The therapeutic potential of ultra-short-acting β-receptor antagonists in perioperative analgesic: Evidence from preclinical and clinical studies
Open Access
- 11 October 2022
- journal article
- review article
- Published by Frontiers Media SA in Frontiers in Pharmacology
- Vol. 13
Abstract
Perioperative multimodal analgesia can reduce the side effects of a high concentration of opioids, improving the comfort of the patient. However, insufficient analgesia of this model has prompted researchers to explore new adjuvant analgesics. Recently, an increasing number of studies have found a low-grade analgesic effect in the clinical application of ultra-short-acting β-adrenergic receptor antagonists, which are conventionally used as pharmacologic agents in the cardiovascular system. The mechanism by which ultra-short-acting β-antagonists exert antinociceptive effects has not been clarified yet. In this review, we intend to address its potential reasons from the side of neurotransmitters, inflammatory cytokines, and signaling pathways, providing theoretical proof for the application of β-adrenergic receptor antagonists in analgesia.Keywords
Funding Information
- National Natural Science Foundation of China
- Sanming Project of Medicine in Shenzen Municipality
This publication has 66 references indexed in Scilit:
- Influence of cardiac output on the pseudo‐steady state remifentanil and propofol concentrations in swineActa Anaesthesiologica Scandinavica, 2013
- Sensitization of Dural Afferents Underlies Migraine-Related Behavior following Meningeal Application of Interleukin-6 (IL-6)Molecular Pain, 2012
- Esmolol modulates inhibitory neurotransmission in the substantia gelatinosa of the spinal trigeminal nucleus of the ratBMC Anesthesiology, 2011
- Agonist‐selective signaling of G protein‐coupled receptor: Mechanisms and implicationsIUBMB Life, 2010
- Caspase-1 is Involved in the Genesis of Inflammatory Hypernociception by Contributing to Peripheral IL-1β MaturationMolecular Pain, 2010
- Electrophysiological and morphological properties of neurons in the substantia gelatinosa of the mouse trigeminal subnucleus caudalisPain, 2009
- Nociceptors Are Interleukin-1β SensorsThe Journal of Neuroscience, 2008
- Intrathecal landiolol inhibits nociception and spinal c-Fos expression in the mouse formalin testCanadian Journal of Anesthesia/Journal canadien d'anesthésie, 2007
- Interleukin balance and early recovery from anesthesia in elderly surgical patients exposed to β-adrenergic antagonismJournal of Clinical Anesthesia, 2003
- Basic pharmacology of esmololThe American Journal of Cardiology, 1985