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Synthetic and Natural Drugs for Pain Treatment

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Pharmacology".

Deadline for manuscript submissions: 20 May 2025 | Viewed by 2253

Special Issue Editor


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Guest Editor
IRCCS San Raffaele Pisana, Rome, Italy
Interests: pain; natural antioxidants; synthetic antioxidants; mitochondria; pain biomarker; oxidative stress
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Chronic pain remains a major challenge in medicine; it is a condition that affects millions of people worldwide, limiting productivity and diminishing quality of life. Non-steroidal anti-inflammatory drugs (NSAIDs) are the most frequently used treatments for the management of acute pain of mild to moderate intensity, but they are often not suitable for the treatment of chronic conditions due to their associated side effects. Even opioid analgesics, such as morphine, which are the mainstay in the management of acute and chronic pain, face limitations in clinical utility due to the development of analgesic tolerance and pain hypersensitivity, also known as morphine-induced hyperalgesia. Numerous studies have observed that mitochondrial dysfunction plays a crucial role in the pathogenesis of pain of different etiologies. Excessive accumulation of reactive oxygen species (ROS), caused by the overproduction of superoxide and hydrogen peroxide following prolonged exposure to biochemical stress, alters the mitochondrial genome and proteome.

The use of natural or synthetic antioxidants represents a strategy for managing chronic pain associated with oxidative stress. Antioxidants can prevent cellular damage caused by excessive ROS, thereby reducing the perception of pain.

This Special Issue aims to identify molecular mechanisms involved in the maintenance and amplification of pain of various etiologies to develop more targeted and personalized treatments for pain patients.

Dr. Sara Ilari
Guest Editor

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Keywords

  • oxidative stress
  • natural drugs
  • synthetic drugs
  • pain
  • biomarkers
  • mitochondria

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Published Papers (1 paper)

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Review

16 pages, 1156 KiB  
Review
Multiple Aspects of Irritable Bowel Syndrome and the Role of the Immune System: An Overview of Systematic Reviews with a Focus on Polyphenols
by Lucia Carmela Passacatini, Sara Ilari, Saverio Nucera, Federica Scarano, Roberta Macrì, Rosamaria Caminiti, Maria Serra, Francesca Oppedisano, Jessica Maiuolo, Ernesto Palma, Valentina Malafoglia, Carlo Tomino, Massimo Fini, Vincenzo Mollace and Carolina Muscoli
Int. J. Mol. Sci. 2024, 25(22), 11993; https://doi.org/10.3390/ijms252211993 - 8 Nov 2024
Cited by 1 | Viewed by 1756
Abstract
Irritable bowel syndrome (IBS) is a complex and often debilitating condition that significantly impacts the gastrointestinal system and the overall quality of life of those affected. IBS is characterized by a variety of distressing symptoms, including cramping, abdominal pain, and irregular bowel movements, [...] Read more.
Irritable bowel syndrome (IBS) is a complex and often debilitating condition that significantly impacts the gastrointestinal system and the overall quality of life of those affected. IBS is characterized by a variety of distressing symptoms, including cramping, abdominal pain, and irregular bowel movements, underlined by an intricate interplay of immune system dysfunction in its pathology. Numerous studies highlight an increased cellular immune response, with elevated levels of proinflammatory cytokines, mucosal alterations due to immune imbalance, and visceral hypersensitivity. Notably, studies indicate increased levels of proinflammatory cytokines, immune imbalances that lead to mucosal changes, and heightened visceral sensitivity. The roles of effector and regulatory T cells are particularly intriguing, as their modification appears to amplify inflammation and may even contribute to autoimmune disorders. This overview of systematic reviews explores the connections between IBS and immune responses, with a focus on immune cell alterations and proliferation of lymphocytes and mast cells in affected individuals. Furthermore, we explore various aspects of IBS management, including its pharmacological approaches. A systematic search of PubMed and Web of Science yielded 676 articles, which were ultimately narrowed down to 9 key studies that met our inclusion criteria. These studies collectively underscore the activation of the immune system with the degranulation of the mast cells in patients with IBS, where the release of inflammatory mediators can compromise intestinal permeability, exacerbating symptoms further. Additionally, we examine the multifaceted management strategies for IBS, emphasizing the potential therapeutic benefits of dietary polyphenols as antioxidants. The present study aims to enhance our understanding of IBS and offer insights into more effective treatment strategies for this challenging condition. Full article
(This article belongs to the Special Issue Synthetic and Natural Drugs for Pain Treatment)
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