Neuraxial Cytokines in Pain States

被引:108
作者
dos Santos, Gilson Goncalves [1 ]
Delay, Lauriane [1 ]
Yaksh, Tony L. [1 ]
Corr, Maripat [2 ]
机构
[1] Univ Calif San Diego, Dept Anesthesiol, La Jolla, CA 92093 USA
[2] Univ Calif San Diego, Div Rheumatol Allergy & Immunol, La Jolla, CA 92093 USA
关键词
cytokine; chemokine; pain; neuroimmune crosstalk; neuraxis; NECROSIS-FACTOR-ALPHA; DORSAL-ROOT GANGLIA; BONE CANCER PAIN; MONOCYTE CHEMOATTRACTANT PROTEIN-1; SPINAL-CORD ASTROCYTES; NEUROPATHIC-PAIN; RHEUMATOID-ARTHRITIS; INFLAMMATORY PAIN; IFN-GAMMA; THERMAL HYPERALGESIA;
D O I
10.3389/fimmu.2019.03061
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A high-intensity potentially tissue-injuring stimulus generates a homotopic response to escape the stimulus and is associated with an affective phenotype considered to represent pain. In the face of tissue or nerve injury, the afferent encoding systems display robust changes in the input-output function, leading to an ongoing sensation reported as painful and sensitization of the nociceptors such that an enhanced pain state is reported for a given somatic or visceral stimulus. Our understanding of the mechanisms underlying this non-linear processing of nociceptive stimuli has led to our appreciation of the role played by the functional interactions of neural and immune signaling systems in pain phenotypes. In pathological states, neural systems interact with the immune system through the actions of a variety of soluble mediators, including cytokines. Cytokines are recognized as important mediators of inflammatory and neuropathic pain, supporting system sensitization and the development of a persistent pathologic pain. Cytokines can induce a facilitation of nociceptive processing at all levels of the neuraxis including supraspinal centers where nociceptive input evokes an affective component of the pain state. We review here several key proinflammatory and anti-inflammatory cytokines/chemokines and explore their underlying actions at four levels of neuronal organization: (1) peripheral nociceptor termini; (2) dorsal root ganglia; (3) spinal cord; and (4) supraspinal areas. Thus, current thinking suggests that cytokines by this action throughout the neuraxis play key roles in the induction of pain and the maintenance of the facilitated states of pain behavior generated by tissue injury/inflammation and nerve injury.
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页数:17
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