2015
DOI: 10.1097/01.j.pain.0000460323.80020.9d
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The role of the extracellular matrix in chronic pain following injury

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Cited by 25 publications
(25 citation statements)
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“…The ECM has been implicated in tissue homeostasis, as well as pathological processes triggered by nerve injury in the SC (Bartus et al, 2014 ; Tajerian and Clark, 2015 ). In chronic pain conditions, there is accumulating evidence for the role of ECM changes in hypersensitivity and long lasting maladaptation, particularly by affecting synaptic plasticity in the CNS (Tajerian and Clark, 2015 ). Yet, details about the role of its protein constituents for PNS (patho-) physiology remain to be investigated.…”
Section: Discussionmentioning
confidence: 99%
“…The ECM has been implicated in tissue homeostasis, as well as pathological processes triggered by nerve injury in the SC (Bartus et al, 2014 ; Tajerian and Clark, 2015 ). In chronic pain conditions, there is accumulating evidence for the role of ECM changes in hypersensitivity and long lasting maladaptation, particularly by affecting synaptic plasticity in the CNS (Tajerian and Clark, 2015 ). Yet, details about the role of its protein constituents for PNS (patho-) physiology remain to be investigated.…”
Section: Discussionmentioning
confidence: 99%
“…The disarray of different ECM structural proteins and the altered expression of genes involved in ECM remodeling should play a role not only in the generation of inflammation, but also in the neuronal plasticity and hyperexcitability of nociceptive neurons and in the chronification of pain observed in JHS/EDS-HT patients [ 38 ]. It is well established that ECM molecules or fragments released by matrix metallopeptidases activating in response to injury and integrin-mediated responses, could modulate inflammatory pathways and hyperalgesic signaling [ 39 , 40 ].…”
Section: Discussionmentioning
confidence: 99%
“…Indeed, it is recognized that intracellular molecules released from damaged tissues, as well as fragments of the ECM released downstream cell injury, can act as damage-associated molecular patterns (DAMPs). These molecules serve as danger signals that can elicit an immune response following tissue injury or in response to the changes in tissue composition and organization [ 156 , 157 , 158 , 159 , 160 ]. In this light, it is reasonable to assume that in hEDS/HSD cells these molecules may act as DAMPs and could be recognized by the αvβ3 integrin or other specialized receptors, which turn on pathways that transduce for the synthesis of a plethora of inflammation molecules.…”
Section: The αVβ3 Integrin Signaling Sustains the Hypermobile Eds mentioning
confidence: 99%