogeneity in multiple sclerosis [J ] . Nature , 2019 , 566 ( 7745 ): 543 - 547 .
Vaglienti MV , Subirada PV , Joray MB , et al . Protective effect of NO 2 -OA on oxidative stress,gliosis,and pro-angiogenic response in Müller glial cells [J ] . Cells , 2023 , 12 ( 3 ): 494 .
Quagliato LA , Nardi AE . The role of convergent ion channel pathways in microglial phenotypes:a systematic review of the implications for neurological and psychiatric disorders [J ] . Transl Psychiatry , 2018 , 8 ( 1 ): 259 .
Fan Y , Xie LR , Chung CY . Signaling pathways controlling microglia chemotaxis [J ] . Mol Cells , 2017 , 40 ( 3 ): 163 - 168 .
Kim SY , Park JH , Leite G , et al . Interleukin-10 knockout mice do not reliably exhibit macroscopic inflammation:a natural history endoscopic surveillance study [J ] . Dig Dis Sci , 2023 , 68 ( 5 ): 1858 - 1862 .
Braz JM , Hamel K , Craik V , et al . Pain and itch processing in aged mice [J ] . J Pain , 2024 , 25 ( 1 ): 53 - 63 .
武 静 , 田维毅 , 蔡 琨 , 等 . 大建中汤通过调节P2X7R介导胶质细胞活化减轻大鼠肠易激综合征内脏痛 [J ] . 中国病理生理杂志 , 2023 , 39 ( 6 ): 1077 - 1085 .
Wu J , Tian WY , Cai K , et al . Dajianzhongtang attenuates visceral pain in rats with irritable bowel syn-drome by regulating P2X7R-mediated glial cell activation [J ] . Chin J Pathophysiol , 2023 , 39 ( 6 ): 1077 - 1085 .
Lee HG , Wheeler MA , Quintana FJ . Function and therapeutic value of astrocytes in neurological diseases [J ] . Nat Rev Drug Discov , 2022 , 21 ( 5 ): 339 - 358 .
Li Q , Wang YQ , Chu YX . The role of connexins and pannexins in orofacial pain [J ] . Life Sci , 2020 , 258 : 118198 .
Shin SM , Wang F , Qiu CS , et al . Sigma-1 receptor activity in primary sensory neurons is a critical driver of neuropathic pain [J ] . Gene Ther , 2022 , 29 ( 1/2 ): 1 - 15 .
Prinz M , Jung S , Priller J . Microglia biology:one century of evolving concepts [J ] . Cell , 2019 , 179 ( 2 ): 292 - 311 .
Vanderwall AG , Milligan ED . Cytokines in pain:harnessing endogenous anti-inflammatory signaling for improved pain management [J ] . Front Immunol , 2019 , 10 : 3009 .
Chen G , Zhang YQ , Qadri YJ , et al . Microglia in pain:detrimental and protective roles in pathogenesis and resolution of pain [J ] . Neuron , 2018 , 100 ( 6 ): 1292 - 1311 .
武 静 , 田维毅 , 蔡 琨 , 等 . 大建中汤调控小胶质细胞自噬治疗腹泻型肠易激综合征内脏痛和抑郁症共病的作用机制 [J ] . 北京中医药大学学报 , 2023 , 46 ( 2 ): 215 - 223 .
Wu J , Tian WY , Cai K , et al . Mechanism of Dajianzhong Decoction in treating visceral pain and depression associated with diarrhea irritable bowel syndrome through regulating microglial autophagy [J ] . J Beijing Univ Tradit Chin Med , 2023 , 46 ( 2 ): 215 - 223 .
Gong T , Liu L , Jiang W , et al . DAMP-sensing receptors in sterile inflammation and inflammatory diseases [J ] . Nat Rev Immunol , 2020 , 20 ( 2 ): 95 - 112 .
Liu YU , Ying YL , Li YJ , et al . Neuronal network activity controls microglial process surveillance in awake mice via norepinephrine signaling [J ] . Nat Neurosci , 2019 , 22 ( 11 ): 1771 - 1781 .
Iqubal A , Ahmed M , Iqubal MK , et al . Polyphenols as potential therapeutics for pain and inflammation in spinal cord injury [J ] . Curr Mol Pharmacol , 2021 , 14 ( 5 ): 714 - 730 .
Jha MK , Jo M , Kim JH , et al . Microglia-astrocyte crosstalk:an intimate molecular conversation [J ] . Neuroscientist , 2019 , 25 ( 3 ): 227 - 240 .
Lee JH , Kim W . The role of satellite glial cells,astrocytes,and microglia in oxaliplatin-induced neuropathic pain [J ] . Biomedicines , 2020 , 8 ( 9 ): 324 .
Liddelow SA , Marsh SE , Stevens B . Microglia and astrocytes in disease:dynamic Duo or partners in crime? [J ] . Trends Immunol , 2020 , 41 ( 9 ): 820 - 835 .
Guo AN , Zhang HQ , Li HH , et al . Inhibition of connexin hemichannels alleviates neuroinflammation and hyperexcitability in temporal lobe epilepsy [J ] . Proc Natl Acad Sci USA , 2022 , 119 ( 45 ): e2213162119 .
Ding HL , Chen JL , Su MZ , et al . BDNF promotes activation of astrocytes and microglia contributing to neuroinflammation and mechanical allodynia in cyclophosphamide-induced cystitis [J ] . J Neuroinflammation , 2020 , 17 ( 1 ): 19 .
van den Hoogen NJ , Harding EK , Davidson CED , et al . Cannabinoids in chronic pain:therapeutic potential through microglia modulation [J ] . Front Neural Circuits , 2021 , 15 : 816747 .
