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Pathological pain and the neuroimmune interface

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TLDR
The current understanding of the contribution of central immune mechanisms to pathological pain is discussed, and how the heterogeneous immune functions of different cells in the CNS could be harnessed to develop new therapeutics for pain control is discussed.
Abstract
Reciprocal signalling between immunocompetent cells in the central nervous system (CNS) has emerged as a key phenomenon underpinning pathological and chronic pain mechanisms Neuronal excitability can be powerfully enhanced both by classical neurotransmitters derived from neurons, and by immune mediators released from CNS-resident microglia and astrocytes, and from infiltrating cells such as T cells In this Review, we discuss the current understanding of the contribution of central immune mechanisms to pathological pain, and how the heterogeneous immune functions of different cells in the CNS could be harnessed to develop new therapeutics for pain control Given the prevalence of chronic pain and the incomplete efficacy of current drugs — which focus on suppressing aberrant neuronal activity — new strategies to manipulate neuroimmune pain transmission hold considerable promise

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Journal ArticleDOI

Different immune cells mediate mechanical pain hypersensitivity in male and female mice

TL;DR: It is found that microglia are not required for mechanical pain hypersensitivity in female mice; female mice achieved similar levels of pain hypers sensitivity using adaptive immune cells, likely T lymphocytes, suggesting that male mice cannot be used as proxies for females in pain research.
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Pain regulation by non-neuronal cells and inflammation.

TL;DR: This work reviews how non-neuronal cells interact with nociceptive neurons by secreting neuroactive signaling molecules that modulate pain and discusses new therapeutic strategies to control neuroinflammation for the prevention and treatment of chronic pain.
Journal ArticleDOI

Emerging targets in neuroinflammation-driven chronic pain

TL;DR: This Review focuses on emerging targets — such as chemokines, proteases and the WNT pathway — that promote spinal cord neuro inflammation and chronic pain and highlights the anti-inflammatory and pro-resolution lipid mediators that act on immune cells, glial cells and neurons to resolve neuroinflammation, synaptic plasticity and pain.
Journal ArticleDOI

Injured sensory neuron-derived CSF1 induces microglial proliferation and DAP12-dependent pain

TL;DR: It is found that peripheral nerve injury induced de novo expression of colony-stimulating factor 1 (CSF1) in injured sensory neurons and the microglial membrane adaptor protein DAP12 was required for both nerve injury– and intrathecal CSF1–induced upregulation of pain-related microglia genes and the ensuing pain, but not formicroglial proliferation.
References
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Journal ArticleDOI

A peripheral mononeuropathy in rat that produces disorders of pain sensation like those seen in man.

TL;DR: A peripheral mononeuropathy was produced in adult rats by placing loosely constrictive ligatures around the common sciatic nerve and the postoperative behavior of these rats indicated that hyperalgesia, allodynia and, possibly, spontaneous pain were produced.
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Resting Microglial Cells Are Highly Dynamic Surveillants of Brain Parenchyma in Vivo

TL;DR: Using in vivo two-photon imaging in neocortex, it is found that microglial cells are highly active in their presumed resting state, continually surveying their microenvironment with extremely motile processes and protrusions.
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Cellular and Molecular Mechanisms of Pain

TL;DR: Genetic, electrophysiological, and pharmacological studies are elucidating the molecular mechanisms that underlie detection, coding, and modulation of noxious stimuli that generate pain.
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An experimental model for peripheral neuropathy produced by segmental spinal nerve ligation in the rat.

TL;DR: Results suggested that the surgical procedure in all 3 groups produced a long-lasting hyperalgesia to noxious heat and mechanical allodynia of the affected foot and there were behavioral signs of the presence of spontaneous pain in the affectedFoot.
Journal ArticleDOI

Physiology of Microglia

TL;DR: Current studies indicate that even in the normal brain, microglia have highly motile processes by which they scan their territorial domains, and microglial cells are considered the most susceptible sensors of brain pathology.
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