SlideShare a Scribd company logo
1 of 30
Bogomoletz Institute of Physiology, Kiev, Ukraine [email_address] Dr. NANA VOITENKO AACIMP   KIEV - 2011 Molecular Mechanisms  of Pain   part I
[object Object],[object Object],[object Object]
PAIN CLASSIFICATION
Long term chronic pain, mainly inflammatory or neuropathic, afflicts about 25% of the general world population. More than 60% of people aged 65 plus complain of daily pains. This degree of disability has a huge economic toll in terms of loss of employment and disability payments but quality of life is equally compromised. Pain is thus a major medical issue but is not simply a sensation but an event that also triggers aversive and threatening psychological feelings. Intolerable pain is one of the main reason for  euthanasia .
[object Object],[object Object],[object Object]
Measurements of pain ,[object Object],[object Object],[object Object],[object Object]
Sensory pathways
Organization of Cutaneous, Primary Afferent Input to the Dorsal Horn of the Spinal Cord  Millan   M.J. ,  1999
NATURE CLINICAL PRACTICE NEUROLOGY, 2006 Mechanisms of peripheral and central sensitization in neuropathic pain P2X receptor ASICs
Receptors and Ionic Channels
ASICs ,[object Object],[object Object],[object Object],[object Object],“ Receptor for protons” (Krishtal and Pidoplichko, Neurosci. Lett. 1981) pH Oleg Krishtal
Lingueglia, E. J. Biol. Chem. 2007;282:17325-17329 The ASIC family of ion channels
Pathological conditions associated with acidosis: ,[object Object],[object Object],[object Object],[object Object],[object Object],Pain symptom ,[object Object]
ASICs knockouts: effects at the periphery ASIC3(-/-): ,[object Object],[object Object],[object Object],( ↑↓  sensitivity increased/decreased) Price et al. , Neuron, 2001
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1983 “Receptor for ATP in the membrane of mammalian sensory neurones” (Krishtal et al., Neurosci. Lett. 1983) Р2-( Purino )- receptors ATP Oleg Krishtal
Р2-( Purino )- receptors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ionic currents through different subunits of P2X receptors  P2X3 P2X2/3 P2X2 P2X3+P2X2/3
[Ca 2+ ] i  increase under activation of P2X receptors
GEOFFREY BURNSTOCK 2007 Physiology and Pathophysiology of Purinergic Neurotransmission Mechanisms of ATP-induced sensitization
P2XRs knockouts in mice ,[object Object],[object Object],[object Object],[object Object],P2X3-/- P2X2/P2X3(Dbl-/-)
Modulation of pain by AppCH 2 ppG   – antagonist of P2X3 receptor Viatchenko-Karpinski et al, 2011  in press
Effect of new P2X3 modulator: purotoxin1 (PT1, spider) Grishin et al., 2010 ,[object Object],[object Object],[object Object],Pain symptoms
[object Object],Low-voltage-activated calcium channels Veselovskii NS, Fedulova SA. 2 types of calcium channels in the somatic membrane of spinal ganglion neurons in the rat. Dokl Akad Nauk SSSR 1983; 268:747-50 (in Russian) N.S. Veselovsky
T-type calcium channels ,[object Object],P.Isope and T.H.Murphy 2005
T-channel subunits  Iftinca  et. al., 2006
Copyright ©2007 Society for Neuroscience Jagodic, M. M. et al. J. Neurosci. 2007;27:3305-3316 I ncrease in T-type current density in DRG neurons from diabetic rats.
Increasing of T-type window current and resting [Ca 2+ ] i  in the C-fiber nociceptors of diabetic rats   Voitenko group,  under preparation ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TRPV1 receptor  Vaniloid receptor 1 (TRPV1, transient receptor potential vanilloid), also known as the capsaicin receptor, is a nonselective cation channel that may be activated by a wide variety of exogenous and endogenous physical and chemical stimuli. The activation of TRPV1 leads to painful, burning sensation. TRPV1 receptors are found mainly in the nociceptive neurons of the peripheral nervous system, but they have also been described in many other tissues, including the central nervous system. TRPV1 is involved in the transmission and modulation of pain (nociception), as well as the integration of diverse painful stimuli.
TRPV1  function under diabetic peripheral neuropathy Voitenko group,  under preparation ,[object Object],[object Object],[object Object],[object Object],Diabetes, hypalgesia Diabetes, hyp er algesia Control vs control Kapsaicine vs control
Acknowledgement Supported by  JDRF ,  CRDF, INTAS, NASU grants ,[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Management
cpppaincenter
 
