[1]吴萌,许睿哲,滕金艳,等.离子通道在膝骨关节炎疼痛调节机制中的作用研究进展[J].中国中医骨伤科杂志,2026,34(08):94-102.[doi:10.20085/j.cnki.issn1005-0205.260813]
 WU Meng,XU Ruizhe,TENG Jinyan,et al.Research Progress on the Mechanism of Ion Channels in Regulating Pain in Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2026,34(08):94-102.[doi:10.20085/j.cnki.issn1005-0205.260813]
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离子通道在膝骨关节炎疼痛调节机制中的作用研究进展()

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第34卷
期数:
2026年08期
页码:
94-102
栏目:
文献综述
出版日期:
2026-08-10

文章信息/Info

Title:
Research Progress on the Mechanism of Ion Channels in Regulating Pain in Knee Osteoarthritis
文章编号:
1005-0205(2026)08-0094-09
作者:
吴萌1许睿哲1滕金艳2高效铭1黄紫旖1程越1李志刚13△
1北京中医药大学针灸推拿学院(北京,100029)
2湖北省中医院
3北京中医药大学国际精神类疾病研究院
Author(s):
WU Meng1XU Ruizhe1TENG Jinyan2GAO Xiaoming1HUANG Ziyi1CHENG Yue1LI Zhigang13△
1School of Acupuncture,Moxibustion and Tuina,Beijing University of Chinese Medicine,Beijing 100029,China; 2Hubei Provincial Hospital of Traditional Chinese Medicine,Wuhan 430060,China; 3International Institute of Mental Disorders,Beijing University of Chinese Medicine,Beijing 100029,China.
关键词:
膝骨关节炎 慢性疼痛 离子通道 外周敏化 中枢敏化
Keywords:
knee osteoarthritis chronic pain ion channels peripheral sensitization central sensitization
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.260813
文献标志码:
A
摘要:
膝骨关节炎是一种以关节软骨退行性病变为核心的慢性疾病,其最突出且困扰患者的症状是疼痛。膝骨关节炎疼痛通常被认为源于关节结构的机械性损伤,然而越来越多的证据表明,其本质是一种由外周及中枢神经系统敏化驱动的神经病理性疾病。离子通道作为神经元兴奋性的终极执行者,在膝骨关节炎疼痛的启动、维持和慢性化过程中居于核心地位。探讨在膝骨关节炎病理微环境下,电压门控、配体门控及机械门控离子通道功能重塑的分子机制,重点阐述了各类通道通过调控伤害性感受器的阈值、放电模式、突触传递效率,以及相互之间的交叉调控作用,并展望了以离子通道为靶点的新型膝骨关节炎镇痛策略。
Abstract:
Knee osteoarthritis(KOA)is a chronic degenerative joint disease characterized by progressive degradation of articular cartilage,with pain being its most prominent and debilitating symptom. Historically,KOA pain was considered to result from mechanical damage to joint structures,but growing evidence suggests that it is essentially a neuropathic condition driven by peripheral and central sensitization. Ion channels,as the ultimate determinants of neuronal excitability,play a pivotal role in the initiation,persistence,and chronification of KOA pain. This review discusses the molecular mechanisms underlying the functional remodeling of voltage gated,ligand gated,and mechanosensitive ion channels in the pathological microenvironment of KOA. We highlight how these channels regulate nociceptor threshold,firing patterns,and synaptic transmission efficiency,as well as their cross regulatory interactions,and provide an outlook on novel ion channel based analgesic approaches for KOA.

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(收稿日期:2025-12-03)

备注/Memo

备注/Memo:
基金项目:国家重点研发计划-中医药现代化(2023YFC3502703)
湖北省自然科学基金创新发展联合基金重点项目(2024AFD271)
北京中医药大学研究生自主课题(ZJKT2026024)
通信作者 E-mail:lizhigang620@126.com
更新日期/Last Update: 2026-08-15