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Sensory Nerves pp 417-449 | Cite as

Cytokine and Chemokine Regulation of Sensory Neuron Function

  • Richard J. MillerEmail author
  • Hosung Jung
  • Sonia K. Bhangoo
  • Fletcher A. White
Chapter
Part of the Handbook of Experimental Pharmacology book series (HEP, volume 194)

Abstract

Pain normally subserves a vital role in the survival of the organism, prompting the avoidance of situations associated with tissue damage. However, the sensation of pain can become dissociated from its normal physiological role. In conditions of neuropathic pain, spontaneous or hypersensitive pain behavior occurs in the absence of the appropriate stimuli. Our incomplete understanding of the mechanisms underlying chronic pain hypersensitivity accounts for the general ineffectiveness of currently available options for the treatment of chronic pain syndromes. Despite its complex pathophysiological nature, it is clear that neuropathic pain is associated with short- and long-term changes in the excitability of sensory neurons in the dorsal root ganglia (DRG) as well as their central connections. Recent evidence suggests that the upregulated expression of inflammatory cytokines in association with tissue damage or infection triggers the observed hyperexcitability of pain sensory neurons. The actions of inflammatory cytokines synthesized by DRG neurons and associated glial cells, as well as by astrocytes and microglia in the spinal cord, can produce changes in the excitability of nociceptive sensory neurons. These changes include rapid alterations in the properties of ion channels expressed by these neurons, as well as longer-term changes resulting from new gene transcription. In this chapter we review the diverse changes produced by inflammatory cytokines in the behavior of sensory neurons in the context of chronic pain syndromes.

Keywords

Cytokine Chemokine DRG Pain Inflammation 

Notes

Acknowledgements

F.A.W acknowledges NIH grants NS049136, National Multiple Sclerosis Society Pilot Award, and Illinois Excellence in Medicine, State of Illinois. R.J.M. acknowledges NIH grants NS043095, DA013141, and MH040165.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Richard J. Miller
    • 1
    Email author
  • Hosung Jung
    • 1
  • Sonia K. Bhangoo
    • 1
  • Fletcher A. White
    • 1
  1. 1.Molecular Pharmacology and Structural BiochemistryNorthwestern UniversityChicagoUSA

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