Piezo机械敏感阳离子蛋白在神经病理性疼痛的调控作用及展望
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1.广西中医药大学;2.广西中医药大学第一附属医院

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国家自然科学基金(82160934);广西中医药大学桂派杏林拔尖人才项目(2022C017);广西中医药大学全国名中医黄鼎坚学术思想与临床诊疗传承发展推广中心(2022V005)


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1.Guangxi University of Traditional Chinese Medicine;2.The First Affiliated Hospital of Guangxi University of Traditional Chinese Medicine

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    摘要:

    2021年的诺贝尔医学奖获得者在2010年发现了细胞机械力敏感相关受体Piezo蛋白,Piezo蛋白的结构、功能、与疾病的关联性一直是近年来研究的热点,其在疼痛领调控中发挥重要的作用。研究发现,Piezo与神经病理性疼痛(NP)具有关联性,Piezo为机械敏感阳离子蛋白,其激活诱导阳离子内流,改变了细胞内外离子浓度,产生神经电信号,诱发神经纤维及相关伤害感受器的敏化,并引发细胞内外的生化反应,例如神经细胞的突触间的信号转递、神经再生和免疫细胞的免疫反应等,均对NP具有调控作用。尽管Piezo蛋白和NP的相关调控机制已有学者进行研究,但当前研究仍有存在许多空白和局限性,难以精准把握Piezo蛋白在NP发展的具体路径。因此,本文旨在系统综述Piezo在调控NP的最新研究进展,并提出Piezo蛋白有望成为治疗NP的新靶点,为 NP 潜在分子靶向镇痛药物的研发开辟新路径,也能为针灸治疗NP提供更为坚实的理论支撑。

    Abstract:

    The 2021 Nobel Laureate in Medicine discovered the cellular mechanical force-sensitive-related receptor Piezo protein in 2010, and the structure, function, and association with disease of Piezo protein have been the focus of research in recent years, and it plays an important role in the regulation of pain collar. It has been found that Piezo is associated with neuropathic pain (NP), which is a mechanosensitive cationic protein, whose activation induces cation influx, changes the concentration of ions inside and outside cells, generates nerve electrical signals, induces sensitization of nerve fibers and related nociceptors, and triggers biochemical reactions inside and outside cells, such as intersynaptic signal transmission of nerve cells, nerve regeneration and immune response of immune cells, all of which have regulatory effects on NP. Although the regulatory mechanism of Piezo protein and NP has been studied by scholars, there are still many gaps and limitations in the current research, and it is difficult to accurately grasp the specific path of the development of Piezo protein in NP. Therefore, the purpose of this article is to systematically review the latest research progress of Piezo in the regulation of NP, and propose that Piezo protein is expected to become a new target for the treatment of NP, which will open up a new path for the research and development of potential molecularly targeted analgesic drugs for NP, and also provide more solid theoretical support for acupuncture in the treatment of NP.

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  • 收稿日期:2025-02-19
  • 最后修改日期:2025-06-13
  • 录用日期:2025-08-12
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