Is chronic pain as an autoimmune disease?
نویسندگان
چکیده
Autoimmune diseases frequently occur in females, and a parallel sexually dimorphic suffering is observed individuals who suffer chronic pain. Though perception environment influence the chronicity of pain, this review illustrates examples specific, evolutionarily preserved, physiological parameters that may be responsible differentially contribute to pain affect treatment outcomes females males. In immune system continuously “primed,” potentially due presence two X chromosomes, each bearing number genes involved responsiveness. event nerve injury, declining parity rates could having repercussions via increased or less effectiveness therapies, which associated with heightened cell infiltration into damage-associated sites. Additionally, female hormone estradiol both neuroprotective neurodegenerative, reproductive cycle– age-dependent outcomes. There therefore need study neuro-immune-endocrine crosstalk context Autoantibodies have been neural antigens sensory pathway hyperexcitability patients, self-antigens identified by damaged nerves remain discovered. Specific T cells release pronociceptive cytokines directly firing, lymphocytes reactivated specific elicit effects secreting factors support repair. Modulating mechanism recovery promoted, sex-specific Investigating neuroimmune homeostasis inform selection regimens for males hence improve management recalibrating on nervous system.
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ژورنال
عنوان ژورنال: Canadian Journal Of Pain
سال: 2022
ISSN: ['2474-0527']
DOI: https://doi.org/10.1080/24740527.2023.2175205