Fristad I, Berggreen E, Haug S R
Department of Oral Sciences, Faculty of Dentistry, University of Bergen, Arstadveien 17, N-5009 Bergen, Norway.
Arch Oral Biol. 2006 Apr;51(4):273-81. doi: 10.1016/j.archoralbio.2005.08.007. Epub 2005 Nov 2.
The control of pain perception is a challenge in clinical dentistry, most prominent during tooth pulp inflammation. The tooth pulp is a well-defined target, and is densely supplied by a sensory trigeminal innervation. Opioids are signaling molecules that are suggested to participate in pain perception. Here we analysed the presence of delta opioid receptor (DOR) in trigeminal neurons innervating the tooth pulp of rat molars. Immunohistochemical and ultrastructural analysis revealed that DOR was identified in peripheral nerves in the molar dental pulp, both in the root and the coronal pulpal parts, with branching in the highly innervated subodontoblast layer. DOR was localised in about one third of all the trigeminal dental neurons, identified by means of retrograde neuronal transport of fluorogold (FG) from the dental pulp. Of the DOR-labeled neurons, nearly all were small and medium-sized (147.5-1,810.2 microm(2), mean 749.1 +/- 327.3 microm(2)). Confocal microscopy confirmed that DOR-immunoreactivity was distributed as granules in the neuronal cytoplasm. Approximately 70% of the DOR-immunoreactive neurons were also immunopositive for vanilloid receptor 1 (TRPV1). Ultrastructural analysis demonstrated DOR-immunoreactivity in the unmyelinated and in some of the myelinated nerve fibers in the dental pulp. These results indicate that DOR may influence the function in a subset of small and medium-sized trigeminal sensory neurons supporting the tooth, which are mainly known for their ability to mediate nociceptive stimuli. Agonists, acting on DOR, may thus have an influence on a subpopulation of nociceptive neurons supporting the rat tooth.
疼痛感知的控制是临床牙科中的一项挑战,在牙髓炎症期间最为突出。牙髓是一个明确的靶点,由三叉神经感觉神经密集供应。阿片类药物是被认为参与疼痛感知的信号分子。在这里,我们分析了支配大鼠磨牙牙髓的三叉神经元中δ阿片受体(DOR)的存在情况。免疫组织化学和超微结构分析显示,在磨牙牙髓的外周神经中,无论是牙根还是冠髓部分,均发现了DOR,其在高度神经支配的成牙本质细胞下层有分支。通过从牙髓逆行神经元转运荧光金(FG)鉴定,DOR定位于所有三叉牙髓神经元的约三分之一中。在DOR标记的神经元中,几乎所有都是中小型的(147.5 - 1,810.2微米²,平均749.1 +/- 327.3微米²)。共聚焦显微镜证实,DOR免疫反应性以颗粒形式分布在神经元细胞质中。大约70%的DOR免疫反应性神经元对香草酸受体1(TRPV1)也呈免疫阳性。超微结构分析显示牙髓中无髓鞘和一些有髓鞘神经纤维中有DOR免疫反应性。这些结果表明,DOR可能影响支持牙齿的一部分中小型三叉感觉神经元的功能,这些神经元主要以其介导伤害性刺激的能力而闻名。因此,作用于DOR的激动剂可能会对支持大鼠牙齿的伤害性神经元亚群产生影响。