1 results
1 - Nociception: basic principles
- from SECTION I - MECHANISMS AND EPIDEMIOLOGY
-
- By RIE SUZUKI, University College London, SHAFAQ SIKANDAR, University College London, ANTHONY H. DICKENSON, University College London
- Edited by Eduardo D. Bruera, University of Texas, Houston, Russell K. Portenoy, Albert Einstein College of Medicine, New York
-
- Book:
- Cancer Pain
- Published online:
- 06 July 2010
- Print publication:
- 12 October 2009, pp 3-22
-
- Chapter
- Export citation
-
Summary
Introduction
Pain has been a major concern in the clinic for many decades. In recent years, considerable progress has been made with respect to our understanding of both acute and chronic pain mechanisms. This has largely been attributed to advancements in molecular biology and genomic techniques, as well as the use of animal models, which has allowed us to explore mechanisms and networks of neurons involved in pain processes. This has fundamentally altered our understanding of the pathophysiology of pain mechanisms and has led to the hope of development of novel analgesics.
The study of the receptor systems involved in the transmission of pain and its modulation involves investigation of processes occurring at the peripheral endings of sensory neurons, as well as central events. The mechanisms of inflammatory, visceral and neuropathic pain are different from those of acute pain, and cancer pain may both overlap and differ in some respects with these broad categories. Furthermore, there is considerable plasticity in both the transmission and modulating systems in these prolonged pain states so that systems change over time. The search for new treatments for these pain states requires the development of valid animal models. For such models to be valid, a number of criteria must be fulfilled. First, the model must provide reproducible and quantifiable behavioral data. Second, the model must produce behaviors in the animal that resemble some of the pain syndromes observed in humans (e.g., allodynia, hyperalgesia).