pain physiology Y2S1 2014
pain physiology Y2S1 2014pain physiology Y2S1 2014
pain physiology Y2S1 2014
vajira54
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain management
webzforu
 

What's hot (20)

Pain pathway
Pain pathwayPain pathway
Pain pathway
 
Pain pathways
Pain pathwaysPain pathways
Pain pathways
 
Pain and pain pathways
Pain and pain pathwaysPain and pain pathways
Pain and pain pathways
 
Muscle pain mechanism
Muscle pain mechanismMuscle pain mechanism
Muscle pain mechanism
 
2015: Pain Management - A Practical and Functional Approach-Lakkaraju
2015: Pain Management - A Practical and Functional Approach-Lakkaraju2015: Pain Management - A Practical and Functional Approach-Lakkaraju
2015: Pain Management - A Practical and Functional Approach-Lakkaraju
 
Postamputation pain
Postamputation painPostamputation pain
Postamputation pain
 
Hazem Sharaf Pain Pathophysiology
Hazem Sharaf Pain PathophysiologyHazem Sharaf Pain Pathophysiology
Hazem Sharaf Pain Pathophysiology
 
Pain pathway physiology- Dr. Anil babu Swarna
Pain pathway physiology- Dr. Anil babu SwarnaPain pathway physiology- Dr. Anil babu Swarna
Pain pathway physiology- Dr. Anil babu Swarna
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain management
 
Current Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain ManagementCurrent Concepts and Strategies in Pain Management
Current Concepts and Strategies in Pain Management
 
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
Pain Management In The 21st Century Presented At Vista Diagnostics 17.6.09
 
Pain physiology_ neeha
Pain physiology_ neehaPain physiology_ neeha
Pain physiology_ neeha
 
Physiology and pharmacology of pain
Physiology and pharmacology of painPhysiology and pharmacology of pain
Physiology and pharmacology of pain
 
pain physiology Y2S1 2014
pain physiology Y2S1 2014pain physiology Y2S1 2014
pain physiology Y2S1 2014
 
Chronic pain management
Chronic pain managementChronic pain management
Chronic pain management
 
Pain sensations
Pain sensationsPain sensations
Pain sensations
 
The Physiology Of Pain
The Physiology Of PainThe Physiology Of Pain
The Physiology Of Pain
 
Cutaneous receptors1
Cutaneous receptors1Cutaneous receptors1
Cutaneous receptors1
 
Physiology of pain
Physiology of painPhysiology of pain
Physiology of pain
 
Pain transduction & transmission
Pain transduction & transmissionPain transduction & transmission
Pain transduction & transmission
 

Viewers also liked

Central Sensitization In Chronic Pain
Central Sensitization In Chronic PainCentral Sensitization In Chronic Pain
Central Sensitization In Chronic Pain
drmbsmith
 
NMRS 2010 Mirror Therapy Brief
NMRS 2010 Mirror Therapy BriefNMRS 2010 Mirror Therapy Brief
NMRS 2010 Mirror Therapy Brief
Steve Hanling
 
Lateral Epicondylalgia. What do we know about the pain mechanisms?
Lateral Epicondylalgia. What do we know about the pain mechanisms?Lateral Epicondylalgia. What do we know about the pain mechanisms?
Lateral Epicondylalgia. What do we know about the pain mechanisms?
handfun
 
Tracts of the spinalcord
Tracts of the spinalcordTracts of the spinalcord
Tracts of the spinalcord
drnaveent
 
NSAIDS_N_5-12-08_handout
NSAIDS_N_5-12-08_handoutNSAIDS_N_5-12-08_handout
NSAIDS_N_5-12-08_handout
Flavio Guzmán
 
