June 11, 2026 · British journal of anaesthesia · DOI: 10.1016/j.bja.2026.04.063

An integrated systemic approach to chronic primary pain from epigenome to brain: a narrative review

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The authors aim to establish an integrated systemic approach to understanding chronic primary pain, which is recognized as a complex disease involving multiple physiological dysfunctions, including epigenetic modifications and neuroinflammation. By connecting insights from various scientific disciplines, they seek to create a holistic framework that links these dysfunctions to clinical features such as sensory hypersensitivity and psychological issues, ultimately enhancing therapeutic strategies and guiding future research.

Jo Nijs, Lars Arendt-Nielsen, Elin Johansson, Karen D Davis, Rocco Giordano, Camille Fauchon, Andrea Polli

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