Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain

Chronic pain is a disease of long-lasting pain with unpleasant feelings mediated by central and (or) peripheral sensitization, its duration usually lasts more than 3 months or longer than the expected recovery time. The patients with chronic pain are manifested with enhanced sensitivity to noxious a...

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Main Authors: Wei-Dong Lai, Song Wang, Wen-Ting You, Si-Jia Chen, Jun-Jun Wen, Cun-Rui Yuan, Meng-Jia Zheng, Yan Jin, Jie Yu, Cheng-Ping Wen
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Cell and Developmental Biology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcell.2022.1041006/full
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author Wei-Dong Lai
Song Wang
Wen-Ting You
Si-Jia Chen
Jun-Jun Wen
Cun-Rui Yuan
Meng-Jia Zheng
Yan Jin
Jie Yu
Cheng-Ping Wen
author_facet Wei-Dong Lai
Song Wang
Wen-Ting You
Si-Jia Chen
Jun-Jun Wen
Cun-Rui Yuan
Meng-Jia Zheng
Yan Jin
Jie Yu
Cheng-Ping Wen
author_sort Wei-Dong Lai
collection DOAJ
description Chronic pain is a disease of long-lasting pain with unpleasant feelings mediated by central and (or) peripheral sensitization, its duration usually lasts more than 3 months or longer than the expected recovery time. The patients with chronic pain are manifested with enhanced sensitivity to noxious and non-noxious stimuli. Due to an incomplete understanding of the mechanisms, patients are commonly insensitive to the treatment of first line analgesic medicine in clinic. Thus, the exploration of non-opioid-dependent analgesia are needed. Recent studies have shown that “sinomenine,” the main active ingredient in the natural plant “sinomenium acutum (Thunb.) Rehd. Et Wils,” has a powerful inhibitory effect on chronic pain, but its underlying mechanism still needs to be further elucidated. A growing number of studies have shown that various immune cells such as T cells, B cells, macrophages, astrocytes and microglia, accompanied with the relative inflammatory factors and neuropeptides, are involved in the pathogenesis of chronic pain. Notably, the interaction of the immune system and sensory neurons is essential for the development of central and (or) peripheral sensitization, as well as the progression and maintenance of chronic pain. Based on the effects of sinomenine on immune cells and their subsets, this review mainly focused on describing the potential analgesic effects of sinomenine, with rationality of regulating the neuroimmune interaction.
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spelling doaj.art-c7860597dcd74324b61131669727c9eb2022-12-22T09:48:21ZengFrontiers Media S.A.Frontiers in Cell and Developmental Biology2296-634X2022-12-011010.3389/fcell.2022.10410061041006Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic painWei-Dong Lai0Song Wang1Wen-Ting You2Si-Jia Chen3Jun-Jun Wen4Cun-Rui Yuan5Meng-Jia Zheng6Yan Jin7Jie Yu8Cheng-Ping Wen9School of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaDepartment of Pharmacy, The Affiliated Wenling Hospital of Wenzhou Medical University, Wenling, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaXinhua Hospital of Zhejiang Province, The Second Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaSchool of Basic Medical Science, Zhejiang Chinese Medical University, Hangzhou, ChinaChronic pain is a disease of long-lasting pain with unpleasant feelings mediated by central and (or) peripheral sensitization, its duration usually lasts more than 3 months or longer than the expected recovery time. The patients with chronic pain are manifested with enhanced sensitivity to noxious and non-noxious stimuli. Due to an incomplete understanding of the mechanisms, patients are commonly insensitive to the treatment of first line analgesic medicine in clinic. Thus, the exploration of non-opioid-dependent analgesia are needed. Recent studies have shown that “sinomenine,” the main active ingredient in the natural plant “sinomenium acutum (Thunb.) Rehd. Et Wils,” has a powerful inhibitory effect on chronic pain, but its underlying mechanism still needs to be further elucidated. A growing number of studies have shown that various immune cells such as T cells, B cells, macrophages, astrocytes and microglia, accompanied with the relative inflammatory factors and neuropeptides, are involved in the pathogenesis of chronic pain. Notably, the interaction of the immune system and sensory neurons is essential for the development of central and (or) peripheral sensitization, as well as the progression and maintenance of chronic pain. Based on the effects of sinomenine on immune cells and their subsets, this review mainly focused on describing the potential analgesic effects of sinomenine, with rationality of regulating the neuroimmune interaction.https://www.frontiersin.org/articles/10.3389/fcell.2022.1041006/fullsinomeninesensory neuronsimmune cellsglial cellschronic pain
spellingShingle Wei-Dong Lai
Song Wang
Wen-Ting You
Si-Jia Chen
Jun-Jun Wen
Cun-Rui Yuan
Meng-Jia Zheng
Yan Jin
Jie Yu
Cheng-Ping Wen
Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
Frontiers in Cell and Developmental Biology
sinomenine
sensory neurons
immune cells
glial cells
chronic pain
title Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
title_full Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
title_fullStr Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
title_full_unstemmed Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
title_short Sinomenine regulates immune cell subsets: Potential neuro-immune intervene for precise treatment of chronic pain
title_sort sinomenine regulates immune cell subsets potential neuro immune intervene for precise treatment of chronic pain
topic sinomenine
sensory neurons
immune cells
glial cells
chronic pain
url https://www.frontiersin.org/articles/10.3389/fcell.2022.1041006/full
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