Role of Microglia and Astrocytes in Spinal Cord Injury Induced Neuropathic Pain

Author:

Miranpuri Gurwattan S.1,Bali Parul2ORCID,Nguyen Justyn1,Kim Jason J1,Modgil Shweta3,Mehra Priya34,Buttar Seah1,Brown Greta1,Yutuc Noemi1,Singh Harpreet1,Wood Aleksandar1,Singh Jagtar4,Anand Akshay3ORCID

Affiliation:

1. Department of Neurological Surgery, University of Wisconsin, School of Medicine and Public Health, Madison, Wisconsin, United States

2. Department of Biological Sciences, Indian Institute of Science Education & Research Mohali, India

3. Neuroscience Research Lab, Department of Neurology, PGIMER, Chandigarh, India

4. Department of Biotechnology, Panjab University, Chandigarh, India

Abstract

Spinal cord injuries incite varying degrees of symptoms in patients, ranging from weakness and incoordination to paralysis. Common amongst spinal cord injury (SCI) patients, neuropathic pain (NP) is a debilitating medical condition. Unfortunately, there remain many clinical impediments in treating NP because there is a lack of understanding regarding the mechanisms behind SCI-induced NP (SCINP). Given that more than 450,000 people in the United States alone suffer from SCI, it is unsatisfactory that current treatments yield poor results in alleviating and treating NP. In this review, we briefly discussed the models of SCINP along with the mechanisms of NP progression. Further, current treatment modalities are herein explored for SCINP involving pharmacological interventions targeting glia cells and astrocytes. The studies presented in this review provide insight for new directions regarding SCINP alleviation. Given the severity and incapacitating effects of SCINP, it is imperative to study the pathways involved and find new therapeutic targets in coordination with stem cell research, and to develop a new gold-standard in SCINP treatment.

Publisher

SAGE Publications

Subject

General Neuroscience

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