Astrocytes in Chronic Pain: Cellular and Molecular Mechanisms

Neurosci Bull. 2023 Mar;39(3):425-439. doi: 10.1007/s12264-022-00961-3. Epub 2022 Nov 14.

Abstract

Chronic pain is challenging to treat due to the limited therapeutic options and adverse side-effects of therapies. Astrocytes are the most abundant glial cells in the central nervous system and play important roles in different pathological conditions, including chronic pain. Astrocytes regulate nociceptive synaptic transmission and network function via neuron-glia and glia-glia interactions to exaggerate pain signals under chronic pain conditions. It is also becoming clear that astrocytes play active roles in brain regions important for the emotional and memory-related aspects of chronic pain. Therefore, this review presents our current understanding of the roles of astrocytes in chronic pain, how they regulate nociceptive responses, and their cellular and molecular mechanisms of action.

Keywords: Astrocyte; Chronic pain; Microglia; Neuron-glia interaction; Spinal cord.

Publication types

  • Review

MeSH terms

  • Astrocytes* / pathology
  • Chronic Disease
  • Chronic Pain* / pathology
  • Humans
  • Neuroglia / physiology
  • Neurons / physiology
  • Synaptic Transmission