Laboratories of Neuroimmunology, Department of Symptom Research, Division of Internal Medicine, University of Texas, M.D. Anderson Cancer Center, Zayed Building, M.D. Anderson Boulevard, Houston, TX 77030, USA.
Trends Mol Med. 2021 Apr;27(4):302-313. doi: 10.1016/j.molmed.2020.12.007. Epub 2021 Jan 8.
Despite successful research efforts aimed at understanding pain mechanisms, there is still no adequate treatment for many patients suffering from chronic pain. The contribution of neuroinflammation to chronic pain is widely acknowledged. Here, we summarize findings indicating that T cells play a key role in the suppression of pain. An active contribution of the immune system to resolution of pain may explain why immunosuppressive drugs are often not sufficient to control pain. This would also imply that dysregulation of certain immune functions promote transition to chronic pain. Conversely, stimulating the endogenous immune-mediated resolution pathways may provide a potent approach to treat chronic pain.
尽管在研究疼痛机制方面取得了成功,但对于许多患有慢性疼痛的患者来说,仍然没有足够的治疗方法。神经炎症对慢性疼痛的贡献已得到广泛认可。在这里,我们总结了一些发现,这些发现表明 T 细胞在抑制疼痛中发挥着关键作用。免疫系统对疼痛的缓解有积极的贡献,这可能解释了为什么免疫抑制药物通常不足以控制疼痛。这也意味着某些免疫功能的失调会促使疼痛向慢性疼痛转变。相反,刺激内源性免疫介导的缓解途径可能是治疗慢性疼痛的有效方法。