Identification & Characterization of Potential Mediators & Mechanisms Invloved in Neuropathic Pain

Identification & Characterization of Potential Mediators & Mechanisms Invloved in Neuropathic Pain
Author: Amin Boroujerdi
Publisher:
Total Pages: 109
Release: 2010
Genre:
ISBN: 9781124183602

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Pain is defined as an unpleasant sensation and emotional experience associated with actual or potential tissue injury. Everyone at some point has experienced a painful sensation. Pain can cause unwanted physical, emotional and social anguish throughout one's daily life. According to the American Chronic Pain Association, pain is the number one cause of adult disability in the U.S. costing an estimated $80 billion annually in medical bills and lost productivity. Unfortunately, over the past decades, our understanding of pain mechanisms and efforts to control pain are not adequate. So as a consequence, current medications for pain managements, especially that for chronic pain, are not efficacious, and often associated with intolerable side effects. Therefore, target specific, mechanism based therapeutic medications for effective, and safe pain control is an unmet medical need. In my dissertation I have focused on characterizing the role of two proteins involved in mediating neuropathic pain, a form of chronic pain. I provide evidence showing that the auxiliary subunit of the voltage gated calcium channel alpha 2 delta-1 protein is upregulated in the dorsal spinal cord (DSC) due to peripheral nerve injury. This upregulation can be pervented by blocking ectopic discharges at the site of injury or using intrathecal calcium channel alpha 2 delta-1 antisense oligodeoxynucleotide preemptively. This inhibition of calcium channel alpha 2 delta-1 levels in DSC result in delay in the development of neuropathic pain, suggesting elevated levels of calcium channel alpha 2 delta-1 in the DSC mediates the initiation of peripheral nerve injury induced neuropathic pain. I have also determined that the calcium channel alpha 2 delta-1 protein plays a role in central neuropathic pain. I observed an upregulation of the calcium channel alpha 2 delta-1 protein in the DSC of spinal cord injured (SCI) rats with neuropathic pain states, and both neuropathic pain states and calcium channel alpha 2 delta-1 protein levels could be reversed by intrathecal calcium channel alpha 2 delta-1 antisense oligodeoxynucleotides. Lastly, I contributed to identifying thrombospondin-4 (TSP4) protein, a synapse inducer, as a novel mediator in the development of neuropathic pain. Similar to the calcium channel alpha 2 delta-1 protein, TSP4 protein levels were also upregulated in DSC of peripheral nerve injury induced neuropathic pain models that correlated with pain states, . Various pharmacological agents could alter both the TSP4 levels in DSC and behavioral hypersensitivity supporting the notion that TSP4 plays a novel role in neuropathic pain. I was also able to show using immunohistchemistry that enhanced levels of TSP4 colocalized with calcium channel alpha 2 delta-1 and presynaptic marker synaptic vesicle-2 protein (sv2) in the DSC, suggesting that interaction of these two proteins plays a possible role in spinal synaptogenesis, leading to neuropathic pain transmission. These findings provide a greater understanding in the mechanism of chronic pain, which can ultimately contribute to development of new target specific medications for alleviating this debilitating disease state.

Mechanisms of Vascular Disease

Mechanisms of Vascular Disease
Author: Robert Fitridge
Publisher: University of Adelaide Press
Total Pages: 589
Release: 2011
Genre: Medical
ISBN: 1922064009

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New updated edition first published with Cambridge University Press. This new edition includes 29 chapters on topics as diverse as pathophysiology of atherosclerosis, vascular haemodynamics, haemostasis, thrombophilia and post-amputation pain syndromes.

The Oxford Handbook of the Neurobiology of Pain

The Oxford Handbook of the Neurobiology of Pain
Author: John N. Wood
Publisher: Oxford University Press, USA
Total Pages: 939
Release: 2020
Genre: Medical
ISBN: 0190860502

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This handbook is currently in development, with individual articles publishing online in advance of print publication. At this time, we cannot add information about unpublished articles in this handbook, however the table of contents will continue to grow as additional articles pass through the review process and are added to the site. Please note that the online publication date for this handbook is the date that the first article in the title was published online.

Acute Pain Management

Acute Pain Management
Author: Raymond S. Sinatra
Publisher: Cambridge University Press
Total Pages: 729
Release: 2009-04-27
Genre: Medical
ISBN: 0521874912

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This textbook provides an overview of pain management useful to specialists as well as non-specialists, surgeons, and nursing staff.

Pain Modulation

Pain Modulation
Author: Howard L. Fields
Publisher: Elsevier Publishing Company
Total Pages: 454
Release: 1988-01-01
Genre: Medical
ISBN: 9780444809841

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This volume represents edited material that was presented at a conference on brainstem modulation of spinal nociception held in Beaune, France during July, 1987. Pain Modulation, Volume 77 in the series Progress in Brain Research reviews, analyses and suggests new research strategies on several relevant topics including: the endogenous opioid peptides; sites of action of opiates; the role of biogenic animes and non-opioid peptides in analgesia; dorsal horn circuitry; behavioural factors in the activation of pain modulating networks and clinical studies of nociceptive modulation.

