Mecanismos periféricos del dolor Flashcards

1
Q

Tipos de estímulos nociceptivos

A

Mecanismo, térmicos y químicos (polimodales)

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2
Q

Receptores a st fríos

A

TRPA1 y TRPV8

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3
Q

Receptores a st > 50°C

A

TRPV2

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4
Q

Receptor a irritantes químicos

A

TRPA1

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5
Q

TRPV1 (PISAS)

A
  • Permeable al Ca2+
  • Ionotrópico
  • Se activa con > 43°C
  • Aumenta su expresión en inflamación
  • Se expresa en 40% de las células del GRD
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6
Q

ASICs

A
  • Ionotrópicos permeables al sodio

- Activados por protones

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7
Q

Mecanotransducción

A

Piezo2, NPY2R, S1PR3, TREK1, MRGPRD, etc.

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8
Q

Receptores en nociceptores a NT

A

Adrenalina y 5-HT

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9
Q

Mediadores inflamatorios

A
  • Bradiquinina
  • Bradiquinina
  • Interleucinas y leucotrienos
  • Moléculas de microbios
  • Factores neurotróficos
  • Neuropéptidos
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10
Q

Sensibilización periférica

A

Estímulos inocuos activan nociceptores

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11
Q

Sensibilización térmica

A

Nociceptores cutáneos

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12
Q

Sensibilización mecánica

A

Nociceptores profundos

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13
Q

Alodinia

A

Dolor ante estímulos que previamente no resultaban dolorosos

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14
Q

Hiperalgesia

A

Mayor dolor ante estímulos previamente dolorosos

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15
Q

Inflamación neurogénica y antidrómica

A

Terminaciones liberan SP y CGRP (antidrómica) -> vasodilatación-> Edema

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16
Q

Modulación periférica de la nocicepción (moléculas)

A

Mastocitos/queratinocitos:

  • Adenosina
  • GABA
  • Norepinefrina
  • Glu-ACh
  • Endorfinas
  • Somatostatina
  • Andanamida
17
Q

Descargas ectópicas…

A
  • En fibras y en los GRD
  • Afectan fibras A-delta, C e incluso A-beta
  • Por desregulación de canales de sodio y potasio