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An integrated systemic approach to chronic primary pain from epigenome to brain: a narrative review - PubMed

3 hours ago
  • #chronic pain
  • #epigenetics
  • #neuroinflammation
  • Chronic primary pain involves epigenetic modifications affecting inflammation-related genes, neurotrophic factors, neurotransmitters, ion channels, and catecholamine-degrading enzymes.
  • It is characterized by structural and functional central nervous system changes, neuroinflammation, and links to sensory hypersensitivity, stress intolerance, and sleep disturbances.
  • An integrated systemic approach connects physiological dysfunctions (brain changes, neuroinflammation, immune alterations, genetic/epigenetic changes) with clinical features and human studies to bridge scientific gaps.