Role of Glia in Orofacial Pain

被引:103
作者
Chiang, Chen-Yu [1 ]
Dostrovsky, Jonathan O. [1 ,2 ]
Iwata, Koichi [3 ]
Sessle, Barry J. [1 ,2 ]
机构
[1] Univ Toronto, Fac Dent, Dept Oral Physiol, Toronto, ON M5G 1G6, Canada
[2] Univ Toronto, Fac Med, Dept Physiol, Toronto, ON M5G 1G6, Canada
[3] Nihon Univ, Sch Dent, Dept Physiol, Tokyo 101, Japan
基金
加拿大健康研究院; 美国国家卫生研究院;
关键词
microglia; astroglia; medullary dorsal horn; trigeminal system; central sensitization; neuropathic pain; inflammatory pain; glutamate-glutamine shuttle; TRIGEMINAL SUBNUCLEUS CAUDALIS; MEDULLARY DORSAL-HORN; SODIUM-CHANNEL EXPRESSION; PRIMARY AFFERENT ACTIVITY; ACTIVATED PROTEIN-KINASE; BRAIN-STEM MECHANISMS; CENTRAL SENSITIZATION; NEUROPATHIC PAIN; SPINAL MICROGLIA; SENSORY GANGLIA;
D O I
10.1177/1073858410386801
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Several acute and chronic pain conditions in the face or mouth are very common, and some are unique to the orofacial region. However, the etiology and pathogenesis of most orofacial chronic pain conditions are unresolved, and they are difficult to diagnose and manage. This article provides a brief overview of the neural mechanisms underlying orofacial pain and then highlights recent findings indicating that nonneural cells, specifically satellite cells in the sensory ganglia and astroglia and microglia cells in the central nervous system, are important players in both acute and chronic inflammatory and neuropathic orofacial pain conditions and may offer new targets for management of these conditions.
引用
收藏
页码:303 / 320
页数:18
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