Mechanical hyperalgesia in complex regional pain syndrome:: A role for TNF-α?

被引:83
作者
Maihöfner, C
Handwerker, HO
Neundörfer, B
Birklein, F
机构
[1] Univ Erlangen Nurnberg, Inst Physiol & Expt Pathophysiol, Dept Neurol, D-91054 Erlangen, Germany
[2] Univ Erlangen Nurnberg, Dept Physiol & Expt Pathophysiol, D-91054 Erlangen, Germany
关键词
D O I
10.1212/01.wnl.0000168866.62086.8f
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Plasma concentrations of soluble tumor necrosis factor alpha (TNF-alpha) receptor type I (sTNF-RI) were assessed in two complex regional pain syndrome (CRPS) patient groups (n = 30 and n = 16) and healthy controls (n = 25). Patients with CRPS and mechanical hyperalgesia had higher levels of sTNF-RI (1,661.8 +/- 146.8 pg/mL) compared with those with CRPS with identical clinical appearance but without hyperalgesia (1,155.9 +/- 56.3 pg/mL) and controls (1,239.5 +/- 42.9 pg/mL). This study suggests involvement of TNF-alpha in mechanical hyperalgesia of CRPS.
引用
收藏
页码:311 / 313
页数:3
相关论文
共 10 条
[1]  
Aderka Dan, 1996, Cytokine and Growth Factor Reviews, V7, P231, DOI 10.1016/S1359-6101(96)00026-3
[2]   The important role of neuropeptides in complex regional pain syndrome [J].
Birklein, F ;
Schmelz, M ;
Schifter, S ;
Weber, M .
NEUROLOGY, 2001, 57 (12) :2179-2184
[3]   TNF-alpha expression in painful and nonpainful neuropathies [J].
Empl, M ;
Renaud, S ;
Erne, B ;
Fuhr, P ;
Straube, A ;
Schaeren-Wiemers, N ;
Steck, AJ .
NEUROLOGY, 2001, 56 (10) :1371-1377
[4]   Evidence for local inflammation in complex regional pain syndrome type 1 [J].
Huygen, FJPM ;
de Bruijn, AGJ ;
de Bruin, MT ;
Groeneweg, JG ;
Klein, J ;
Zijlstra, FJ .
MEDIATORS OF INFLAMMATION, 2002, 11 (01) :47-51
[5]   Central origin of secondary mechanical hyperalgesia [J].
Klede, M ;
Handwerker, HO ;
Schmelz, M .
JOURNAL OF NEUROPHYSIOLOGY, 2003, 90 (01) :353-359
[6]   Patterns of cortical reorganization in complex regional pain syndrome [J].
Maihöfner, C ;
Handwerker, HO ;
Neundörfer, B ;
Birklein, F .
NEUROLOGY, 2003, 61 (12) :1707-1715
[7]   Anterograde transport of tumor necrosis factor-α in the intact and injured rat sciatic nerve [J].
Schäfers, M ;
Geis, C ;
Brors, D ;
Yaksh, TL ;
Sommer, C .
JOURNAL OF NEUROSCIENCE, 2002, 22 (02) :536-545
[8]   Hyperalgesia in experimental neuropathy is dependent on the TNF receptor 1 [J].
Sommer, C ;
Schmidt, C ;
George, A .
EXPERIMENTAL NEUROLOGY, 1998, 151 (01) :138-142
[9]   Tumour necrosis factor-alpha induces ectopic activity in nociceptive primary afferent fibres [J].
Sorkin, LS ;
Xiao, WH ;
Wagner, R ;
Myers, RR .
NEUROSCIENCE, 1997, 81 (01) :255-262
[10]   REFLEX SYMPATHETIC DYSTROPHY - CHANGING CONCEPTS AND TAXONOMY [J].
STANTONHICKS, M ;
JANIG, W ;
HASSENBUSCH, S ;
HADDOX, JD ;
BOAS, R ;
WILSON, P .
PAIN, 1995, 63 (01) :127-133