国际麻醉学与复苏杂志   2021, Issue (8): 18-18
    
Pannexin1在慢性神经病理性疼痛中的作用 研究进展
宋建申, 梁樱, 马正良1()
1.南京大学医学院附属鼓楼医院麻醉科
Research progress of the role of pannexin1 in chronic neuropathic pain
 全文:
摘要:

慢性神经病理性疼痛(neuropathic pain, NP)是一种难治性疼痛,患者长期承受着巨大的痛苦,然而其治疗效果欠佳,严重降低患者的生活质量,也直接或间接地给患者家庭和社会带来沉重的经济负担。Pannexin1(Panx1)是一种新型缝隙连接蛋白,在神经系统中表达丰富,介导ATP的释放。动物实验证据表明,Panx1是NP中枢敏化发展和维持过程中的关键分子。文章介绍了Panx1的结构、分布、表达、激活与内化等分子学基础,就近年来对Panx1参与慢性NP可能机制的研究进展进行综述。这可能是开发非麻醉药物治疗慢性NP的新靶点。

关键词: Pannexin1; 慢性疼痛; 神经病理性疼痛; 信号转导
Abstract:

Chronic neuropathic pain (NP) is a type of refractory pain and patients often suffer from great pain for a long time. Due to its poor therapeutic effect, such pain seriously reduces patients' the quality of life, while directly or indirectly imposes heavy financial burden on patient family and the society. Pannexin1 (Panx1) is a novel gap junction protein which is abundant in the nervous system and mediates the release of ATP. Experimental animal experiments indicate that Panx1 is a key molecule in the central sensitization process for the development and maintenance of NP. This article introduces the molecular evidence concerning Panx1's structure, distribution, expression, activation and internalization, and reviews recent research progress on the possible mechanisms of Panx1's involvement in chronic NP. The protein may be a new target for the development of non‑narcotic drugs in the treatment of chronic NP.

Key words: Pannexin1; Chronic pain; Neuropathic pain; Signal transduction