[1]高芳芳,李婷婷,崔艺敏,等.针刺作用下嘌呤受体P2X7对神经病理性疼痛的作用[J].陕西中医,2023,(2):271-封3.[doi:DOI:10.3969/j.issn.1000-7369.2023.02.031]
 GAO Fangfang,LI Tingting,CUI Yimin,et al.Effects of purinoceptor P2X7 on neuropathic pain under the action of acupuncture[J].,2023,(2):271-封3.[doi:DOI:10.3969/j.issn.1000-7369.2023.02.031]
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针刺作用下嘌呤受体P2X7对神经病理性疼痛的作用
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年2期
页码:
271-封3
栏目:
综 述
出版日期:
2023-02-05

文章信息/Info

Title:
Effects of purinoceptor P2X7 on neuropathic pain under the action of acupuncture
作者:
高芳芳李婷婷崔艺敏唐娅妮何轶帆刘 奇屈红艳
(陕西中医药大学针灸推拿学院,陕西 咸阳 712046)
Author(s):
GAO FangfangLI TingtingCUI YiminTANG YaniHE YifanLIU QiQU Hongyan
(School of Acupuncture and Massage,Shaanxi University of Chinese Medicine,Xianyang 712046,China)
关键词:
疼痛 P2X7受体 针刺镇痛 嘌呤受体 嘌呤信号通路
Keywords:
Pain P2X7 receptor Acupuncture analgesia Purinergic receptors Purinergic signaling pathway
分类号:
R 441.1
DOI:
DOI:10.3969/j.issn.1000-7369.2023.02.031
文献标志码:
A
摘要:
嘌呤受体P2X7是P2X家族中具有双功能调节且结构上有别于其他成员的受体,其在神经系统中的表达广泛地参与了疼痛的发生和维持的过程,在神经病理性疼痛的治疗中受到了极大关注。有研究发现,P2X7受体在针刺作用下通过调控其他因子或者通路而在镇痛过程中起关键作用,极可能成为镇痛中重要的干预靶点。但是目前关于针刺镇痛是如何影响P2X7受体等神经递质来抑制神经源性痛觉传递还存在争议,有待进一步深入研究。因此,寻找更加有效的机制来指导临床工作显得尤为重要。 现基于针刺治疗对P2X7受体在神经病理性疼痛中的作用进行简要综述,旨在为神经病理性疼痛的治疗提供新的理论依据。
Abstract:
The purinergic P2X7 receptor is a receptor with bifunctional regulation in the P2X family and is structurally different from other members.Its expression in the nervous system is widely involved in the occurrence and maintenance of pain,and it is widely used in the treatment of neuropathic pain.received a lot of attention.Some studies have found that P2X7receptor plays a key role in analgesia by regulating other factors or pathways under the action of acupuncture,and it is likely to become an important intervention target in analgesia.However,there is still controversy about how acupuncture analgesia affects neurotransmitters such as P2X7 receptors to inhibit neurogenic pain transmission,and further research is needed.Therefore,it is particularly important to find a more effective mechanism to guide clinical work.This article briefly reviews the role of P2X7 receptors in neuropathic pain based on acupuncture therapy,aiming to provide a new theoretical basis for the treatment of neuropathic pain.

参考文献/References:

