Skin innervation: important roles during normal and pathological cutaneous repair

The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and touch. Autonomic nerve fibres which completely derive from sympathetic (cholinergic) neurons are also present. During all the phases of skin...

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Published in:Histology and histopathology Vol. 30; no. 8; p. 875
Main Authors: Laverdet, Betty, Danigo, Aurore, Girard, Dorothée, Magy, Laurent, Demiot, Claire, Desmoulière, Alexis
Format: Journal Article
Language:English
Published: Spain 01.08.2015
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ISSN:1699-5848, 1699-5848
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Abstract The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and touch. Autonomic nerve fibres which completely derive from sympathetic (cholinergic) neurons are also present. During all the phases of skin wound healing (inflammatory, proliferative and remodelling phases), neuromediators are involved. Several clinical observations indicate that damage to the peripheral nervous system influences wound healing, resulting in chronic wounds within the affected area. Patients with cutaneous sensory defects due to lepromatous leprosy, spinal cord injury and diabetic neuropathy develop ulcers that fail to heal. In addition, numerous experimental observations suggest that neurogenic stimuli profoundly affect wound repair after injury and that delayed wound healing is observed in animal models after surgical resection of cutaneous nerves. All these observations clearly suggest that innervation and neuromediators play a major role in wound healing. Interactions between neuromediators and different skin cells are certainly crucial in the healing process and ultimately the restoration of pain, temperature, and touch perceptions is a major challenge to solve in order to improve patients' quality of life.
AbstractList The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and touch. Autonomic nerve fibres which completely derive from sympathetic (cholinergic) neurons are also present. During all the phases of skin wound healing (inflammatory, proliferative and remodelling phases), neuromediators are involved. Several clinical observations indicate that damage to the peripheral nervous system influences wound healing, resulting in chronic wounds within the affected area. Patients with cutaneous sensory defects due to lepromatous leprosy, spinal cord injury and diabetic neuropathy develop ulcers that fail to heal. In addition, numerous experimental observations suggest that neurogenic stimuli profoundly affect wound repair after injury and that delayed wound healing is observed in animal models after surgical resection of cutaneous nerves. All these observations clearly suggest that innervation and neuromediators play a major role in wound healing. Interactions between neuromediators and different skin cells are certainly crucial in the healing process and ultimately the restoration of pain, temperature, and touch perceptions is a major challenge to solve in order to improve patients' quality of life.The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and touch. Autonomic nerve fibres which completely derive from sympathetic (cholinergic) neurons are also present. During all the phases of skin wound healing (inflammatory, proliferative and remodelling phases), neuromediators are involved. Several clinical observations indicate that damage to the peripheral nervous system influences wound healing, resulting in chronic wounds within the affected area. Patients with cutaneous sensory defects due to lepromatous leprosy, spinal cord injury and diabetic neuropathy develop ulcers that fail to heal. In addition, numerous experimental observations suggest that neurogenic stimuli profoundly affect wound repair after injury and that delayed wound healing is observed in animal models after surgical resection of cutaneous nerves. All these observations clearly suggest that innervation and neuromediators play a major role in wound healing. Interactions between neuromediators and different skin cells are certainly crucial in the healing process and ultimately the restoration of pain, temperature, and touch perceptions is a major challenge to solve in order to improve patients' quality of life.
The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and touch. Autonomic nerve fibres which completely derive from sympathetic (cholinergic) neurons are also present. During all the phases of skin wound healing (inflammatory, proliferative and remodelling phases), neuromediators are involved. Several clinical observations indicate that damage to the peripheral nervous system influences wound healing, resulting in chronic wounds within the affected area. Patients with cutaneous sensory defects due to lepromatous leprosy, spinal cord injury and diabetic neuropathy develop ulcers that fail to heal. In addition, numerous experimental observations suggest that neurogenic stimuli profoundly affect wound repair after injury and that delayed wound healing is observed in animal models after surgical resection of cutaneous nerves. All these observations clearly suggest that innervation and neuromediators play a major role in wound healing. Interactions between neuromediators and different skin cells are certainly crucial in the healing process and ultimately the restoration of pain, temperature, and touch perceptions is a major challenge to solve in order to improve patients' quality of life.
Author Laverdet, Betty
Desmoulière, Alexis
Girard, Dorothée
Danigo, Aurore
Magy, Laurent
Demiot, Claire
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  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy, Limoges, France
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  givenname: Aurore
  surname: Danigo
  fullname: Danigo, Aurore
  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy, Limoges, France
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  givenname: Dorothée
  surname: Girard
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  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy, Limoges, France
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  givenname: Laurent
  surname: Magy
  fullname: Magy, Laurent
  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy and CHU (Centre Hospitalier Universitaire) de Limoges, Department of Neurology, Limoges, France
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  fullname: Demiot, Claire
  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy, Limoges, France
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  givenname: Alexis
  surname: Desmoulière
  fullname: Desmoulière, Alexis
  email: alexis.desmouliere@unilim.fr
  organization: University of Limoges, EA (Équipe d'Accueil) 6309 "Myeline maintenance and peripheral neuropathies", Faculties of Medicine and Pharmacy, Limoges, France. alexis.desmouliere@unilim.fr
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Snippet The skin is a highly sensitive organ. It is densely innervated with different types of sensory nerve endings, which discriminate between pain, temperature and...
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StartPage 875
SubjectTerms Animals
Humans
Nerve Fibers - pathology
Regeneration - physiology
Skin - innervation
Skin - pathology
Wound Healing
Title Skin innervation: important roles during normal and pathological cutaneous repair
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