Elcock C, Boissonade F M, Robinson P P
Department of Oral and Maxillofacial Surgery, School of Clinical Dentistry, Claremont Crescent, S10 2TA, Sheffield, UK.
Arch Oral Biol. 2001 Aug;46(8):729-43. doi: 10.1016/s0003-9969(01)00029-2.
Previous studies have found changes in neuropeptide expression in trigeminal ganglion cells after inferior alveolar nerve (IAN) section. These changes may play a part in the persistent sensory abnormalities that can be experienced after trigeminal nerve injuries. Here, neuropeptide expression after IAN ligation was studied, as this type of injury is thought to be more likely to result in sensory disturbances. The neuropeptides investigated were substance P, calcitonin gene-related peptide, enkephalin (ENK), galanin (GAL), neuropeptide Y (NPY) and vasoactive intestinal polypeptide. In anaesthetised adult female ferrets the left IAN was sectioned and the central stump tightly ligated. Recovery was allowed for 3 days, 3 or 12 weeks before perfusion-fixation. In a second procedure, 1 week before perfusion, the IAN was exposed and an injection made central to the injury site, using a mixture of 4% Fluorogold and 4% Isolectin B4 conjugated to horseradish peroxidase, to identify cell bodies with axons in the inferior alveolar nerve and cells with unmyelinated axons within this population, respectively. Control experiments involved tracer injection alone. After harvesting the tissue, sagittal sections were taken from both the right and left ganglia and immunohistochemical staining used to reveal the presence of peptides and Isolectin B4 tracer. The results showed a significant decrease in GAL expression after injury and an increase in ENK and NPY expression. No significant differences were seen in the expression of the other peptides or in the proportion of lectin-positive cells at any time after injury. When compared with previous data, significant differences were found between peptide expression following nerve ligation and nerve section. These results reveal that the changes in neuropeptide expression in the trigeminal ganglion that follow IAN injury are dependent upon the type of injury. The extent to which changes in the central neuropeptide levels contribute to the development of sensory disorders remains to be established.
以往的研究发现,下牙槽神经(IAN)切断后,三叉神经节细胞中的神经肽表达会发生变化。这些变化可能在三叉神经损伤后出现的持续性感觉异常中起作用。在此,对IAN结扎后的神经肽表达进行了研究,因为这种损伤类型被认为更有可能导致感觉障碍。所研究的神经肽包括P物质、降钙素基因相关肽、脑啡肽(ENK)、甘丙肽(GAL)、神经肽Y(NPY)和血管活性肠多肽。在麻醉的成年雌性雪貂中,切断左侧IAN并将中枢残端紧密结扎。在灌注固定前,分别允许恢复3天、3周或12周。在第二个步骤中,在灌注前1周,暴露IAN并在损伤部位中央进行注射,使用4%荧光金和与辣根过氧化物酶偶联的4%异凝集素B4的混合物,分别识别下牙槽神经中有轴突的细胞体和该群体中有无髓轴突的细胞。对照实验仅涉及示踪剂注射。采集组织后,从左右神经节获取矢状切片,并使用免疫组织化学染色来显示肽和异凝集素B4示踪剂的存在。结果显示,损伤后GAL表达显著降低,ENK和NPY表达增加。在损伤后的任何时间,其他肽的表达或凝集素阳性细胞的比例均未观察到显著差异。与先前的数据相比,发现神经结扎和神经切断后肽表达存在显著差异。这些结果表明,IAN损伤后三叉神经节中神经肽表达的变化取决于损伤类型。中枢神经肽水平的变化在多大程度上导致感觉障碍的发生仍有待确定。