Targeting glia for bone cancer pain

Expert Opin Ther Targets. 2016 Nov;20(11):1365-1374. doi: 10.1080/14728222.2016.1214716. Epub 2016 Jul 27.

Abstract

Bone cancer pain (BCP) remains to be a clinical challenge with limited pharmaceutical interventions. Therefore, novel therapeutic targets for the management of BCP are in desperate need. Recently, a growing body of evidence has suggested that glial cells may play a pivotal role in the pathogenesis of BCP. Areas covered: This review summarizes the recent progress in the understanding of glia in BCP and reveals the potential therapeutic targets in glia for BCP treatment. Expert opinion: Pharmacological interventions inhibiting the activation of glial cells, suppressing glia-derived proinflammatory cytokines, cell surface receptors, and the intracellular signaling pathways may be beneficial for the pain management of advanced cancer patients. However, these pharmacological interventions should not disrupt the normal function of glia cells since they play a vital supportive and protective role in the central nervous system.

Keywords: Therapeutic target; astrocyte; bone cancer pain; microglia.

Publication types

  • Review

MeSH terms

  • Animals
  • Bone Neoplasms / complications*
  • Cancer Pain / drug therapy*
  • Cancer Pain / pathology
  • Central Nervous System / metabolism
  • Cytokines / metabolism
  • Drug Design
  • Humans
  • Molecular Targeted Therapy
  • Neuroglia / metabolism*
  • Receptors, Cell Surface / metabolism
  • Signal Transduction / physiology

Substances

  • Cytokines
  • Receptors, Cell Surface