国际麻醉学与复苏杂志   2020, Issue (8): 0-0
    
NLRP3炎症小体与神经病理性疼痛的研究进展
任晋璇, 郁丽娜1()
1.浙江大学医学院附属第二医院
NLRP3 INFLAMMASOME AND NEUROPATHIC PAIN
 全文:
摘要:

神经病理性疼痛是目前治疗中最具挑战性的神经系统疾病之一,因病因多变、症状复杂,当前常用的治疗药物如抗癫痫药、抗抑郁药、NMDA拮抗剂和阿片类镇痛药等,均致疼痛缓解的效果不佳,因此神经病理性疼痛新治疗策略的研发成为重中之重。炎症小体,其中最典型的是NLRP3,作为一种多蛋白复合物,可激活caspase-1及IL-1β,参与多种炎症反应;大量研究已证明NLRP3在神经病理性疼痛中发挥关键作用。在这篇综述中,我们总结了近几年NLRP3炎症小体在不同神经病理性疼痛中的作用机制,并讨论了NLPR3抑制剂对神经病理性疼痛缓解的新进展,旨在为进一步研究提供理论依据并对神经病理性疼痛的治疗提供新的见解。

关键词: 神经病理性疼痛;NLRP3炎症小体;信号机制;炎症反应
Abstract:

Neuropathic pain is one of the most challenging neurological diseases. Due to variable etiology and complex symptoms, currently common therapeutic drugs such as anti-epileptic drugs, antidepressants, NMDA antagonists and opioids, have poor effects on pain relief. Therefore, the development of new therapeutic strategies for neuropathic pain has become a top priority. Inflammasome, as a polyprotein complex, activates caspase-1 and IL- 1β, which are involved in the inflammatory response. NLRP3, as the most typical inflammasome, has been extensively studied to play a key role in the neuropathic pain. In this review, we summarize the mechanism of NLRP3 inflammasome in different neuropathic pain models and discuss the new progress between NLPR3 inhibitors and neuropathic pain, aiming to provide a theoretical basis for further research and provide new insights into the treatment of neuropathic pain in the future.

Key words: neuropathic pain; NLRP3 inflammasome; signaling mechanism; inflammatory response