APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80234-7
Manfred Zimmermann, Thomas Herdegen
{"title":"Control of gene transcription by Jun and Fos proteins in the nervous system","authors":"Manfred Zimmermann, Thomas Herdegen","doi":"10.1016/S1058-9139(05)80234-7","DOIUrl":"10.1016/S1058-9139(05)80234-7","url":null,"abstract":"<div><p>Acute and chronic stimulation of somatosensory and visceral nociceptors are followed by induction of immediate-early gene (IEG) encoded transcription factors such as Jun, Fos, and Krox proteins in the central nervous system. Transection of a peripheral nerve also results in IEG expression in the axotomized neurons and synaptically related central neurons. The spatial and temporal patterns in the nervous system of IEG expression, as studied by immunohistochemistry, are complex and depend on the type and intensity of noxious stimulation. Immediate-early gene encoded proteins control the transcription of other target genes, a few of which have been identified. The authors hypothesize that activations of IEGs represent steps in the transmission of the noxious afferent input into long-lasting alterations of the neuronal cell program. Thus, stimulation induced changes in gene expression may alter the phenotype of neurons, which implies pathophysiologic modifications of neuron function. Immediate-early gene expression is meaningful beyond its present use in the neurosciences as markers of neuronal activity, because it may provide a clue to the understanding of stimulation-induced pathobiology of the nervous system that is involved in the chronicity of pain.</p></div>","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 33-48"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80234-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77831143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80231-1
John C. Rowlingson
{"title":"Epidural steroids","authors":"John C. Rowlingson","doi":"10.1016/S1058-9139(05)80231-1","DOIUrl":"10.1016/S1058-9139(05)80231-1","url":null,"abstract":"<div><p>Epidural steroid injections (ESIs) are an historical therapy, the use of which is now understood to be related to the need for steroids to diminish the inflammatory reaction in nerve roots precipitated by PLA-2 spilled from the nucleus pulposus. Patients who receive ESIs should be actively chosen for such therapy after the distillation of historical, physical examination, and laboratory data suggest that nerve root irritation is causative or at least contributory. Many physical and nonphysical factors influence the selection of patients. Animal research models have established the tissue safety of ESIs, and clinical reports document the utility of the intervention when it is used as a component of an integrated therapeutic program. Responsive medical follow-up examinations are crucial to the safe application of ESIs and to guide the use of additional treatment options when indicated.</p></div>","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 20-27"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80231-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78337170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80227-X
S. Mense
{"title":"Referral of muscle pain","authors":"S. Mense","doi":"10.1016/S1058-9139(05)80227-X","DOIUrl":"10.1016/S1058-9139(05)80227-X","url":null,"abstract":"<div><p>Muscle pain has a tendency to be referred to other deep somatic tissues remote from the site of the original muscle lesion. Branching of primary afferent fibers does not seem to provide a satisfactory explanation for the referral. The convergence-projection theory of pain referral, in its original form, it is not applicable to muscle pain, since in dorsal horn neurons there is little convergence from deep tissues. Based on results from animal experiments a hypothetical explanation of muscle pain referral is proposed that adds two new components to the convergence-projection theory: convergent connections from deep tissues to dorsal horn neurons are not present from the beginning but are opened by nociceptive input from skeletal muscle, and referral to myotomes outside the lesion is due to spread of central sensitization to adjacent spinal segments.</p></div>","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 1-9"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80227-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84513237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80243-8
Louisa E. Jones
{"title":"IASP global news","authors":"Louisa E. Jones","doi":"10.1016/S1058-9139(05)80243-8","DOIUrl":"https://doi.org/10.1016/S1058-9139(05)80243-8","url":null,"abstract":"","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 69-70"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80243-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137165498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80230-X
David G. Simons
{"title":"Neurophysiological basis of pain caused by trigger points","authors":"David G. Simons","doi":"10.1016/S1058-9139(05)80230-X","DOIUrl":"10.1016/S1058-9139(05)80230-X","url":null,"abstract":"","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 17-19"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80230-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79491760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80235-9
Allan Basbaum
{"title":"Immediate-early genes and pain: What's all the “Fos” about?","authors":"Allan Basbaum","doi":"10.1016/S1058-9139(05)80235-9","DOIUrl":"10.1016/S1058-9139(05)80235-9","url":null,"abstract":"","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 49-52"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80235-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74343232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
APS JournalPub Date : 1994-03-01DOI: 10.1016/S1058-9139(05)80241-4
Sridhar V. Vasudevan
{"title":"Regional society news","authors":"Sridhar V. Vasudevan","doi":"10.1016/S1058-9139(05)80241-4","DOIUrl":"10.1016/S1058-9139(05)80241-4","url":null,"abstract":"","PeriodicalId":100112,"journal":{"name":"APS Journal","volume":"3 1","pages":"Pages 66-67"},"PeriodicalIF":0.0,"publicationDate":"1994-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1058-9139(05)80241-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79740851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}