2014
DOI: 10.1038/nri3621
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Pathological pain and the neuroimmune interface

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 pathol… Show more

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Cited by 711 publications
(767 citation statements)
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References 175 publications
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“…Glial and neuroimmune mechanisms have been extensively characterized in the context of pathological pain (Grace et al, 2014a), while researchers attempting to decode the complex etiology of neurodegenerative disorders such as Alzheimer's disease have also argued for a more holistic framework, where the interactions and compensatory responses between neurons, glia, and vascular cells all contribute to the progression of the disease (De Strooper and Karran, 2016). Given their role in immune surveillance and debris clearance, it is perhaps unsurprising that microglial activation in particular has been implicated in neurodegenerative diseases beyond Alzheimer's disease, including multiple sclerosis and Parkinson's disease (Chung et al, 2015b;Heneka et al, 2015;Hong et al, 2016).…”
Section: Resultsmentioning
confidence: 99%
“…Glial and neuroimmune mechanisms have been extensively characterized in the context of pathological pain (Grace et al, 2014a), while researchers attempting to decode the complex etiology of neurodegenerative disorders such as Alzheimer's disease have also argued for a more holistic framework, where the interactions and compensatory responses between neurons, glia, and vascular cells all contribute to the progression of the disease (De Strooper and Karran, 2016). Given their role in immune surveillance and debris clearance, it is perhaps unsurprising that microglial activation in particular has been implicated in neurodegenerative diseases beyond Alzheimer's disease, including multiple sclerosis and Parkinson's disease (Chung et al, 2015b;Heneka et al, 2015;Hong et al, 2016).…”
Section: Resultsmentioning
confidence: 99%
“…Emerging evidence suggests that the peripheral and central neuroinflammation associated with the chemokine-cytokine network following nerve damage plays pivotal roles in the pathogenesis of neuropathic pain [2,3]. Thus, further investigation of the functions of the chemokinecytokine network-mediated regulation of neuroinflammation might lead to novel therapeutic strategies [4].…”
Section: Introductionmentioning
confidence: 99%
“…Factors that sensitize nociceptors include those secreted by infiltrating/activated leukocytes, such as cytokines/ chemokines, growth factors, and lipids, and those released from damaged cells, such as ATP, H + , and reactive compounds like hydroxynonenals (4)(5)(6)(7). Despite the common assumption that immune cells are the major drivers of inflammatory pain, the exact cell types involved and their roles in different types of tissue inflammation have not yet been elucidated.…”
mentioning
confidence: 99%