Is neuroinflammation the common thread in chronic pain? Recent advances and implications of the role of glial cells

The intricate involvement of glial cells in chronic pain mechanisms represents a paradigm shift in our understanding of pain processing. From microglial-mediated neuroinflammation to astrocytic modulation of synaptic function, glial cells emerge as critical players in the complex neurobiology of chronic pain. As research continues to unravel the multifaceted roles of these cells, novel therapeutic targets and strategies are likely to emerge, potentially revolutionizing the management of chronic pain conditions. Chronic pain is complicated by frequent comorbidities such as fatigue, sleep disturbances, cognitive impairment, and mood disorders. Here, we hypothesize that neuroinflammatory processes are at the root of pain chronification and serve as the common thread linking characteristic hypersensitivity with the cognitive and emotional comorbidities typically associated with chronic pain.

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Publication Details

Journal
Exploration of Immunology
Published
2026-05-27
DOI
https://doi.org/10.37349/ei.2026.1003254
Primary Topic
Pain Mechanisms and Treatments
Type
article
Field-Weighted Citation Impact
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Is neuroinflammation the common thread in chronic pain? Recent advances and implications of the role of glial cells

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Is neuroinflammation the common thread in chronic pain? Recent advances and implications of the role of glial cells

Marcella Ilardi, Silvia Natoli, Maurizio Marchesini, Giuliano Lo Bianco, Filippo Grandini, Giulia Topi, Luigi D’Auria, Diego Maria Fornasari, Arturo Cuomo, Federica Ferrari
article en

Abstract

The intricate involvement of glial cells in chronic pain mechanisms represents a paradigm shift in our understanding of pain processing. From microglial-mediated neuroinflammation to astrocytic modulation of synaptic function, glial cells emerge as critical players in the complex neurobiology of chronic pain. As research continues to unravel the multifaceted roles of these cells, novel therapeutic targets and strategies are likely to emerge, potentially revolutionizing the management of chronic pain conditions. Chronic pain is complicated by frequent comorbidities such as fatigue, sleep disturbances, cognitive impairment, and mood disorders. Here, we hypothesize that neuroinflammatory processes are at the root of pain chronification and serve as the common thread linking characteristic hypersensitivity with the cognitive and emotional comorbidities typically associated with chronic pain.

Exploration of ImmunologyVol. 6
University of Milan (IT), University of Pavia (IT), Fondazione Istituto G. Giglio di Cefalù (IT), Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale" (IT), Policlinico San Matteo Fondazione (IT)
Good health and well-being
Openalex Percentile: Top 7%
Pain Mechanisms and Treatments
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