The Neuroimmunology of Chronic Pain: From Rodents to Humans

J Neurosci. 2021 Feb 3;41(5):855-865. doi: 10.1523/JNEUROSCI.1650-20.2020. Epub 2020 Nov 25.

Abstract

Chronic pain, encompassing conditions, such as low back pain, arthritis, persistent post-surgical pain, fibromyalgia, and neuropathic pain disorders, is highly prevalent but remains poorly treated. The vast majority of therapeutics are directed solely at neurons, despite the fact that signaling between immune cells, glia, and neurons is now recognized as indispensable for the initiation and maintenance of chronic pain. This review highlights recent advances in understanding fundamental neuroimmune signaling mechanisms and novel therapeutic targets in rodent models of chronic pain. We further discuss new technological developments to study, diagnose, and quantify neuroimmune contributions to chronic pain in patient populations.

Keywords: Fc gamma receptors; Nrf2; TSPO; biomarkers; cannabinoids; sex differences.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Autoantibodies / immunology*
  • Autoantibodies / metabolism
  • Chronic Pain / immunology*
  • Chronic Pain / metabolism
  • Disease Models, Animal*
  • Humans
  • NF-E2-Related Factor 2 / immunology
  • NF-E2-Related Factor 2 / metabolism
  • Neuroglia / immunology*
  • Neuroglia / metabolism
  • Neuroimmunomodulation / physiology*
  • Neurons / immunology*
  • Neurons / metabolism
  • Rodentia

Substances

  • Autoantibodies
  • NF-E2-Related Factor 2
  • NFE2L2 protein, human