Platelet-derived growth factor receptor-β antagonism restores morphine analgesic potency against neuropathic pain

血小板衍生的生长因子受体-β拮抗剂可恢复吗啡对神经性疼痛的镇痛效力

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作者:Courtney L Donica, Yan Cui, Shanping Shi, Howard B Gutstein

Background

Chronic, intractable pain is a problem of pandemic proportions. Pain caused by nerve injuries (neuropathic pain) is extremely difficult to treat. For centuries, opiates such as morphine have been the first-line treatment for severe chronic pain. However, opiates are often ineffective against neuropathic pain, leaving few options for suffering patients. We previously demonstrated that platelet-derived growth factor- β (PDGFR-β) inhibition completely eliminated morphine tolerance. In these studies, we determined whether PDGFR-β inhibition could improve the effectiveness of morphine for neuropathic pain treatment.

Conclusions

These findings suggest the novel hypothesis that PDGF-B released by injured nerves renders animals resistant to morphine, implying that PDGFR-β inhibition could potentially eliminate the tremendous suffering caused by neuropathic pain.

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