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MedicineAnatomy and Physiology

Neurofibromatosis and the Painful Neuroma

Authors: Allan J Belzberg; R Meyer; L Chen; B Murrinson; JOHNS HOPKINS UNIV BALTIMORE MD SCHOOL OF MEDICINE
Abstract:
Pain is a common and distressing symptom that impacts the quality of life of many patients with neurofibromatosis. The pain is often due to the formation of a neuroma. To understand better how neuromas cause pain and what treatments may be provided, we have developed an animal model of a painful neuroma. The tibial neuroma transposition (TNT) model has been confirmed as a model of neuropathic pain. The TNT model has been established as reliable and valid (Specific Aim 1). In the TNT model, the neuroma test-site mechanosensitivity is dependent on neural input from the tibial neuroma. In the TNT model, hindpaw mechanical hyperalgesia is independent of input from the tibial neuroma. We have altered the formation of a neuroma by applying a toxin that is retrogradely transported (suicide transport) leading to neuronal death and axonal death (Specific Aim 2). This technique is now being refined using target-specific toxins and examining subsequent pain behaviour (Specific aim 3).

Limitations: APPROVED FOR PUBLIC RELEASE
Description: Annual rept. 1 Jan-31 Dec 2008
Pages: 10
Report Date: Jan-2009
Contract Number: W81XWH-06-1-0176 W81XWH0610176
Report Number: A620405
Keywords relating to this report:
*NERVE FIBERS
*Pain
*SURGICAL IMPLANTATION
BEHAVIOR
DEATH
FIBERS
LIVING STANDARDS
NEOPLASMS
NERVE CELLS
NERVOUS SYSTEM
PERIPHERAL NEUROPATHY
TEST FACILITIES
TNT
TOXINS AND ANTITOXINS
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