[Endogenous anti-analgesic systems]

Clin Ter. 1994 Sep;145(9):183-98.
[Article in Italian]

Abstract

Nociception is of vital importance for the organism, while its inhibition by endogenous opioid systems is usually a sign of surrender. Therefore, it must be assumed that endogenous analgesic systems are balanced, and in fact, under normal conditions, overwhelmed, by teleologically far more important anti-analgesic systems. The two main anti-analgesic systems--i.e., the melanotropinergic and the cholecystokininergic--are here reviewed for their role, not only in nociception, but in a wide variety of vital functions (endocrine, gastrointestinal, ingestive, reproductive, cardiovascular, immune, etc.). Available data strongly suggest that these systems (particularly the melanotropinergic one) play a key role in the overall homeostasis of the body. Moreover, modulation of endogenous anti-analgesic systems may disclose a new, unforeseen approach to the treatment of pain.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Analgesia
  • Cholecystokinin / physiology
  • Humans
  • Melanocyte-Stimulating Hormones / physiology
  • Pain / drug therapy
  • Pain / physiopathology*
  • Receptors, Cholecystokinin / physiology
  • Receptors, Pituitary Hormone / physiology

Substances

  • Receptors, Cholecystokinin
  • Receptors, Pituitary Hormone
  • MSH receptor
  • Melanocyte-Stimulating Hormones
  • Cholecystokinin