国际麻醉学与复苏杂志   2022, Issue (7): 0-0
    
米诺环素治疗慢性疼痛作用机制的研究进展
张微, 王祥瑞1()
1.上海市东方医院
Research advances on the effects of minocycline in chronic pain
 全文:
摘要:

慢性疼痛发病率高,严重影响患者的生命质量。活化的小胶质细胞可诱发神经炎症,导致慢性疼痛的产生,并伴发抑郁、焦虑等情绪改变。目前,药物仍是治疗慢性疼痛的主要方式,但现有药物疗效不佳。米诺环素是一种小胶质细胞抑制剂,其潜在的抑制神经炎症及焦虑、抑郁情绪的机制可能为未来治疗慢性疼痛提供新思路。文章主要根据《国际疾病分类(第11版)》(ICD‑11)对慢性疼痛的分类,围绕米诺环素抑制小胶质细胞活化、减少炎症介质的表达与释放、降低神经元兴奋性、抑制丝裂原活化蛋白激酶等细胞内信号通路、影响突触传递等问题,对近年来米诺环素治疗不同慢性疼痛作用机制的研究进展进行综述。

关键词: 米诺环素; 慢性疼痛; 小胶质细胞; 神经炎症; 情绪
Abstract:

Chronic pain is a frequently occurring disease that can seriously decrease the quality of life. Activated microglia triggers neuroinflammation and leads to chronic pain. At present, the effects of various analgesic drugs are unsatisfactory. Minocycline is a kind of microglia inhibitor. The mechanism of minocycline inhibiting neuroinflammation and alleviating anxiety or depression may provide new ideas for treating chronic pain in the future. According to ICD‑11, this review summarized the potential mechanism of minocycline in the treatment of chronic pain from diverse perspectives, such as inhibiting microglial activation, reducing the expression and releasing of inflammatory mediators, reducing neuronal excitability, inhibiting mitogen‑activated protein kinase or other intracellular signaling pathways, and affecting synaptic transmission.

Key words: Minocycline; Chronic pain; Microglial; Neuroinflammation; Emotions