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Novel Analgesics with Peripheral Targets

A limited number of peripheral targets generate pain. Inflammatory mediators can sensitize these. The review addresses targets acting exclusively or predominantly on sensory neurons, mediators involved in inflammation targeting sensory neurons, and mediators involved in a more general inflammatory p...

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Detalles Bibliográficos
Autores principales: Ciotu, Cosmin I., Fischer, Michael J. M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7609673/
https://www.ncbi.nlm.nih.gov/pubmed/33063247
http://dx.doi.org/10.1007/s13311-020-00937-z
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author Ciotu, Cosmin I.
Fischer, Michael J. M.
author_facet Ciotu, Cosmin I.
Fischer, Michael J. M.
author_sort Ciotu, Cosmin I.
collection PubMed
description A limited number of peripheral targets generate pain. Inflammatory mediators can sensitize these. The review addresses targets acting exclusively or predominantly on sensory neurons, mediators involved in inflammation targeting sensory neurons, and mediators involved in a more general inflammatory process, of which an analgesic effect secondary to an anti-inflammatory effect can be expected. Different approaches to address these systems are discussed, including scavenging proinflammatory mediators, applying anti-inflammatory mediators, and inhibiting proinflammatory or facilitating anti-inflammatory receptors. New approaches are contrasted to established ones; the current stage of progress is mentioned, in particular considering whether there is data from a molecular and cellular level, from animals, or from human trials, including an early stage after a market release. An overview of publication activity is presented, considering a IuPhar/BPS-curated list of targets with restriction to pain-related publications, which was also used to identify topics. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13311-020-00937-z.) contains supplementary material, which is available to authorized users.
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spelling pubmed-76096732020-11-10 Novel Analgesics with Peripheral Targets Ciotu, Cosmin I. Fischer, Michael J. M. Neurotherapeutics Review A limited number of peripheral targets generate pain. Inflammatory mediators can sensitize these. The review addresses targets acting exclusively or predominantly on sensory neurons, mediators involved in inflammation targeting sensory neurons, and mediators involved in a more general inflammatory process, of which an analgesic effect secondary to an anti-inflammatory effect can be expected. Different approaches to address these systems are discussed, including scavenging proinflammatory mediators, applying anti-inflammatory mediators, and inhibiting proinflammatory or facilitating anti-inflammatory receptors. New approaches are contrasted to established ones; the current stage of progress is mentioned, in particular considering whether there is data from a molecular and cellular level, from animals, or from human trials, including an early stage after a market release. An overview of publication activity is presented, considering a IuPhar/BPS-curated list of targets with restriction to pain-related publications, which was also used to identify topics. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s13311-020-00937-z.) contains supplementary material, which is available to authorized users. Springer International Publishing 2020-10-15 2020-07 /pmc/articles/PMC7609673/ /pubmed/33063247 http://dx.doi.org/10.1007/s13311-020-00937-z Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Review
Ciotu, Cosmin I.
Fischer, Michael J. M.
Novel Analgesics with Peripheral Targets
title Novel Analgesics with Peripheral Targets
title_full Novel Analgesics with Peripheral Targets
title_fullStr Novel Analgesics with Peripheral Targets
title_full_unstemmed Novel Analgesics with Peripheral Targets
title_short Novel Analgesics with Peripheral Targets
title_sort novel analgesics with peripheral targets
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7609673/
https://www.ncbi.nlm.nih.gov/pubmed/33063247
http://dx.doi.org/10.1007/s13311-020-00937-z
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