国际麻醉学与复苏杂志   2015, Issue (10): 0-0
    
疼痛基础研究的困惑与挑战
曹君利1()
1.江苏省麻醉学重点实验室
The challenge of basic research in pain
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摘要:

自闸门控制学说提出以来,特别是近20年来,随着生命科学领域特别是神经科学、分子生物学以及脑功能成像的理论和技术研究的巨大进步,越来越多的参与生理性和病理性疼痛调控的基因、分子/信号通路和脑区/神经环路被发现,人们对疼痛调控机制的认识和探讨达到了前所未有的高度。但是,疼痛理论研究成果鲜有转化为有效的临床疼痛治疗方法和/或新的镇痛药物,是哪些因素导致了疼痛基础研究与临床诊疗之间的巨大鸿沟?就疼痛理论的发展历史和疼痛信号的处理过程予以梳理,对疼痛转化医学所处的困境进行分析。

关键词: 疼痛; 机制; 转化医学
Abstract:

Benefiting from the great achievements in Life Science, especially in the Neuroscience, Molecular Biology and Functional Brain Imaging, over the past 20 years, there has been substantial progress in revealing the genes, molecules, cells, and circuits that regulate physiologic and pathologic pain and in understanding neurobiological mechanisms of pain modulation. However, few of these advances have been translated into effective clinical therapeutic means or/and new and improved analgesics. Why, what factors resulted in the giant gap between the pain basic research and clinical diagnosis and treatment This paper reviews the history in pain theory development and the mechanisms of pain signal processing, and makes brief comments on the obstacles and challenges of translational research on pain.

Key words: Pain; Mechanism; Translational medicine