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来自大鼠咬肌的辣椒素敏感初级传入输入在对牙髓刺激作出反应的C1脊髓神经元中的作用。

Role of capsaicin-sensitive primary afferent inputs from the masseter muscle in the C1 spinal neurons responding to tooth-pulp stimulation in rats.

作者信息

Takeda M, Tanimoto T, Ito M, Nasu M, Matsumoto S

机构信息

Department of Physiology, School of Dentistry at Tokyo, Nippon Dental University, 1-9-20, Fujimi-cho, Chiyoda-ku, 102-8159 Tokyo, Japan.

出版信息

Exp Brain Res. 2005 Jan;160(1):107-17. doi: 10.1007/s00221-004-1990-2.

Abstract

The aim of the present study was to demonstrate the convergence of inputs from masseter muscle (MM) and tooth pulp (TP) onto C1 spinal neurons and to determine whether the afferent fibers express the functional vanilloid receptor (VR1). Extracellular single-unit recordings were made from 61 C1 units responding to TP electrical stimulation with a constant temporal relationship to a digastric electromyogram signal in pentobarbital anesthetized rats. Eighty-four percent of C1 neurons responding to TP stimulation also responded to the ipsilateral MM stimulation. Of these neurons, 61% were considered to be afferent inputs from Adelta-fibers and the remaining units (39%) were C-fibers, based on calculation of the nerve conduction velocity. Intramuscular injection of capsaicin (0.05 and 0.1%) produced a reduction in a MM-induced C1 neuronal activity in a dose-dependent manner and this effect was antagonized by pretreatment with an antagonist of VR1, capsazepine. Some of these units were also excited by noxious heat stimulation (> 43 degrees C). The trigeminal root ganglion (TRG) neurons that innervated the MM were retrogradely labeled with Fluorogold (FG) and the small-diameter FG-labeled TRG neurons expressed the immunoreactivity for VR1. After intramuscular mustard oil injection (noxious chemical stimulation), the C1 neuronal activity induced by both touch and pinch stimuli was enhanced and their receptive field sizes were significantly expanded. These changes were reversed within 15-20 min. These results suggest that there may be the convergence of noxious afferents inputs from the MM and TP afferents on the same C1 neurons in rats, and that the afferent fibers expressing the functional VR1 may contribute to the hyperalgesia and/or referred pain associated with temporomandibular joint disorder.

摘要

本研究的目的是证明咬肌(MM)和牙髓(TP)的传入神经在C1脊髓神经元上的汇聚,并确定传入纤维是否表达功能性香草酸受体(VR1)。在戊巴比妥麻醉的大鼠中,对61个C1神经元进行细胞外单单位记录,这些神经元对TP电刺激有反应,且与二腹肌肌电图信号具有恒定的时间关系。对TP刺激有反应的C1神经元中,84%也对同侧MM刺激有反应。根据神经传导速度计算,这些神经元中,61%被认为是来自Aδ纤维的传入输入,其余单元(39%)为C纤维。肌肉内注射辣椒素(0.05%和0.1%)以剂量依赖的方式降低了MM诱导的C1神经元活动,这种作用被VR1拮抗剂辣椒平预处理所拮抗。其中一些单元也受到有害热刺激(>43℃)的兴奋。用荧光金(FG)逆行标记支配MM的三叉神经节(TRG)神经元,小直径FG标记的TRG神经元表达VR1的免疫反应性。肌肉内注射芥子油(有害化学刺激)后,触摸和捏压刺激诱导的C1神经元活动增强,其感受野大小显著扩大。这些变化在15 - 20分钟内逆转。这些结果表明,大鼠中MM和TP的有害传入输入可能在同一C1神经元上汇聚,并且表达功能性VR1的传入纤维可能导致与颞下颌关节紊乱相关的痛觉过敏和/或牵涉痛。

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