Kwon HS , Koh SH . Neuroinflammation in neurodegenerative disorders:the roles of microglia and astrocytes [J ] . Transl Neurodegener , 2020 , 9 ( 1 ): 42 .
Olmos G , Lladó J . Tumor necrosis factor alpha:a link between neuroinflammation and excitotoxicity [J ] . Mediators Inflamm , 2014 , 2014 : 861231 .
Yao YY , Bian LG , Yang P , et al . Gastrodin attenuates proliferation and inflammatory responses in activated microglia through Wnt/β-catenin signaling pathway [J ] . Brain Res , 2019 , 1717 : 190 - 203 .
Ji RR , Nackley A , Huh Y , et al . Neuroinflammation and central sensitization in chronic and widespread pain [J ] . Anesthesiology , 2018 , 129 ( 2 ): 343 - 366 .
Lucarini E , Parisio C , Branca JJV , et al . Deepening the mechanisms of visceral pain persistence:an evaluation of the gut-spinal cord relationship [J ] . Cells , 2020 , 9 ( 8 ): 1772 .
D’Antongiovanni V , Pellegrini C , Fornai M , et al . Pharmacological modulation of P2X4 in inflammatory bowel diseases:the way towards novel therapeutics? [J ] . J Drug Target , 2023 , 31 ( 7 ): 693 - 699 .
Sawicki CM , Kim JK , Weber MD , et al . Microglia promote increased pain behavior through enhanced inflammation in the spinal cord during repeated social defeat stress [J ] . J Neurosci , 2019 , 39 ( 7 ): 1139 - 1149 .
Long JY , Wang XJ , Li XY , et al . Spinal Microglia and Astrocytes: Two Key Players in Chronic Visceral Pain Pathogenesis . Neurochem Res . 2022 Mar ; 47 ( 3 ): 545 - 551 .
Yue J , López JM . Understanding MAPK Signaling Pathways in Apoptosis [J ] . Int J Mol Sci , 19 - 28 .
Kuchukulla M , Boison D . Are glia targets for neuropathic orofacial pain therapy? [J ] . J Am Dent Assoc , 2021 , 152 ( 9 ): 774 - 779 .
Sun L , Zhou JJ , Sun CH . MicroRNA-211-5p enhances analgesic effect of dexmedetomidine on inflammatory visceral pain in rats by suppressing ERK signaling [J ] . J Mol Neurosci , 2019 , 68 ( 1 ): 19 - 28 .
Zhao JM , Li H , Shi C , et al . Electroacupuncture inhibits the activity of astrocytes in spinal cord in rats with visceral hypersensitivity by inhibiting P2Y 1 receptor-mediated MAPK/ERK signaling pathway [J ] . Evid Based Complement Alternat Med , 2020 , 2020 : 4956179 .
Huang Y , Zhang D , Li ZY , et al . Moxibustion eases chronic inflammatory visceral pain in rats via MAPK signaling pathway in the spinal cord [J ] . J Pain Res , 2019 , 12 : 2999 - 3012 .
Capece D , Verzella D , Flati I , et al . NF-κB:blending metabolism,immunity,and inflammation [J ] . Trends Immunol , 2022 , 43 ( 9 ): 757 - 775 .
Sun LP , Hu CF , Zhang XZ . TRAF3 delays cyst formation induced by NF-κB signaling [J ] . IUBMB Life , 2017 , 69 ( 3 ): 170 - 178 .
Gupta AS , Waters MR , Biswas DD , et al . RelB controls adaptive responses of astrocytes during sterile inflammation [J ] . Glia , 2019 , 67 ( 8 ): 1449 - 1461 .
Millet P , McCall C , Yoza B . RelB:an outlier in leukocyte biology [J ] . J Leukoc Biol , 2013 , 94 ( 5 ): 941 - 951 .
Harb J , Lin PJ , Hao JJ . Recent development of Wnt signaling pathway inhibitors for cancer therapeutics [J ] . Curr Oncol Rep , 2019 , 21 ( 2 ): 12 .
Katoh M . Canonical and non-canonical WNT signaling in cancer stem cells and their niches:Cellular heterogeneity,omics reprogramming,targeted therapy and tumor plasticity (Review) [J ] . Int J Oncol , 2017 , 51 ( 5 ): 1357 - 1369 .
Robinson KF , Narasipura SD , Wallace J , et al . Negative regulation of IL-8 in human astrocytes depends on β-catenin while positive regulation is mediated by TCFs/LEF/ATF2 interaction [J ] . Cytokine , 2020 , 136 : 155252 .
Sumida Y , Kamei N , Suga N , et al . The endoplasmic reticulum stress transducer old astrocyte specifically induced substance positively regulates glial scar formation in spinal cord injury [J ] . Neuroreport , 2018 , 29 ( 17 ): 1443 - 1448 .
Wang J , Li G , Wang Z , et al . High glucose-induced expression of inflammatory cytokines and reactive oxygen species in cultured astrocytes [J ] . Neuroscience , 2012 , 202 : 58 - 68 .
Ceyzériat K , Abjean L , Carrillo-de Sauvage MA , et al . The complex STATes of astrocyte reactivity:How are they controlled by the JAK-STAT3 pathway? [J ] . Neuroscience , 2016 , 330 : 205 - 218 .
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