Evidence map›Paper›PMID 40795057›Full record

ReviewMilitary medicine2025

Molecular Mechanisms Underlying Burn-Injury Induced Pain: From Inflammation to Epigenetics.

Natasha M Sosanya, Bopaiah P Cheppudira, Michael J Urban, Alberto Mares, Hans Linsenbardt, John L Clifford

Abstract readReview
In one paragraph

Review in Military medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. [A compulsory course in clinical treatment of burn patients: pain and analgesia].Zhonghua shao shang yu chuang mian xiu fu za zhi · 2026
    Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Natasha M SosanyaPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.ORCID 0000-0002-2269-7107
Bopaiah P CheppudiraPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.
Michael J UrbanPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.
Alberto MaresPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.
Hans LinsenbardtPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.
John L CliffordPain and Sensory Trauma CRT5, US Army Institute of Surgical Research (USAISR), JBSA Ft Sam Houston, TX 78234, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn modern warfare, blast and burn insults account for over half of combat injuries. Burn-injured Service Members represent one military patient population in need of a pain management regimen that involves optimal acute pain control, reduced chronic pain, and reduced risk of addiction. Burn pain is a significant clinical problem. The current standard of care can result in decreasing analgesia or the need for dosage escalation that incurs an increased risk of significant side effects. This review describes the current understanding of many important structures and mechanisms associated with burn pain, and these subjects provide promising targets for novel analgesics. MATERIALS AND

methodsAn independent literature retrieval was performed by all authors using a combination of search terms, including "burn" and "pain," alongside "glia," "receptors," "brain," "allodynia," "hyperalgesia," "central sensitization," "inflammation," and "tolerance." The search encompassed renowned reference repositories, namely PubMed (MEDLINE) and Scopus.

resultsBurn injuries are accompanied by complex pain originating after thermal insult, and this pain persists through treatment procedures like debridement, wound dressing, grafting, and wound closure. Understanding the molecular mechanisms that persist following burn injury is critical. This review highlights specific topics, including receptors and brain anatomy pertinent to pain, burn-induced allodynia and hyperalgesia, central sensitization, molecular signatures of burn-induced nociception and pain, and opioid analgesic tolerance.

conclusionsInterventions to accelerate burn injury healing and/or diminish the deleterious effects of dysregulated inflammatory and immune responses following severe burn are needed. Therefore, elucidating the underlying molecular mechanisms of burn-injury induced pain is of the utmost importance.

Indexed as

BurnsInflammationPainEpigenesis, GeneticHumansPain Managementburnburn injuryburn painmilitarymolecular mechanismsnociceptionpainthermal injury

Identifiers

PMID40795057
PMCPMC12588718

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.