Acute pain in children
Acute pain in children Acute pain in children
Acute pain in children
rknelluri
 
Stroke and neuroprotection
Stroke and neuroprotectionStroke and neuroprotection
Stroke and neuroprotection
webzforu
 
Pathphysiology of pain
Pathphysiology of painPathphysiology of pain
Pathphysiology of pain
Zirgi Rana
 

Viewers also liked (20)

Chronic pain mx
Chronic pain mxChronic pain mx
Chronic pain mx
 
Central Sensitization In Chronic Pain
Central Sensitization In Chronic PainCentral Sensitization In Chronic Pain
Central Sensitization In Chronic Pain
 
Dr Teddy Wijatmiko Sp.S neuropathic pain
Dr Teddy Wijatmiko Sp.S  neuropathic painDr Teddy Wijatmiko Sp.S  neuropathic pain
Dr Teddy Wijatmiko Sp.S neuropathic pain
 
Central sensitization for physiotherapist
Central sensitization for physiotherapistCentral sensitization for physiotherapist
Central sensitization for physiotherapist
 
NMRS 2010 Mirror Therapy Brief
NMRS 2010 Mirror Therapy BriefNMRS 2010 Mirror Therapy Brief
NMRS 2010 Mirror Therapy Brief
 
Caixa Empreender Award | Sea 4 Us (Cotec)
Caixa Empreender Award | Sea 4 Us (Cotec)Caixa Empreender Award | Sea 4 Us (Cotec)
Caixa Empreender Award | Sea 4 Us (Cotec)
 
Chronic Pain After Surgery Magnitude
Chronic Pain After Surgery   MagnitudeChronic Pain After Surgery   Magnitude
Chronic Pain After Surgery Magnitude
 
Mellss yr 4 anesthesia pain management
Mellss yr 4 anesthesia pain managementMellss yr 4 anesthesia pain management
Mellss yr 4 anesthesia pain management
 
Lateral Epicondylalgia. What do we know about the pain mechanisms?
Lateral Epicondylalgia. What do we know about the pain mechanisms?Lateral Epicondylalgia. What do we know about the pain mechanisms?
Lateral Epicondylalgia. What do we know about the pain mechanisms?
 
Chronic Pain as a Disease State
Chronic Pain as a Disease StateChronic Pain as a Disease State
Chronic Pain as a Disease State
 
Nerve Blocks in Head and Neck
Nerve Blocks in Head and NeckNerve Blocks in Head and Neck
Nerve Blocks in Head and Neck
 
Tracts of the spinalcord
Tracts of the spinalcordTracts of the spinalcord
Tracts of the spinalcord
 
NSAIDS_N_5-12-08_handout
NSAIDS_N_5-12-08_handoutNSAIDS_N_5-12-08_handout
NSAIDS_N_5-12-08_handout
 
Acute pain in children
Acute pain in children Acute pain in children
Acute pain in children
 
Stroke and neuroprotection
Stroke and neuroprotectionStroke and neuroprotection
Stroke and neuroprotection
 
Pathphysiology of pain
Pathphysiology of painPathphysiology of pain
Pathphysiology of pain
 
Pain
PainPain
Pain
 
Classification of Pain
Classification of PainClassification of Pain
Classification of Pain
 
Extrapyramidal tracts and disorders
Extrapyramidal tracts and disordersExtrapyramidal tracts and disorders
Extrapyramidal tracts and disorders
 
Neuropathic pain diagnosis & management
Neuropathic pain diagnosis & managementNeuropathic pain diagnosis & management
Neuropathic pain diagnosis & management
 

Similar to Molecular Mechanisms of Pain. Part 1

Nociceptors the sensors of the pain pathway
Nociceptors the sensors of the pain pathway   Nociceptors the sensors of the pain pathway
Nociceptors the sensors of the pain pathway
Asmae LGUENSAT
 
Application of PEA reduces WDR RF size - Final edit
Application of PEA reduces WDR RF size - Final editApplication of PEA reduces WDR RF size - Final edit
Application of PEA reduces WDR RF size - Final edit
Shaun Croft, MScR
 
