Tolerance and withdrawal from prolonged opioid use in critically ill children

KJS Anand, DF Willson, J Berger, R Harrison… - …, 2010 - publications.aap.org
OBJECTIVE: After prolonged opioid exposure, children develop opioid-induced
hyperalgesia, tolerance, and withdrawal. Strategies for prevention and management should …

Roles of reactive oxygen and nitrogen species in pain

D Salvemini, JW Little, T Doyle, WL Neumann - Free Radical Biology and …, 2011 - Elsevier
Peroxynitrite (PN; ONOO−) and its reactive oxygen precursor superoxide (SO; O2•−) are
critically important in the development of pain of several etiologies including pain associated …

Endogenous opiates and behavior: 2005

RJ Bodnar, GE Klein - Peptides, 2006 - Elsevier
This paper is the 28th consecutive installment of the annual review of research concerning
the endogenous opioid system, now spanning over a quarter-century of research. It …

“Listening” and “talking” to neurons: implications of immune activation for pain control and increasing the efficacy of opioids

LR Watkins, MR Hutchinson, ED Milligan… - Brain research reviews, 2007 - Elsevier
It is recently become clear that activated immune cells and immune-like glial cells can
dramatically alter neuronal function. By increasing neuronal excitability, these non-neuronal …

[HTML][HTML] Combination drug therapy for chronic pain: a call for more clinical studies

J Mao, MS Gold - The Journal of Pain, 2011 - Elsevier
Chronic pain is a debilitating clinical condition associated with a variety of disease entities
including diabetic neuropathy, postherpetic neuralgia, low back pathology, fibromyalgia, and …

Protein kinase C in pain: involvement of multiple isoforms

KT Velázquez, H Mohammad, SM Sweitzer - Pharmacological research, 2007 - Elsevier
Pain is the primary reason that people seek medical care. At present, chronic unremitting
pain is the third greatest health problem after heart disease and cancer. Chronic pain is an …

Endogenous activation of presynaptic NMDA receptors enhances glutamate release from the primary afferents in the spinal dorsal horn in a rat model of neuropathic …

X Yan, E Jiang, M Gao, HR Weng - The Journal of physiology, 2013 - Wiley Online Library
Key points• Activation of N‐methyl‐d‐aspartate (NMDA) receptors (NMDARs) is a crucial
mechanism underlying the development and maintenance of pain.• Little is known about the …

[HTML][HTML] Role of P2X7 receptor-mediated IL-18/IL-18R signaling in morphine tolerance: multiple glial-neuronal dialogues in the rat spinal cord

ML Chen, H Cao, YX Chu, LZ Cheng, LL Liang… - The journal of pain, 2012 - Elsevier
The glial function in morphine tolerance has been explored, but its mechanisms remain
unclear. Our previous study has showed that microglia-expressed P2X7 receptors (P2X7R) …

Calcitonin gene-related peptide as a regulator of neuronal CaMKII–CREB, microglial p38–NFκB and astroglial ERK–Stat1/3 cascades mediating the development of …

Z Wang, W Ma, JG Chabot, R Quirion - PAIN®, 2010 - Elsevier
Tolerance to morphine-induced analgesia is an intractable phenomenon, often hindering its
prolonged applications in the clinics. The enhanced pronociceptive actions of spinal pain …

Toll-like receptor 4-mediated nuclear factor-κB activation in spinal cord contributes to chronic morphine-induced analgesic tolerance and hyperalgesia in rats

L Bai, C Zhai, K Han, Z Li, J Qian, Y Jing, W Zhang… - Neuroscience …, 2014 - Springer
Nuclear factor kappa B (NF-κB) in the spinal cord is involved in pro-inflammatory cytokine-
mediated pain facilitation. However, the role of NF-κB activation in chronic morphine …