2015
DOI: 10.1111/jnc.13139
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Activation of PI3Kγ/Akt pathway mediates bone cancer pain in rats

Abstract: Bone cancer pain (BCP) is one of the most common and severe complications in patients suffering from primary bone cancer or metastatic bone cancer such as breast, prostate, or lung, which profoundly compromises their quality of life. Emerging lines of evidence indicate that central sensitization is required for the development and maintenance of BCP. However, the underlying mechanisms are largely unknown. In this study, we investigated the role of PI3Kc/Akt in the central sensitization in rats with tumor cell … Show more

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Cited by 37 publications
(29 citation statements)
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“…Guedon et al presented several possible mechanisms that could drive bone cancer-induced CUT hypersensitivity, 1 including DRG dysfunction, 33,34 spinal sensitization 35,36 and central sensitization. 2,37,38 All three mechanisms could result in altered descending modulation and ascending facilitation of noxious and nonnoxious sensory input. 1 In our study, injection of L-glutamic acid or SSZ into the quadriceps femoris muscle changed the mechanical threshold and spiking number of HTM and LTM sensory neurons within the first 5 minutes.…”
Section: Discussionmentioning
confidence: 99%
“…Guedon et al presented several possible mechanisms that could drive bone cancer-induced CUT hypersensitivity, 1 including DRG dysfunction, 33,34 spinal sensitization 35,36 and central sensitization. 2,37,38 All three mechanisms could result in altered descending modulation and ascending facilitation of noxious and nonnoxious sensory input. 1 In our study, injection of L-glutamic acid or SSZ into the quadriceps femoris muscle changed the mechanical threshold and spiking number of HTM and LTM sensory neurons within the first 5 minutes.…”
Section: Discussionmentioning
confidence: 99%
“…However, there are at least three possible mechanisms that may be driving this skin hypersensitivity. The first and probably most well investigated mechanism is that skeletal pain is highly efficacious in driving central sensitization and in turn may affect signaling to and from higher centers of the brain resulting in changes to descending modulation and ascending facilitation of pain signaling [18; 26; 6365; 68]. …”
Section: Discussionmentioning
confidence: 99%
“…Aditi Gupta et al reported that, the expression of RANKL could be knocked down by phosphorylation of Smad5 suppression, therefore reducing osteoclast differentiation and consequently lessening bone loss and BCP [36]. We also learned that activation of PI3Kγ/Akt pathway, downstream of miR-93, could activate spinal microglia through MCP-1 and mediates BCP [37, 38]. Taken together, miR-93/Smad5 is suggested as an important mediator in BCP.…”
Section: Discussionmentioning
confidence: 99%