Neurol. pro Praxi, 2006; 2: 90-93

Budoucí možnosti genové terapie bolesti

RNDr. Omar Šerý, Ph.D., Prof. William Didden MD., Ph.D.
GHC Research Institute, Houston, TX, U.S.A

Genetická podmíněnost vnímání bolesti je v posledních letech všeobecně přijímaný názor. Polymorfizmy DNA v rámci genů mohou ovlivňovat například míru exprese těchto genů a zasahovat do přenosu nervového signálu či způsobu zpracování nervových signálů. Asociační studie jsou jedním z nástrojů vyhledávání genů, které souvisejí s vnímáním bolesti. Cílem mnohých výzkumů se v dnešní době stává možnost genetického ovlivnění vnímání bolesti. První úspěšné experimenty na potkanech odhalily použitelné cílové geny pro ovlivnění genovou terapií za účelem potlačení bolesti. Je pouze otázkou několika let, kdy se podaří dořešit některé problémy spojené především s nalezením vhodného a bezpečného mechanizmu cíleného přenosu genu do nitra nervových buněk a aplikovat genovou terapii také při léčbě bolesti.

Keywords: Klíčová slova: bolest, genová terapie, gen, polymorfizmus, DNA, léčba.

Published: May 1, 2006  Show citation

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Šerý O, Didden W. Budoucí možnosti genové terapie bolesti. Neurol. praxi. 2006;7(2):90-93.
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References

  1. Bertilsson L, Dahl ML, Dalen P, Al-Shurbaji A. Molecular genetics of CYP2D6: clinical relevance with focus on psychotropic drugs. Br J Clin Pharmacol 2002; 53(2): 111-22. Go to original source... Go to PubMed...
  2. Coghill RC, McHaffie JG, Yen YF. Neural correlates of interindividual differences in the subjective experience of pain. Proc Natl Acad Sci U S A 2003; 100(14): 8538-42. Go to original source... Go to PubMed...
  3. Compton P, Geschwind DH, Alarcon M. Association between human mu-opioid receptor gene polymorphism, pain tolerance, and opioid addiction. Am J Med Genet B Neuropsychiatr Genet 2003; 121(1): 76-82. Go to original source... Go to PubMed...
  4. Diatchenko L, Slade GD, Nackley AG, Bhalang K, Sigurdsson A, Belfer I, Goldman D, Xu K, Shabalina SA, Shagin D, Max MB, Makarov SS, Maixner W. Genetic basis for individual variations in pain perception and the development of a chronic pain condition. Hum Mol Genet 2005; 14(1): 135-43. Go to original source... Go to PubMed...
  5. Eaton MJ, Blits B, Ruitenberg MJ, Verhaagen J, Oudega M. Amelioration of chronic neuropathic pain after partial nerve injury by adeno-associated viral (AAV) vector-mediated over-expression of BDNF in the rat spinal cord. Gene Ther 2002; 9(20): 1387-95. Go to original source... Go to PubMed...
  6. Hao S, Mata M, Wolfe D, Huang S, Glorioso JC, Fink DJ. HSV-mediated gene transfer of the glial cell-derived neurotrophic factor provides an antiallodynic effect on neuropathic pain. Mol Ther 2003; 8(3): 367-75. Go to original source... Go to PubMed...
  7. Huhne K, Leis S, Schmelz M, Rautenstrauss B, Birklein F. A polymorphic locus in the intron 16 of the human angiotensin-converting enzyme (ACE) gene is not correlated with complex regional pain syndrome I (CRPS I). Eur J Pain 2004; 8(3): 221-5. Go to original source... Go to PubMed...
  8. Indo Y, Tsuruta M, Hayashida Y, Karim MA, Ohta K, Kawano T, Mitsubuchi H, Tonoki H, Awaya Y, Matsuda I. Mutations in the TRKA/NGF receptor gene in patients with congenital insensitivity to pain with anhidrosis. Nat Genet 1996; 13(4): 485-8. Go to original source... Go to PubMed...
  9. Kang W, Wilson MA, Bender MA, Glorioso JC, Wilson SP. Herpes virus-mediated preproenkephalin gene transfer to the amygdala is antinociceptive. Brain Res 1998; 792(1): 133-5. Go to original source... Go to PubMed...
  10. Kim H, Neubert JK, San Miguel A, Xu K, Krishnaraju RK, Iadarola MJ, Goldman D, Dionne RA. Genetic influence on variability in human acute experimental pain sensitivity associated with gender, ethnicity and psychological temperament. Pain 2004; 109(3): 488-96. Go to original source... Go to PubMed...
  11. Klepstad P, Rakvag TT, Kaasa S, Holthe M, Dale O, Borchgrevink PC, Baar C, Vikan T, Krokan HE, Skorpen F. The 118 A > G polymorphism in the human micro-opioid receptor gene may increase morphine requirements in patients with pain caused by malignant disease. Acta Anaesthesiol Scand 2004; 48(10): 1232-9. Go to original source... Go to PubMed...
  12. Myers KJ, Dean NM. Sensible use of antisense: how to use oligonucleotides as research tools. Trends Pharmacol Sci 2000; 21(1): 19-23. Go to original source... Go to PubMed...
  13. Obreja O, Schmelz M, Poole S, Kress M. Interleukin-6 in combination with its soluble IL-6 receptor sensitises rat skin nociceptors to heat, in vivo. Pain 2002; 96(1-2): 57-62. Go to original source... Go to PubMed...
  14. Ophoff RA, Terwindt GM, Vergouwe MN, van Eijk R, Oefner PJ, Hoffman SM, Lamerdin JE, Mohrenweiser HW, Bulman DE, Ferrari M, Haan J, Lindhout D, van Ommen GJ, Hofker MH, Ferrari MD, Frants RR. Familial hemiplegic migraine and episodic ataxia type-2 are caused by mutations in the Ca2+ channel gene CACNL1A4. Cell 1996; 87(3): 543-52. Go to original source... Go to PubMed...
  15. Solovieva S, Leino-Arjas P, Saarela J, Luoma K, Raininko R, Riihimaki H. Possible association of interleukin 1 gene locus polymorphisms with low back pain. Pain 2004; 109(1-2): 8-19. Go to original source... Go to PubMed...
  16. Šerý O, Hrazdilová O, Matalová E, Ševčík P. Pain research update from genetic point of view. Pain Practice 2005; 5(4): 341-348. Go to original source... Go to PubMed...
  17. Šerý O, Hrazdilová O, Pitelová R, Ševčík P. DNA polymorfismus genu pro monoaminooxidázu B ovlivňuje vnímání bolesti. Česká a slovenská psychiatrie 2005; 101(4): 194-198.
  18. Wilson SP, Yeomans DC, Bender MA, Lu Y, Goins WF, Glorioso JC. Antihyperalgesic effects of infection with a preproenkephalin-encoding herpes virus. Proc Natl Acad Sci U S A 1999; 96(6): 3211-6. Go to original source... Go to PubMed...
  19. Xu Y, Gu Y, Xu GY, Wu P, Li GW, Huang LY. Adeno-associated viral transfer of opioid receptor gene to primary sensory neurons: a strategy to increase opioid antinociception. Proc Natl Acad Sci U S A 2003; 100(10): 6204-9. Go to original source... Go to PubMed...




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