Circadian rhythms and pain

被引：44

作者：

Bumgarner, Jacob R. ^{[1
]}

Walker, William H., II ^{[1
]}

Nelson, Randy J. ^{[1
]}

机构：

[1] West Virginia Univ, Rockefeller Neurosci Inst, Dept Neurosci, Morgantown, WV 26506 USA

来源：

NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS | 2021年 / 129卷

关键词：

Circadian rhythms; Pain; Pain system; Chronic pain; Circadian rhythms of pain; Circadian rhythms and pain; Circadian rhythm disruption; CLOCK GENE-EXPRESSION; LOW-BACK-PAIN; MEDIAL PREFRONTAL CORTEX; MESSENGER-RNA EXPRESSION; TOTAL SLEEP-DEPRIVATION; NIGHT-SHIFT WORK; OREXIN-A LEVELS; SUPRACHIASMATIC NUCLEUS; DIURNAL-VARIATION; NEUROPATHIC PAIN;

D O I：

10.1016/j.neubiorev.2021.08.004

中图分类号：

B84 [心理学]; C [社会科学总论]; Q98 [人类学];

学科分类号：

03 ; 0303 ; 030303 ; 04 ; 0402 ;

摘要：

The goal of this review is to provide a perspective on the nature and importance of the relationship between the circadian and pain systems. We provide: 1) An overview of the circadian and pain systems, 2) a review of direct and correlative evidence that demonstrates diurnal and circadian rhythms within the pain system; 3) a perspective highlighting the need to consider the role of a proposed feedback loop of circadian rhythm disruption and maladaptive pain; 4) a perspective on the nature of the relationship between circadian rhythms and pain. In summary, we propose that there is no single locus responsible for producing the circadian rhythms of the pain system. Instead, circadian rhythms of pain are a complex result of the distributed rhythms present throughout the pain system, especially those of the descending pain modulatory system, and the rhythms of the systems with which it interacts, including the opioid, endocrine, and immune systems.

引用

页码：296 / 306

页数：11

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