Recognition and Alleviation of Pain and Distress in Laboratory Animals

Recognition and Alleviation of Pain and Distress in Laboratory Animals
Author: National Research Council
Publisher: National Academies Press
Total Pages: 161
Release: 1992-01-01
Genre: Science
ISBN: 0309042755

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Clear guidelines on the proper care and use of laboratory animals are being sought by researchers and members of the many committees formed to oversee animal care at universities as well as the general public. This book provides a comprehensive overview of what we know about behavior, pain, and distress in laboratory animals. The volume explores: Stressors in the laboratory and the animal behaviors they cause, including in-depth discussions of the physiology of pain and distress and the animal's ecological relationship to the laboratory as an environment. A review of euthanasia of lab animals-exploring the decision, the methods, and the emotional effects on technicians. Also included is a highly practical, extensive listing, by species, of dosages and side effects of anesthetics, analgesics, and tranquilizers.

Wall and Melzack's Textbook of Pain

Wall and Melzack's Textbook of Pain
Author: Patrick David Wall
Publisher: Churchill Livingstone
Total Pages: 0
Release: 2006
Genre: Anesthesiology
ISBN: 9780443067914

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Covers virtually every aspect of pain. More than 125 leading minds in the field document all of the very latest knowledge about the neurophysiology, psychology, and assessment of every type of pain syndrome, and describe today's full range of pharmacologic, surgical, electrostimulative, physiotherapeutic, and psychological management options. This revised edition covers all aspects of the physiology, psychology, assessment, and management of pain.

The Essence of Analgesia and Analgesics

The Essence of Analgesia and Analgesics
Author: Raymond S. Sinatra
Publisher: Cambridge University Press
Total Pages: 551
Release: 2010-10-14
Genre: Medical
ISBN: 1139491989

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The Essence of Analgesia and Analgesics is an invaluable practical resource for clinicians giving pain relief in any clinical setting, describing the pharmacologic principles and clinical use of all available pain medications. As well as detailed overviews of pain processing and analgesic theory, sections are dedicated to oral and panteral opioid analgesics, neuraxial opioids, NSAIDs, local anesthetics, anticonvulsant type analgesics, NMDA antagonists, alpha adrenergic analgesics, antidepressant analgesics, muscle relaxants, adjuvant medications, and new and emerging analgesics. The concise format of the chapters allows for quick and easy reading and assimilation of information. Enhanced by summary tables and figures, each chapter provides an overview of a particular drug, covering chemical structure, mode of activity, indications, contraindications, common doses and uses, advantages and disadvantages, and drug related adverse events. Key references are also provided. Edited by leading experts in pain management, this is essential reading for any clinician involved in pain management.

Cytokines and Pain

Cytokines and Pain
Author: L.R. Watkins
Publisher: Springer
Total Pages: 248
Release: 2013-03-08
Genre: Medical
ISBN: 3034887493

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Within the past few years, it has become recognized that the immune system communicates to the brain. Substances released from activated immune cells (cytokines) stimulate peripheral nerves, thereby signaling the brain and spinal cord that infection/inflammation has occurred. Additionally, peripheral infection/inflammation leads to de novo synthesis and release of cytokines within the brain and spinal cord. Thus, cytokines effect neural activation both peripherally and centrally. Through this communication pathway, cytokines such as interleukin-1, interleukin-6 and tumor necrosis factor markedly alter brain function, physiology and behavior. One important but underrecognized aspect of this communication is the dramatic impact that immune activation has on pain modulation. The purpose of this book is to examine, for the first time, immune-to-brain communication from the viewpoint of its effect on pain processing. It is aimed both at the basic scientist and health care providers, in order to clarify the major role that substances released by immune cells play in pain modulation. This book contains chapters contributed by all of the major laboratories focused on understanding how cytokines modulate pain. These chapters provide a unique vantage point from which to examine this question, as the summarized work ranges from evolutionary approaches across diverse species, to the basics of the immune response, to the effect of cytokines on peripheral and central nervous system sites, to therapeutic potential in humans.

Neuropeptides in the Spinal Cord

Neuropeptides in the Spinal Cord
Author: F. Nyberg
Publisher: Elsevier
Total Pages: 439
Release: 1995-10-30
Genre: Medical
ISBN: 0080862292

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This is the first book devoted exclusively to examining the role of neuropeptides in the spinal cord. Great progress has been made recently in our understanding of the role of neuropeptides in neurotransmission. New tools have been developed to help study the function of endogenous neuropeptides in health and disease. Because the general organization of the spinal cord is well conserved among species and neuropeptides appear to have a major role in spinal neurotransmission, this book is a timely compendium of recent research in this field. The volume will help to stimulate further research in the field of neuropeptides which will lead to better understanding of this role in health and disease.