Pain Management by Acupuncture
Pain Management by AcupuncturePain Management by Acupuncture
Pain Management by Acupuncture
yusiye
 

Similar to Molecular Mechanisms of Pain. Part 1 (20)

Nociceptors the sensors of the pain pathway
Nociceptors the sensors of the pain pathway   Nociceptors the sensors of the pain pathway
Nociceptors the sensors of the pain pathway
 
Pathophysio of pain
Pathophysio of painPathophysio of pain
Pathophysio of pain
 
Multimodal pain management following surgical procedures
Multimodal pain management following surgical proceduresMultimodal pain management following surgical procedures
Multimodal pain management following surgical procedures
 
PAIN : PATHOPHYSIOLOGY
PAIN : PATHOPHYSIOLOGYPAIN : PATHOPHYSIOLOGY
PAIN : PATHOPHYSIOLOGY
 
Evaluation of analgesic agents
Evaluation of  analgesic agentsEvaluation of  analgesic agents
Evaluation of analgesic agents
 
CNS Sample
CNS SampleCNS Sample
CNS Sample
 
ANALGESIC
ANALGESICANALGESIC
ANALGESIC
 
Autonomic nervous system—arrangement, function, pain,visceral sensebility
Autonomic nervous system—arrangement, function, pain,visceral sensebilityAutonomic nervous system—arrangement, function, pain,visceral sensebility
Autonomic nervous system—arrangement, function, pain,visceral sensebility
 
Powerpoint acupuncture works
Powerpoint acupuncture worksPowerpoint acupuncture works
Powerpoint acupuncture works
 
d3. Substance P (SP).pdf
d3. Substance P (SP).pdfd3. Substance P (SP).pdf
d3. Substance P (SP).pdf
 
Acute pain and its management
Acute pain and its managementAcute pain and its management
Acute pain and its management
 
Application of PEA reduces WDR RF size - Final edit
Application of PEA reduces WDR RF size - Final editApplication of PEA reduces WDR RF size - Final edit
Application of PEA reduces WDR RF size - Final edit
 
Articulo linea
Articulo lineaArticulo linea
Articulo linea
 
pain
painpain
pain
 
Anatomy And Physiology Of Pain
Anatomy And Physiology Of PainAnatomy And Physiology Of Pain
Anatomy And Physiology Of Pain
 
Action potential propagation into the presynaptic dendrites of rat mitral cells
Action potential propagation into the presynaptic dendrites of rat mitral cellsAction potential propagation into the presynaptic dendrites of rat mitral cells
Action potential propagation into the presynaptic dendrites of rat mitral cells
 
The Vagus Nerve
The Vagus NerveThe Vagus Nerve
The Vagus Nerve
 
Pain Management by Acupuncture
Pain Management by AcupuncturePain Management by Acupuncture
Pain Management by Acupuncture
 
PAIN PHYSIOLOGY.ppt
PAIN PHYSIOLOGY.pptPAIN PHYSIOLOGY.ppt
PAIN PHYSIOLOGY.ppt
 
Non adrenergic, non-cholinergic (nanc) transmitters
Non adrenergic, non-cholinergic (nanc) transmittersNon adrenergic, non-cholinergic (nanc) transmitters
Non adrenergic, non-cholinergic (nanc) transmitters
 

More from SSA KPI

Germany presentation
Germany presentationGermany presentation
Germany presentation
SSA KPI
 
Grand challenges in energy
Grand challenges in energyGrand challenges in energy
Grand challenges in energy
SSA KPI
 
Engineering role in sustainability
Engineering role in sustainabilityEngineering role in sustainability
Engineering role in sustainability
SSA KPI
 
Consensus and interaction on a long term strategy for sustainable development
Consensus and interaction on a long term strategy for sustainable developmentConsensus and interaction on a long term strategy for sustainable development
Consensus and interaction on a long term strategy for sustainable development
SSA KPI
 
Competences in sustainability in engineering education
Competences in sustainability in engineering educationCompetences in sustainability in engineering education
Competences in sustainability in engineering education
SSA KPI
 
