4.5 Review

Progress in Pathological and Therapeutic Research of HIV-Related Neuropathic Pain

Journal

CELLULAR AND MOLECULAR NEUROBIOLOGY
Volume 43, Issue 7, Pages 3343-3373

Publisher

SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10571-023-01389-7

Keywords

HIV-related neuropathic pain; gp120; AIDS; Neuropathic pain; Pathogenesis

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HIV-related neuropathic pain (HRNP) is a neurodegeneration that develops during the course of acquired immune deficiency syndrome (AIDS), causing abnormal pain and hyperalgesia in the extremities. The pathogenesis of HRNP is not fully understood and there is a lack of effective clinical treatment. This study provides a systematic review of recent research on HRNP, including etiology, pathology, therapeutic strategies, and future research directions.
HIV-related neuropathic pain (HRNP) is a neurodegeneration that gradually develops during the long-term course of acquired immune deficiency syndrome (AIDS) and manifests as abnormal sock/sleeve-like symmetrical pain and nociceptive hyperalgesia in the extremities, which seriously reduces patient quality of life. To date, the pathogenesis of HRNP is not completely clear. There is a lack of effective clinical treatment for HRNP and it is becoming a challenge and hot spot for medical research. In this study, we conducted a systematic review of the progress of HRNP research in recent years including (1) the etiology, classification and clinical symptoms of HRNP, (2) the establishment of HRNP pathological models, (3) the pathological mechanisms underlying HRNP from three aspects: molecules, signaling pathways and cells, (4) the therapeutic strategies for HRNP, and (5) the limitations of recent HRNP research and the future research directions and prospects of HRNP. This detailed review provides new and systematic insight into the pathological mechanism of HRNP, which establishes a theoretical basis for the future exploitation of novel target drugs.

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