It is essential that safe and effective treatment options be available to patients
suffering from chronic pain. The emergence of an opioid epidemic has shaped public
opinions and created stigmas surrounding the use of opioids for the management of
pain. This reality, coupled with high risk of adverse effects from chronic opioid
use, has led chronic pain patients and their healthcare providers to utilize nonopioid
treatment approaches. In this review, we will explore a number of cellular reorganizations
that are associated with the development and progression of chronic pain. We will
also discuss the safety and efficacy of opioid and nonopioid treatment options for
chronic pain. Finally, we will review the evidence for adenylyl cyclase type 1 (AC1)
as a novel target for the treatment of chronic pain.
Abbreviations:
5-HT (Serotonin), AA (Arachidonic acid), AC (Adenylyl Cyclase), ACC (Anterior cingulate cortex), AMP (Adenosine monophosphate), ATP (Adenosine triphosphate), CaM (Calmodulin), cAMP (Cyclic adenosine monophosphate), CB (Cannabinoid), CDZ (Calmidazolium), CNS (Central nervous system), COX (Cyclooxygenase), CRE (cAMP response element), CREB (CRE- binding protein), CV (Cardiovascular), DA (Dopamine), DKO (Double knockout), DOR (Delta (δ) opioid receptor), FSK (Forskolin), GABA (Gamma aminobutyric acid), GI (Gastrointestinal), GPCR (G protein coupled receptors), HEK (Human embryonic kidney), IC (Insular cortex), KO (Knockout), KOR (Kappa (κ) opioid receptor), L-LTP (Late phase long term potentiation), LTP (Long term potentiation), MOR (Mu (μ) opioid receptor), NA (Nucleus Accumbens), NE (Norepinephrine), NOR (Nociceptin opioid receptor), NSAID (nonsteroidal anti-inflammatory), PG (Prostaglandin), PGE2 (Prostaglandin E2), PKA (Protein kinase A), PNS (Peripheral nervous system), PPI (Protein-protein interaction), TCA (Tricyclic anti-depressant), TNFα (Tumor necrosis factor alpha)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 13, 2021
Accepted:
March 8,
2021
Received in revised form:
March 6,
2021
Received:
January 16,
2021
Identification
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