The role of neuroimmune interactions in musculoskeletal pain

Author:

Schaible Hans-Georg1ORCID,Ebersberger Andrea1ORCID,Natura Gabriel1ORCID,Vazquez Enrique1ORCID

Affiliation:

1. Institute of Physiology 1/Neurophysiology, Jena University Hospital , Teichgraben 8 , 07743 Jena , Germany

Abstract

Abstract Interactions of the immune system and the nociceptive system play an important role in the generation and maintenance of pain in musculoskeletal diseases and in disease development. In inflamed tissue peripheral nociceptive neurons are rendered hyperexcitable by proinflammatory cytokines, antigen/antibody complexes and other immune mediators. Spinal nociceptive neurons are rendered hyperexcitable with the support of microglial cells, the immune cells of the central nervous system. The so-elicited sensitization of pain pathways has a strong impact on pain processing in the brain. On the other hand, immune processes are regulated by the nervous system. Sensory neurons, by releasing neuropeptides, and efferent neurons of the sympathetic nervous system support immune processes which promote disease development.

Publisher

Walter de Gruyter GmbH

Subject

Neurology (clinical),Neurology

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