国际麻醉学与复苏杂志   2024, Issue (1): 0-0
    
漏钠离子通道参与神经病理性疼痛机制的研究进展
王旭燕, 魏义勇, 王海英1()
1.遵义医科大学附属医院
Research advances of sodium leak channel contributes to neuropathic pain
 全文:
摘要:

神经病理性疼痛(NP)是临床上常见的一种慢性疼痛,发病率高,治疗难度大,严重影响患者的生活质量,其发病机制和治疗靶点一直是医学研究的热点和难点。漏钠离子通道(NALCN)是一种与电压无关、非选择性、非失活的阳离子通道,在NP的发生过程中扮演重要角色。文章就NALCN的结构和功能,NALCN通过中枢敏化、外周敏化、调节P物质(SP)的致痛效应以及环腺苷酸(cAMP)/蛋白激酶A(PKA)信号通路参与NP的有关机制进行综述,以期为NP发生机制的研究和治疗提供新方向。

关键词: 神经病理性疼痛;漏钠离子通道;中枢敏化;外周敏化;P物质;环腺苷酸; 蛋白激酶A
Abstract:

Neuropathic pain (NP) is a common chronic pain in clinical practice, with a character of high incidence and refractory to treatment, which seriously affects the quality of patients' life. Its pathogenesis and therapeutic targets have always been the focus and difficulty of medical research. Sodium leak channel non‑selective protein (NALCN) is a kind of voltage‑independent, non‑selective, and non‑inactivating cation channel, which plays an important role in the generation of NP. The review summarizes recent study achievements on the structure and function of NALCN and variations mechanism to the NALCN involving in NP, including central sensitization, peripheral sensitization, regulation of the pain‑inducing effects of substance P (SP), and cyclic adenylic acid (cAMP)/protein kinase A (PKA) signaling pathway, in order to provide a new direction for neuropathic pain study and treatment.

Key words: Neuropathic pain; Sodium leak channel non‑selective protein; Central sensitization; Peripheral sensitization; Substance P; Cyclic adenylic acid; Protein kinase A