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Peripheral nerve and diclofenac sodium: Molecular and clinical approaches      
Yazarlar
Arife Ahsen Kaplan
Doç. Dr. Kıymet Kübra TÜFEKCİ
Ondokuz Mayıs Üniversitesi, Türkiye
Ömür Gülsüm Deniz
Ondokuz Mayıs Üniversitesi, Türkiye
Gamze Altun
Ondokuz Mayıs Üniversitesi, Türkiye
Özet
Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most frequently prescribed medications worldwide. Diclofenac sodium (DS), one of these NSAIDs, has a high specificity for arachidonic acid-degrading cyclooxygenase (COX)-2 enzymes. This drug can be used to relieve neuropathic pain. In this review, we examine the relevant researches, including in vivo, animal, and clinical human studies, with the aim of understanding the effect of DS on the peripheral nerves. In injured nerves, COX-2 is potently upregulated around the injury site. When a nerve is damaged, both COX-1 and COX-2 expression is increased in macrophages and Schwann cells. In addition, COX inhibitors can promote axonal outgrowth in cultured neurons. Neuropathic pain occurs after injury and leads to dysfunction of the peripheral nervous system. NSAIDs can modulate the nociceptive and inflammatory pain pathways and control neuropathic pain. DS may accelerate nerve regeneration and its effects on healing, as well as causing deleterious effects in the developing nerves. DS teratogenicity disrupts myelin sheath thickness and axon structure. Understanding the possible benefits and limitations of DS and specific conditions such as prenatal use will be of benefit in clinical practice.
Anahtar Kelimeler
Nonsteroidal anti-inflammatory drugs,Neuropathic pain,Cyclooxygenase,Schwann cells,Diclofenac sodium
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri)
Makale Alt Türü SCI, SSCI, AHCI, SCI-Exp dergilerinde yayımlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale
Dergi Adı JOURNAL OF CHEMICAL NEUROANATOMY
Dergi ISSN 0891-0618
Dergi Tarandığı Indeksler SCI-Expanded
Makale Dili İngilizce
Basım Tarihi 01-2018
Cilt No 87
Sayfalar 2 / 11
Doi Numarası 10.1016/j.jchemneu.2017.08.006
Makale Linki http://dx.doi.org/10.1016/j.jchemneu.2017.08.006
BM Sürdürülebilir Kalkınma Amaçları
Atıf Sayıları
WoS 14
SCOPUS 18
Peripheral nerve and diclofenac sodium: Molecular and clinical approaches

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