Search

It was generally believed that psittacosis pneumonia (pneumonia caused by

Pain is a common symptom among patients with cancer. Adequate pain assessment and management are critical to improve the quality of life and health outcomes in this population. In this review, the authors provide a framework for safely and effectively managing cancer-related pain by summarizing the evidence for the importance of controlling pain, the barriers to adequate pain management, strategies to assess and manage cancer-related pain, how to manage pain in patients at risk of substance use disorder, and considerations when managing pain in a survivorship population. CA Cancer J Clin 2018;68:182-196. © 2018 American Cancer Society.

Depression and anxiety are frequently observed in patients suffering from neuropathic pain. The underlying mechanisms remained unclear. The ventrolateral orbital cortex (VLO) has attracted considerable interest in its role in antidepressive effect in rodents. In the present study, we further investigated the role of the VLO in the anxiodepressive consequences of neuropathic pain in a chronic constriction injury of infraorbital nerve–induced trigeminal neuralgia (TN) mouse model. Elevated plus maze, open field, forced swimming, tail suspension, and sucrose preference tests were used to evaluate anxiodepressive-like behaviors. The results show that chemogenetic activation of bilateral VLO neurons, especially CaMK2A+ pyramidal neurons, blocked the TN-induced anxiodepressive-like behaviors. Chemogenetic and optogenetic activation of VGLUT2+ or inhibition of VGAT+ VLO neurons was sufficient to produce an antianxiodepressive effect in TN mice. Pharmacological activation of D1-like receptors (D1Rs) but not D2Rs in the VLO significantly alleviated TN-induced depressive-like behaviors. Electrophysiological recordings revealed a decreased excitability of VLO excitatory neurons following neuropathic pain. Furthermore, activation of submedius thalamic nucleus–VLO (Sm-VLO) projection mimicked the antianxiodepressive effect of VLO excitation. Conversely, activation of VLO-periaqueductal gray matter (PAG) projection had no effect on TN-induced anxiodepressive behaviors. This study provides a potentially novel mechanism–based therapeutic strategy for the anxiodepressive consequences of neuropathic pain., Activating excitatory neurons or inhibiting GABAergice neurons of the VLO improved anxiodepressive consequences of neuropathic pain in a trigeminal neuralgia mouse model.

To identify the variation in soil bacterial community diversity brought by the invasion of Phyllostachys edulis into Pinus massoniana forest, we collected mixed soil samples from three types of forests, including a pure Ph. edulis forest, a mixed Ph. edulis and conifers (P. massoniana) fore-st, and a mixed forest of evergreen broadleaves and conifers. Samples were analyzed by high-throughput sequencing for measuring the soil bacterial community diversity and structure. The results showed that the bacterial communities comprised of 511 genera, 160 families, 134 orders, 88 classes, and 39 phyla. The proportion of Acidobateria in the pure Ph. edulis forest was significantly lower and the proportions of Actinobacteria, Bacteroidetes, TM7, and Chlamydiae were significantly higher than that in other forests. Meanwhile, various genera showed significant differences in proportions in both the mixed forests when compared with their corresponding proportions in the pure Ph. edulis forest. There were 130 non-dominant genera presented alone in each of the two mixed forests, at proportions between 0.005% and 0.1%. The pure Ph. edulis forest had the lowestAgr; diversity, while that of the mixed Ph. edulis and evergreen broadleaf forest was intermediate, and that of the mixed evergreen broadleaf and coniferous forest was the highest. The index ofAgr; diversity followed evergreen coniferous mixed forestbamboo needle mixed forestpure bamboo forest, and the diffe-rence between the mixed Ph. edulis and evergreen broadleaf forest and the mixed evergreen broadleaf and coniferous forest was insignificant. The PCoA results revealed that the invasion of Ph. edulis affected the population diversity and community structure of soil bacteria. There was a significant correlation between the percentage of non-dominant bacterial phyla in the soil (less than 0.1% of the proportion) and the soil environmental gradient such as water-soluble organic nitrogen and nitrate. Water-soluble organic nitrogen and nitrate had strong effects on the non-dominant bacterial population in the soil following the invasion of Ph. edulis into the P. massoniana forest. These findings would serve as important references for further related studies.为揭示毛竹入侵邻域林分过程中对土壤细菌群落多样性变化的影响,以马尾松林为研究对象,采集纯毛竹林、竹针混交林和常绿针叶(马尾松)混交林3类样地的混合土样,基于高通量测序技术分析土壤细菌群落多样性和结构变化.结果表明: 研究期间共得到细菌类群39门88纲134目160科511属;在门的分类水平上,与竹针混交林、常绿针叶混交林相比,纯毛竹林酸杆菌门所占比例显著较低,而放线菌门、拟杆菌门、TM7和衣原体门所占比例较高;在属的分类水平上,相对于纯毛竹林,竹针混交林和常绿针叶混交林均有多属表现出所占比例显著上升或下降,单独出现在竹针混交林或常绿针叶混交林且所占比例在0.005%～0.1%的非优势属有130属;α多样性指数均表现为常绿针叶混交林竹针混交林纯竹林,且纯竹林与两者均有显著差异,而常绿针叶混交林和竹针混交林之间差异不显著.PCoA分析表明,毛竹入侵对土壤细菌的种群多样性和群落结构产生了影响;所占比例小于0.1%的非优势菌群门分类水平的百分比特征与土壤环境梯度(水溶性有机氮和硝态氮)之间有显著相关性,两者对毛竹入侵马尾松林后土壤细菌群落的非优势种群影响巨大,具有重要的参考价值.

The ventrolateral orbital cortex (VLO) is part of an endogenous analgesic system consisting of an ascending pathway from the spinal cord to VLO via the thalamic nucleus submedius (Sm) and a descending pathway to the spinal cord relaying in the periaqueductal gray (PAG). This study examines whether activation of D(1)-like and D(2)-like dopamine receptors in VLO produces antinociception and whether GABAergic modulation is involved in the VLO, D(2)-like dopamine receptor activation-evoked antinociception. The radiant heat-evoked tail flick (TF) reflex was used as an index of nociceptive response in lightly anesthetized rats. Microinjection of the D(2)-like (D(2)/D(3)) dopamine receptor agonist quinpirole (0.1-2.0 microg), but not D(1)-like (D(1)/D(5)) receptor agonist SKF-38393 (1.0, 5.0 microg), into VLO produced dose-dependent antinociception which was antagonized by the D(2)-like (D(2)/D(3)) receptor antagonist raclopride (1.5 microg). We also found that VLO application of the GABA(A) receptor antagonist bicuculline or picrotoxin (100 ng) enhanced the quinpirole-induced inhibition of the TF reflex, whereas the GABA(A) receptor agonist muscimol (250 ng) or THIP (1.0 microg) significantly attenuated the quinpirole-induced inhibition. These results suggest that D(2)-like, but not D(1)-like, dopamine receptors are involved in VLO-induced antinociception and that GABAergic disinhibitory mechanisms participate in the D(2)-like receptor mediated effect. These findings provide support for the hypothesis that D(2)-like receptor activation may inhibit the inhibitory action of the GABAergic interneurons on the output neurons projecting to PAG leading to activation of the brainstem descending inhibitory system and depression of nociceptive inputs at the spinal dorsal horn.