[1] 宋学军,樊碧发,万 有,等.国际疼痛学会新版疼痛定义修订简析[J].中国疼痛医学杂志,2020,26(9):641-644.
[2] 肖晓山.神经性疼痛的诊断与治疗进展[J].现代医院,2006,6(1):30-35.
[3] 鞠大宏,侯依泽.针刺镇痛的中医机理探讨[J].中国中医基础医学杂志,1998,4(1):167-168.
[4] 陈以国.疼痛病机及针刺镇痛机理[J].中医函授通讯,1997,16(1):13-14.
[5] 史福敏,谢昱伟,左晓娜,等.温阳止痛贴联合郄穴针刺治疗虚寒型癌性疼痛临床研究[J].陕西中医,2021,42(10):1412-1415.
[6] Zhang RY,Zhu BF,Wang LK,et al.Electroacupuncture alleviates inflammatory pain via adenosine suppression and its mediated substance P expression[J].Arq Neuropsiquiatr,2020,78(10):617-623.
[7] 刘兴星,尚秀葵,苑功名,等.从趋化因子调节疼痛视角探讨针刺镇痛新机制[J].针灸临床杂志,2021,37(10):1-6.
[8] Yan Q,Ruan JW,Ding Y,et al.Electro-acupuncture promotes differentiation of mesenchymal stem cells,regeneration of nerve fibers and partial functional recovery after spinal cord injury[J].Exp Toxicol Pathol, 2011,63(1-2):151-156.
[9] Wan C,Xu Y,Cen B,et al.Neuregulin1-erbB4 signaling in spinal cord participates in electroacupuncture analgesia in inflammatory pain[J].Front Neurosci,2021,15:636348.
[10] Lu W.Axon degeneration and inflammation in neuropathy:The role of acupuncture[J].Med Acupunct,2020,32(6):398-399.
[11] Tang Y,Yin HY,Rubini P,et al.Acupuncture-induced analgesia:A neurobiological basis in purinergic signaling[J].Neuroscientist,2016,22(6):563-578.
[12] 王庆勇,屈媛媛,冯楚文,等.针刺对神经病理性疼痛的镇痛机制[J].中国针灸,2020,40(8):907-912.
[13] 钟青华,杨 松,孟 灵,等.电针颈夹脊穴对神经病理性疼痛大鼠脊髓背角谷氨酸受体及趋化因子受体表达水平的影响[J].陕西中医,2022,43(5):564-570.
[14] Burnstock G.Purinergic signalling:Its unpopular beginning,its acceptance and its exciting future[J].Bioessays, 2012,34(3):218-225.
[15] 崔 剑,阮怀珍.神经病理性疼痛中细胞外三磷酸腺苷来源的研究进展[J].医学研究生学报,2013,26(9):988-992.
[16] 梅 林,都 伟,李学军.神经系统中的嘌呤信号[J].生理科学进展,2009,40(1):59-62.
[17] Lv ZY,Yang YQ,Yin LM.Role of purinergic signaling in acupuncture therapeutics[J].Am J Chin Med,2021,49(3):645-659.
[18] Burnstock G.Purine and pyrimidine receptors[J].Cell Mol Life Sci,2007,64(12):1471-1483.
[19] 肖 智.中脑导水管周围灰质P2X3受体在电针镇痛中的作用[D].重庆:第三军医大学,2010.
[20] 许 今.脊髓P2X受体阳性小胶质细胞在电针治疗神经病理痛中的作用研究[D].上海:上海交通大学,2016.
[21] 张 琪,谭颖颖.低频电针刺激对慢性痛大鼠背根神经节P2X3受体表达的影响[J].陕西中医学院学报,2011,34(5):74-75.
[22] Sluyter R.The P2X7 receptor[J].Adv Exp Med Biol, 2017,1051:17-53.
[23] 张秀军,郑国光,吴克复.P2X受体研究进展[J].生物物理学报,2003,19(2):125-129.
[24] 司淑斌,姜华茂.P2X受体与神经源性膀胱的研究进展[J].陕西医学杂志,2011,40(1):109-111.
[25] Sun C,Chu J,Singh S,et al.Identification and characterization of a novel variant of the human P2X(7)receptor resulting in gain of function[J].Purinergic Signal,2010,6(1):31-45.
[26] Locovei S,Scemes E,Qiu F,et al.Pannexin1 is part of the pore forming unit of the P2X(7)receptor death complex[J].FEBS Lett,2007,581(3):483-488.
[27] Chessell IP,Hatcher JP,Bountra C,et al.Disruption of the P2X7 purinoceptor gene abolishes chronic inflammatory and neuropathic pain[J].Pain,2005,114(3):386-396.
[28] 王 灿,魏春鹏,向安峰,等.针刺镇痛即时效应及相关影响因素研究进展[J].上海针灸杂志,2022,41(2):203-207.
[29] Shen D,Zheng YW,Zhang D,et al.Acupuncture modulates extracellular ATP levels in peripheral sensory nervous system during analgesia of ankle arthritis in rats[J].Purinergic Signal,2021,17(3):411-424.
[30] He JR,Yu SG,Tang Y,et al.Purinergic signaling as a basis of acupuncture-induced analgesia[J].Purinergic Signal,2020,16(3):297-304.
[31] Xu J,Chen XM,Zheng BJ,et al.Electroacupuncture relieves nerve injury-induced pain hypersensitivity via the inhibition of spinal P2X7 receptor-positive microglia[J].Anesth Analg,2016,122(3):882-892.
[32] Wang Y,Xue M,Xia Y,et al.Electroacupuncture treatment upregulates α7nAChR and inhibits JAK2/STAT3 in dorsal root ganglion of rat with spared nerve injury[J].J Pain Res,2019,12:1947-1955.
[33] Inoue K,Tsuda M.Microglia in neuropathic pain:Cellular and molecular mechanisms and therapeutic potential[J].Nat Rev Neurosci,2018,19(3):138-152.
[34] 王顶鸣,简道林.小胶质细胞P2X4在病理性疼痛中的研究进展[J].陕西医学杂志,2006,35(12):1678-1681.
[35] Inoue K.The function of microglia through purinergic receptors:neuropathic pain and cytokine releasel[J].Pharmacol Ther,2006,109(1-2):210-226.
[36] Chu YX,Zhang Y,Zhang YQ,et al.Involvement of microglial P2X7 receptors and downstream signaling pathways in long-term potentiation of spinal nociceptive responses[J].Brain Behav Immun,2010,24(7):1176-1189.

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备注/Memo

备注/Memo:
基金项目:陕西省科技计划项目(2021JM-469,2022JQ-942)
更新日期/Last Update: 2023-02-08