Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain

Trigeminal neuropathic pain is a chronic pain condition caused by damage or inflammation of the trigeminal nerve or its branches, with both peripheral and central nervous system dysfunction contributing to the disorder. Trigeminal pain conditions present with diagnostic and therapeutic challenges to...

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Main Authors: Pawan Bista, Wendy L. Imlach
Format: Article
Language:English
Published: MDPI AG 2019-08-01
Series:Medicines
Subjects:
Online Access:https://www.mdpi.com/2305-6320/6/3/91
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author Pawan Bista
Wendy L. Imlach
author_facet Pawan Bista
Wendy L. Imlach
author_sort Pawan Bista
collection DOAJ
description Trigeminal neuropathic pain is a chronic pain condition caused by damage or inflammation of the trigeminal nerve or its branches, with both peripheral and central nervous system dysfunction contributing to the disorder. Trigeminal pain conditions present with diagnostic and therapeutic challenges to healthcare providers and often require multiple therapeutic approaches for pain reduction. This review will provide the overview of pathophysiology in peripheral and central nociceptive circuits that are involved in neuropathic pain conditions involving the trigeminal nerve and the current therapeutics that are used to treat these disorders. Recent advances in treatment of trigeminal pain, including novel therapeutics that target ion channels and receptors, gene therapy and monoclonal antibodies that have shown great promise in preclinical studies and clinical trials will also be described.
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spelling doaj.art-36e9a0eaeb7d4901a80b97e80e7186a72022-12-22T00:09:45ZengMDPI AGMedicines2305-63202019-08-01639110.3390/medicines6030091medicines6030091Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic PainPawan Bista0Wendy L. Imlach1Department of Physiology & Monash Biomedicine Discovery Institute, Monash University, Melbourne, VIC 3800, AustraliaDepartment of Physiology & Monash Biomedicine Discovery Institute, Monash University, Melbourne, VIC 3800, AustraliaTrigeminal neuropathic pain is a chronic pain condition caused by damage or inflammation of the trigeminal nerve or its branches, with both peripheral and central nervous system dysfunction contributing to the disorder. Trigeminal pain conditions present with diagnostic and therapeutic challenges to healthcare providers and often require multiple therapeutic approaches for pain reduction. This review will provide the overview of pathophysiology in peripheral and central nociceptive circuits that are involved in neuropathic pain conditions involving the trigeminal nerve and the current therapeutics that are used to treat these disorders. Recent advances in treatment of trigeminal pain, including novel therapeutics that target ion channels and receptors, gene therapy and monoclonal antibodies that have shown great promise in preclinical studies and clinical trials will also be described.https://www.mdpi.com/2305-6320/6/3/91Trigeminal neuropathic paintrigeminal nervenociceptionpathological painnociceptive circuitsorofacial paindental painmigrainetrigeminal spinal caudalistrigeminal ganglion
spellingShingle Pawan Bista
Wendy L. Imlach
Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
Medicines
Trigeminal neuropathic pain
trigeminal nerve
nociception
pathological pain
nociceptive circuits
orofacial pain
dental pain
migraine
trigeminal spinal caudalis
trigeminal ganglion
title Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
title_full Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
title_fullStr Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
title_full_unstemmed Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
title_short Pathological Mechanisms and Therapeutic Targets for Trigeminal Neuropathic Pain
title_sort pathological mechanisms and therapeutic targets for trigeminal neuropathic pain
topic Trigeminal neuropathic pain
trigeminal nerve
nociception
pathological pain
nociceptive circuits
orofacial pain
dental pain
migraine
trigeminal spinal caudalis
trigeminal ganglion
url https://www.mdpi.com/2305-6320/6/3/91
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