Wang Hu, Wei Feng, Dubner Ronald, Ren Ke
Department of Biomedical Sciences, Dental School and Program in Neuroscience, University of Maryland, Baltimore, Maryland 21201-1586, USA.
J Comp Neurol. 2006 Sep 20;498(3):390-402. doi: 10.1002/cne.21062.
Orofacial injury activates two distinct regions in the spinal trigeminal complex, the subnuclei interpolaris/caudalis (Vi/Vc) transition zone and the laminated Vc, or medullary dorsal horn (MDH). Studies suggest that the Vi/Vc transition zone plays an important role in processing orofacial deep input. To test this hypothesis, we employed a double-tracing strategy to compare central projections of primary afferent neurons that innervate the masseter muscle and the overlying skin. Different tracers were injected either centrally (Fluoro-Gold: ventral Vi/Vc, or MDH) or peripherally (wheat germ agglutinin-conjugated horseradish peroxidase or cholera toxin B: masseter or overlying skin) in the same rat. Trigeminal ganglion tissue sections were processed for single or double immunohistochemistry. The double labeling of ganglion neurons indicates their site of peripheral and central innervations. A population of small to medium-sized neurons was doubly labeled after injections of the tracers into the masseter-Vi/Vc, masseter-MDH, or the skin-MDH. However, only a few double-labeled neurons were occasionally observed after injections of the tracers into the skin-Vi/Vc. Injection of an N-methyl-D-aspartate receptor antagonist, AP-5, into the Vi/Vc and MDH attenuated masseter inflammatory hyperalgesia. In contrast, hyperalgesia after inflammation of the skin overlying the masseter was attenuated by injection of AP-5 into the MDH but not Vi/Vc. These results indicate that while both masseter and cutaneous inputs project to the MDH, masseter afferents provide an additional input to the Vi/Vc. These findings provide further evidence to support a role of the trigeminal transition zone in response to orofacial deep injury.
口腔颌面部损伤会激活三叉神经脊髓复合体中的两个不同区域,即极间/尾侧亚核(Vi/Vc)过渡区和分层的Vc或延髓背角(MDH)。研究表明,Vi/Vc过渡区在处理口腔颌面部深部传入信息方面发挥着重要作用。为了验证这一假设,我们采用了双重示踪策略,以比较支配咬肌和其上覆盖皮肤的初级传入神经元的中枢投射。在同一只大鼠中,将不同的示踪剂分别注射到中枢(荧光金:腹侧Vi/Vc或MDH)或外周(小麦胚凝集素结合辣根过氧化物酶或霍乱毒素B:咬肌或其上覆盖皮肤)。对三叉神经节组织切片进行单免疫组织化学或双免疫组织化学处理。神经节神经元的双重标记表明了它们的外周和中枢神经支配部位。在将示踪剂注射到咬肌-Vi/Vc、咬肌-MDH或皮肤-MDH后,一群中小型神经元被双重标记。然而,在将示踪剂注射到皮肤-Vi/Vc后,偶尔仅观察到少数双重标记的神经元。向Vi/Vc和MDH注射N-甲基-D-天冬氨酸受体拮抗剂AP-5可减轻咬肌炎性痛觉过敏。相比之下,咬肌上覆盖皮肤炎症后的痛觉过敏可通过向MDH而非Vi/Vc注射AP-5来减轻。这些结果表明,虽然咬肌和皮肤传入信息都投射到MDH,但咬肌传入纤维为Vi/Vc提供了额外的传入信息。这些发现为支持三叉神经过渡区在应对口腔颌面部深部损伤中的作用提供了进一步的证据。