Revolutionizing orofacial pain management: the promising potential of stem cell therapy

Ke Ren, Russel Vickers, Josue Murillo, Nikita B. Ruparel
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Abstract

Orofacial pain remains a significant health issue in the United States. Pain originating from the orofacial region can be composed of a complex array of unique target tissue that contributes to the varying success of pain management. Long-term use of analgesic drugs includes adverse effects such as physical dependence, gastrointestinal bleeding, and incomplete efficacy. The use of mesenchymal stem cells for their pain relieving properties has garnered increased attention. In addition to the preclinical and clinical results showing stem cell analgesia in non-orofacial pain, studies have also shown promising results for orofacial pain treatment. Here we discuss the outcomes of mesenchymal stem cell treatment for pain and compare the properties of stem cells from different tissues of origin. We also discuss the mechanism underlying these analgesic/anti-nociceptive properties, including the role of immune cells and the endogenous opioid system. Lastly, advancements in the methods and procedures to treat patients experiencing orofacial pain with mesenchymal stem cells are also discussed.
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革命性的口面部疼痛管理:干细胞治疗的潜力
在美国,口腔面部疼痛仍然是一个重要的健康问题。源自口面部区域的疼痛可以由一系列复杂的独特靶组织组成,这有助于疼痛管理的不同成功。长期使用镇痛药物有身体依赖、胃肠道出血、疗效不完全等不良反应。间充质干细胞缓解疼痛的特性引起了越来越多的关注。除了临床前和临床结果显示干细胞镇痛治疗非口腔面部疼痛外,研究也显示了治疗口腔面部疼痛的良好结果。在这里,我们讨论间充质干细胞治疗疼痛的结果,并比较来自不同来源组织的干细胞的特性。我们还讨论了这些镇痛/抗伤害性特性的机制,包括免疫细胞和内源性阿片系统的作用。最后,还讨论了间充质干细胞治疗患者口面部疼痛的方法和程序的进展。
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