Specialized pro-resolving lipid mediators: The future of chronic pain therapy?

Mervin Chávez-Castillo, Ángel Ortega, Lorena Cudris-Torres, Pablo Duran, Milagros Rojas, Alexander Manzano, Bermary Garrido, Juan Salazar, Aljadis Silva, Diana Marcela Rojas-Gomez, Juan B. De Sanctis, Valmore Bermúdez

Research output: Contribution to journalReview articlepeer-review

Abstract

Chronic pain (CP) is a severe clinical entity with devastating physical and emotional con-sequences for patients, which can occur in a myriad of diseases. Often, conventional treatment ap-proaches appear to be insufficient for its management. Moreover, considering the adverse effects of traditional analgesic treatments, specialized pro-resolving lipid mediators (SPMs) have emerged as a promising alternative for CP. These include various bioactive molecules such as resolvins, maresins, and protectins, derived from ω-3 polyunsaturated fatty acids (PUFAs); and lipoxins, pro-duced from ω-6 PUFAs. Indeed, SPMs have been demonstrated to play a central role in the regulation and resolution of the inflammation associated with CP. Furthermore, these molecules can mod-ulate neuroinflammation and thus inhibit central and peripheral sensitizations, as well as long-term potentiation, via immunomodulation and regulation of nociceptor activity and neuronal pathways. In this context, preclinical and clinical studies have evidenced that the use of SPMs is beneficial in CP-related disorders, including rheumatic diseases, migraine, neuropathies, and others. This review integrates current preclinical and clinical knowledge on the role of SPMs as a potential therapeutic tool for the management of patients with CP.

Original languageEnglish
Article number370
JournalInternational Journal of Molecular Sciences
Volume22
Issue number19
DOIs
Publication statusPublished - 1 Oct 2021

Keywords

  • Central nervous system sensitization
  • Chronic pain
  • Eicosanoids
  • Inflammation
  • Long-term poten-tiation
  • Nociception
  • Omega 3 fatty acids
  • Pain management
  • Polyunsaturated fatty acids
  • Specialized pro-resolving lipid mediators

ASJC Scopus subject areas

  • Catalysis
  • Molecular Biology
  • Spectroscopy
  • Computer Science Applications
  • Physical and Theoretical Chemistry
  • Organic Chemistry
  • Inorganic Chemistry

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