Evidence map›Paper›PMID 30883419›Full record

ReviewAnesthesia and analgesia2019

Microglial Modulation as a Target for Chronic Pain: From the Bench to the Bedside and Back.

Elena S Haight, Thomas E Forman, Stephanie A Cordonnier, Michelle L James, Vivianne L Tawfik

Abstract readReview
In one paragraph

Review in Anesthesia and analgesia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Elena S HaightFrom the Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Thomas E FormanFrom the Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Stephanie A CordonnierFrom the Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.
Michelle L JamesDepartments of Radiology and Neurology, Stanford University School of Medicine, Stanford, California.
Vivianne L TawfikFrom the Department of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine, Stanford, California.

Funding

Peripheral and central immune contributions to pain chronificationK08NS094547 · NINDS · STANFORD UNIVERSITY · PI TAWFIK, VIVIANNE L · 2017 to 2020
$697k
NINDS NIH HHS K08 NS094547
6 · The paper itself

Abstract

With a widespread opioid epidemic and profound biopsychosocial implications, chronic pain is a multifaceted public health issue requiring urgent attention. The treatment of chronic pain is particularly important to anesthesiologists given our unique role as perioperative physicians and pain medicine specialists. The present review details the recent shift from a neuronal theory of chronic pain to one that includes complex neuron-glia interactions. In particular, we highlight microglia, the myeloid-lineage cells of the central nervous system, as initiators of a postinjury neuroimmune response that contributes to the acute to chronic pain transition. We discuss ever-advancing preclinical studies, wherein significant success has been made through pharmacologic and genetic modulation of microglia, and we emphasize where these approaches have made the transition to the clinical realm. Furthermore, we highlight the most current, novel efforts to visualize glial activation in vivo using positron emission tomography and improve the diagnosis of chronic pain through radiotracer binding of specific targets, like the 18 kDa translocator protein in microglia and myeloid-lineage cells. Our rapidly advancing knowledge about microglia and their involvement in pain suggests that the era of glial-targeted therapeutics is just beginning so long as we refocus our attention on optimizing preclinical studies using a clinically informed approach, before translation.

Indexed as

Analgesics, OpioidAnimalsCentral Nervous SystemChronic PainCytokinesHumansMicrogliaNeurogliaNeuronsp38 Mitogen-Activated Protein KinasesPain ManagementReceptors, PurinergicToll-Like Receptor 4Translational Research, BiomedicalAnalgesics, OpioidCytokinesp38 Mitogen-Activated Protein KinasesReceptors, PurinergicTLR4 protein, humanToll-Like Receptor 4

Identifiers

PMID30883419
PMCPMC6788796

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.