慢性疼痛治疗
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《自然》:脑科学,又有多项新突破 | 红杉爱科学
红杉汇· 2025-11-14 00:04
Group 1: Alzheimer's Disease Treatment Innovations - A new nano-drug strategy has been proposed by a research team from Sichuan University and the Catalonia Institute for Bioengineering, which cleared nearly 50% of amyloid-beta (Aβ) in Alzheimer's model mice within 2 hours and sustained cognitive recovery for up to 6 months [5][11]. - The traditional approach focused on directly removing Aβ, but the real issue is the failure of the brain's waste clearance system, particularly the low-density lipoprotein receptor-related protein 1 (LRP1) [6][7]. - The new strategy aims to repair the waste clearance system rather than just removing the waste, utilizing a designed nano-carrier (A₄₀-POs) that enhances LRP1's function [8][10]. Group 2: Brain-Machine Interface Breakthroughs - A new type of flexible, stretchable neural electrode called "NeuroWorm" has been developed, which can move within the brain or muscle tissue, allowing for dynamic monitoring of physiological signals [12][15]. - This innovation represents a paradigm shift from static electrodes to dynamic, controllable devices that can provide long-term monitoring of neural activity [15]. Group 3: Chronic Pain Mechanisms - Research has identified a specific type of neuron (Y1R neurons) in the parabrachial nucleus of the brain that remains active during chronic pain, providing insights into potential new therapies for chronic pain management [16][18]. - The study reveals that the brain has an intrinsic pain modulation mechanism, where survival needs can suppress chronic pain signals, suggesting that behavioral interventions may also influence pain perception [20][21].
38亿!医械巨头又一重磅收购
思宇MedTech· 2025-10-20 02:38
Core Insights - Boston Scientific announced the acquisition of Nalu Medical for approximately $530 million, marking a significant move in the chronic pain treatment sector [2][3] - The acquisition is expected to enhance Boston Scientific's product line in pain management, integrating Nalu's innovative wireless peripheral nerve stimulation system [5][10] Group 1: Acquisition Details - The acquisition will complete Boston Scientific's strategic investment in Nalu, which began in 2017, and is expected to finalize in the first half of 2026 [3] - Nalu is projected to exceed $60 million in sales by 2025, with a growth rate of over 25% in 2026 [3] Group 2: Strategic Implications - This transaction represents a strategic shift from "central control" to "peripheral control," broadening Boston Scientific's coverage in pain management from deep to peripheral nerve solutions [5] - The acquisition positions Boston Scientific competitively against major players like Medtronic and Abbott in the neuromodulation market [5] Group 3: Nalu's Growth and Technology - Prior to the acquisition, Nalu secured $50 million in growth capital from Trinity Capital, indicating its readiness for commercialization and expansion [6] - Nalu's Neurostimulation System is a battery-free, miniaturized, wireless device that simplifies surgical procedures and reduces maintenance costs [8] Group 4: Clinical Efficacy - Clinical trials demonstrated that Nalu's system achieved over 50% pain relief in 87% and 79% of patients in two randomized controlled studies, with an average pain reduction of 64% [9] - The system's design enhances patient compliance and post-operative experience, making it a viable alternative to traditional pain management methods [9] Group 5: Market Context - Chronic pain affects over 1 billion people globally, with traditional treatments posing risks of dependency and abuse [10] - The market is currently dominated by Medtronic, Abbott, and Boston Scientific, which together hold about 80% market share, but Nalu's innovative approach offers a differentiated solution [10] Group 6: Future Outlook - The acquisition signals a shift in the neuromodulation market towards simpler, more accessible technologies that can be widely adopted in clinical settings [11][12] - The focus is moving from complex systems to lightweight, replicable technology models, indicating a potential turning point for peripheral nerve stimulation [11][12]
持续性疼痛会激活特殊脑细胞
Ke Ji Ri Bao· 2025-10-12 22:47
Core Insights - A research team from the University of Pennsylvania and Scripps Research has discovered a previously overlooked type of brain cell that activates during persistent pain, potentially opening new treatment avenues for chronic pain affecting about 1/5 of the global population [1] Group 1: Research Findings - The focus of the research is on the periaqueductal gray area, specifically the lateral parabrachial nucleus, which acts as a hub for processing sensory information and relaying it to other brain regions [1] - In mouse experiments, a specific subset of neurons carrying neuropeptide Y receptors was identified, which remain active in a "persistent mode" following initial pain stimuli such as nerve injury [1] - Activation of these Y1R neurons in mice resulted in typical pain responses, while blocking their activity significantly alleviated persistent pain without affecting responses to acute threats like high temperatures [1] Group 2: Implications for Pain Treatment - The study indicates that during stress, other brain regions release neuropeptide Y to the lateral parabrachial nucleus, naturally achieving analgesic effects [1] - This physiological mechanism provides crucial insights for the development of new analgesic drugs, with the neuropeptide Y signaling pathway identified as a promising drug target for chronic pain treatment [1]