Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications

Although severe abdominal pain is the main symptom of acute pancreatitis, its mechanisms are poorly understood. An emerging body of literature evidence indicates that neurogenic inflammation might play a major role in modulating the perception of pain from the pancreas. Neurogenic inflammation is th...

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Main Authors: Yongzi Wu, Chenxia Han, Rong Luo, Wenhao Cai, Qing Xia, Ruotian Jiang, Pawel E. Ferdek, Tingting Liu, Wei Huang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Molecular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnmol.2023.1331438/full
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author Yongzi Wu
Chenxia Han
Rong Luo
Wenhao Cai
Qing Xia
Ruotian Jiang
Pawel E. Ferdek
Tingting Liu
Wei Huang
Wei Huang
Wei Huang
author_facet Yongzi Wu
Chenxia Han
Rong Luo
Wenhao Cai
Qing Xia
Ruotian Jiang
Pawel E. Ferdek
Tingting Liu
Wei Huang
Wei Huang
Wei Huang
author_sort Yongzi Wu
collection DOAJ
description Although severe abdominal pain is the main symptom of acute pancreatitis, its mechanisms are poorly understood. An emerging body of literature evidence indicates that neurogenic inflammation might play a major role in modulating the perception of pain from the pancreas. Neurogenic inflammation is the result of a crosstalk between injured pancreatic tissue and activated neurons, which leads to an auto-amplification loop between inflammation and pain during the progression of acute pancreatitis. In this review, we summarize recent findings on the role of neuropeptides, ion channels, and the endocannabinoid system in acute pancreatitis-related pain. We also highlight potential therapeutic strategies that could be applied for managing severe pain in this disease.
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spelling doaj.art-d476a999c3a544a4a180474a0081fc912023-12-22T04:39:33ZengFrontiers Media S.A.Frontiers in Molecular Neuroscience1662-50992023-12-011610.3389/fnmol.2023.13314381331438Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implicationsYongzi Wu0Chenxia Han1Rong Luo2Wenhao Cai3Qing Xia4Ruotian Jiang5Pawel E. Ferdek6Tingting Liu7Wei Huang8Wei Huang9Wei Huang10West China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaWest China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaLaboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Center of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu, ChinaWest China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaWest China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaLaboratory of Anesthesia and Critical Care Medicine, National-Local Joint Engineering Research Center of Translational Medicine of Anesthesiology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Cell Biology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Kraków, PolandWest China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaWest China Centre of Excellence for Pancreatitis, Institute of Integrated Traditional Chinese and Western Medicine, West China-Liverpool Biomedical Research Centre, West China Hospital, Sichuan University, Chengdu, ChinaInstitutes for Systems Genetics and Immunology and Inflammation, Frontiers Science Center for Disease-related Molecular Network, West China Hospital, Sichuan University, Chengdu, ChinaWest China Biobank, West China Hospital, Sichuan University, Chengdu, ChinaAlthough severe abdominal pain is the main symptom of acute pancreatitis, its mechanisms are poorly understood. An emerging body of literature evidence indicates that neurogenic inflammation might play a major role in modulating the perception of pain from the pancreas. Neurogenic inflammation is the result of a crosstalk between injured pancreatic tissue and activated neurons, which leads to an auto-amplification loop between inflammation and pain during the progression of acute pancreatitis. In this review, we summarize recent findings on the role of neuropeptides, ion channels, and the endocannabinoid system in acute pancreatitis-related pain. We also highlight potential therapeutic strategies that could be applied for managing severe pain in this disease.https://www.frontiersin.org/articles/10.3389/fnmol.2023.1331438/fullacute pancreatitisvisceral painneuropeptidesion channelsendocannabinoid system
spellingShingle Yongzi Wu
Chenxia Han
Rong Luo
Wenhao Cai
Qing Xia
Ruotian Jiang
Pawel E. Ferdek
Tingting Liu
Wei Huang
Wei Huang
Wei Huang
Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
Frontiers in Molecular Neuroscience
acute pancreatitis
visceral pain
neuropeptides
ion channels
endocannabinoid system
title Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
title_full Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
title_fullStr Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
title_full_unstemmed Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
title_short Molecular mechanisms of pain in acute pancreatitis: recent basic research advances and therapeutic implications
title_sort molecular mechanisms of pain in acute pancreatitis recent basic research advances and therapeutic implications
topic acute pancreatitis
visceral pain
neuropeptides
ion channels
endocannabinoid system
url https://www.frontiersin.org/articles/10.3389/fnmol.2023.1331438/full
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