The disruptive relationship among circadian rhythms, pain, and opioids

被引：11
作者：
Bumgarner, Jacob R. [1 ]
McCray, Evan W. [1 ]
Nelson, Randy J. [1 ]
机构：
[1] West Virginia Univ, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26506 USA
来源：
FRONTIERS IN NEUROSCIENCE | 2023年 / 17卷
关键词：
circadian rhythms; pain; opioids; opioid analgesia; circadian rhythm disruption; LOW-BACK-PAIN; PATIENT-CONTROLLED ANALGESIA; MESSENGER-RNA EXPRESSION; NIGHT-SHIFT WORK; CHRONOBIOLOGICAL CHARACTERISTICS; DIURNAL-VARIATION; GENE-EXPRESSION; CANCER PAIN; GREEN LIGHT; SLEEP;
D O I：
10.3389/fnins.2023.1109480
中图分类号：
Q189 [神经科学];
学科分类号：
071006 ;
摘要：
Pain behavior and the systems that mediate opioid analgesia and opioid reward processing display circadian rhythms. Moreover, the pain system and opioid processing systems, including the mesolimbic reward circuitry, reciprocally interact with the circadian system. Recent work has demonstrated the disruptive relationship among these three systems. Disruption of circadian rhythms can exacerbate pain behavior and modulate opioid processing, and pain and opioids can influence circadian rhythms. This review highlights evidence demonstrating the relationship among the circadian, pain, and opioid systems. Evidence of how disruption of one of these systems can lead to reciprocal disruptions of the other is then reviewed. Finally, we discuss the interconnected nature of these systems to emphasize the importance of their interactions in therapeutic contexts.
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页数：8
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