Introducatio SD for enginers
Introducatio SD for enginersIntroducatio SD for enginers
Introducatio SD for enginers
SSA KPI
 

More from SSA KPI (20)

Germany presentation
Germany presentationGermany presentation
Germany presentation
 
Grand challenges in energy
Grand challenges in energyGrand challenges in energy
Grand challenges in energy
 
Engineering role in sustainability
Engineering role in sustainabilityEngineering role in sustainability
Engineering role in sustainability
 
Consensus and interaction on a long term strategy for sustainable development
Consensus and interaction on a long term strategy for sustainable developmentConsensus and interaction on a long term strategy for sustainable development
Consensus and interaction on a long term strategy for sustainable development
 
Competences in sustainability in engineering education
Competences in sustainability in engineering educationCompetences in sustainability in engineering education
Competences in sustainability in engineering education
 
Introducatio SD for enginers
Introducatio SD for enginersIntroducatio SD for enginers
Introducatio SD for enginers
 
DAAD-10.11.2011
DAAD-10.11.2011DAAD-10.11.2011
DAAD-10.11.2011
 
Talking with money
Talking with moneyTalking with money
Talking with money
 
'Green' startup investment
'Green' startup investment'Green' startup investment
'Green' startup investment
 
From Huygens odd sympathy to the energy Huygens' extraction from the sea waves
From Huygens odd sympathy to the energy Huygens' extraction from the sea wavesFrom Huygens odd sympathy to the energy Huygens' extraction from the sea waves
From Huygens odd sympathy to the energy Huygens' extraction from the sea waves
 
Dynamics of dice games
Dynamics of dice gamesDynamics of dice games
Dynamics of dice games
 
Energy Security Costs
Energy Security CostsEnergy Security Costs
Energy Security Costs
 
Naturally Occurring Radioactivity (NOR) in natural and anthropic environments
Naturally Occurring Radioactivity (NOR) in natural and anthropic environmentsNaturally Occurring Radioactivity (NOR) in natural and anthropic environments
Naturally Occurring Radioactivity (NOR) in natural and anthropic environments
 
Advanced energy technology for sustainable development. Part 5
Advanced energy technology for sustainable development. Part 5Advanced energy technology for sustainable development. Part 5
Advanced energy technology for sustainable development. Part 5
 
Advanced energy technology for sustainable development. Part 4
Advanced energy technology for sustainable development. Part 4Advanced energy technology for sustainable development. Part 4
Advanced energy technology for sustainable development. Part 4
 
Advanced energy technology for sustainable development. Part 3
Advanced energy technology for sustainable development. Part 3Advanced energy technology for sustainable development. Part 3
Advanced energy technology for sustainable development. Part 3
 
Advanced energy technology for sustainable development. Part 2
Advanced energy technology for sustainable development. Part 2Advanced energy technology for sustainable development. Part 2
Advanced energy technology for sustainable development. Part 2
 
Advanced energy technology for sustainable development. Part 1
Advanced energy technology for sustainable development. Part 1Advanced energy technology for sustainable development. Part 1
Advanced energy technology for sustainable development. Part 1
 
Fluorescent proteins in current biology
Fluorescent proteins in current biologyFluorescent proteins in current biology
Fluorescent proteins in current biology
 
Neurotransmitter systems of the brain and their functions
Neurotransmitter systems of the brain and their functionsNeurotransmitter systems of the brain and their functions
Neurotransmitter systems of the brain and their functions
 

Recently uploaded

Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 
Gardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch LetterGardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch Letter
MateoGardella
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
kauryashika82
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
heathfieldcps1
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
SanaAli374401
 

Recently uploaded (20)

Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
Gardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch LetterGardella_PRCampaignConclusion Pitch Letter
Gardella_PRCampaignConclusion Pitch Letter
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in DelhiRussian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
Russian Escort Service in Delhi 11k Hotel Foreigner Russian Call Girls in Delhi
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
Unit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptxUnit-IV- Pharma. Marketing Channels.pptx
Unit-IV- Pharma. Marketing Channels.pptx
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
Mattingly "AI & Prompt Design: Structured Data, Assistants, & RAG"
 
Measures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SDMeasures of Dispersion and Variability: Range, QD, AD and SD
Measures of Dispersion and Variability: Range, QD, AD and SD
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.This PowerPoint helps students to consider the concept of infinity.
This PowerPoint helps students to consider the concept of infinity.
 
The basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptxThe basics of sentences session 2pptx copy.pptx
The basics of sentences session 2pptx copy.pptx
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impact
 
An Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdfAn Overview of Mutual Funds Bcom Project.pdf
An Overview of Mutual Funds Bcom Project.pdf
 
Advance Mobile Application Development class 07
Advance Mobile Application Development class 07Advance Mobile Application Development class 07
Advance Mobile Application Development class 07
 

Molecular Mechanisms of Pain. Part 1

  • 1. Bogomoletz Institute of Physiology, Kiev, Ukraine [email_address] Dr. NANA VOITENKO AACIMP KIEV - 2011 Molecular Mechanisms of Pain part I
  • 2.
  • 4. Long term chronic pain, mainly inflammatory or neuropathic, afflicts about 25% of the general world population. More than 60% of people aged 65 plus complain of daily pains. This degree of disability has a huge economic toll in terms of loss of employment and disability payments but quality of life is equally compromised. Pain is thus a major medical issue but is not simply a sensation but an event that also triggers aversive and threatening psychological feelings. Intolerable pain is one of the main reason for euthanasia .
  • 5.
  • 6.
  • 8. Organization of Cutaneous, Primary Afferent Input to the Dorsal Horn of the Spinal Cord Millan M.J. , 1999
  • 9. NATURE CLINICAL PRACTICE NEUROLOGY, 2006 Mechanisms of peripheral and central sensitization in neuropathic pain P2X receptor ASICs
  • 11.
  • 12. Lingueglia, E. J. Biol. Chem. 2007;282:17325-17329 The ASIC family of ion channels
  • 13.
  • 14.
  • 15.
  • 16.
  • 17. Ionic currents through different subunits of P2X receptors P2X3 P2X2/3 P2X2 P2X3+P2X2/3
  • 18. [Ca 2+ ] i increase under activation of P2X receptors
  • 19. GEOFFREY BURNSTOCK 2007 Physiology and Pathophysiology of Purinergic Neurotransmission Mechanisms of ATP-induced sensitization
  • 20.
  • 21. Modulation of pain by AppCH 2 ppG – antagonist of P2X3 receptor Viatchenko-Karpinski et al, 2011 in press
  • 22.
  • 23.
  • 24.
  • 25. T-channel subunits Iftinca et. al., 2006
  • 26. Copyright ©2007 Society for Neuroscience Jagodic, M. M. et al. J. Neurosci. 2007;27:3305-3316 I ncrease in T-type current density in DRG neurons from diabetic rats.
  • 27.
  • 28.
  • 29.
  • 30.

Editor's Notes

  1. Neuropathic pain syndromes—pain after a lesion or disease of the peripheral or central nervous system—are clinically characterized by spontaneous and evoked types of pain, which are underpinned by various distinct pathophysiological mechanisms in the peripheral and central nervous systems. In some patients, the nerve lesion triggers molecular changes in nociceptive neurons, which become abnormally sensitive and develop pathological spontaneous activity. Inflammatory reactions of the damaged nerve trunk can induce ectopic nociceptor activity, causing spontaneous pain. The hyperactivity in nociceptors induces secondary changes in processing neurons in the spinal cord and brain, so that input from mechanoreceptive A-fibers is perceived as pain. Neuroplastic changes in the central pain modulatory systems can lead to further hyperexcitability.
  2. The time-dependent activation, the time to peak, measured over a range of test potentials from -65 mV to -30 mV. No significant difference was found The “window period” of T-type current is under neuropathic conditions has widened in comparison to control. The window period is the area were the activation and inactivation curves overlap. A window current can occur. Window current means the small range of voltage where T-type channels can open but not inactivate completely. There was a larger overlap area between activation and inactivation curves in the neuropathic cells. This indicated that more T-type calcium channels are available at physiological membrane potentials. Enhanced function of the T-type calcium channels under neuropathic condition.