Nitroxidative Signaling Mechanisms in Pathological Pain

Peter M. Grace, Andrew D. Gaudet, Vasiliki Staikopoulos, Steven F. Maier, Mark R. Hutchinson, Daniela Salvemini, Linda R. Watkins

Research output: Contribution to journalReview articlepeer-review

89 Scopus citations

Abstract

Tissue injury can initiate bidirectional signaling between neurons, glia, and immune cells that creates and amplifies pain. While the ability for neurotransmitters, neuropeptides, and cytokines to initiate and maintain pain has been extensively studied, recent work has identified a key role for reactive oxygen and nitrogen species (ROS/RNS; nitroxidative species), including superoxide, peroxynitrite, and hydrogen peroxide. In this review we describe how nitroxidative species are generated after tissue injury and the mechanisms by which they enhance neuroexcitability in pain pathways. Finally, we discuss potential therapeutic strategies for normalizing nitroxidative signaling, which may also enhance opioid analgesia, to help to alleviate the enormous burden of pathological pain.

Original languageEnglish (US)
Pages (from-to)862-879
Number of pages18
JournalTrends in Neurosciences
Volume39
Issue number12
DOIs
StatePublished - Dec 1 2016

Keywords

  • NADPH oxidase
  • TRP channels
  • exercise
  • mitochondria
  • neuroinflammation
  • sensitization

ASJC Scopus subject areas

  • General Neuroscience

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