Department of Anatomy & Cell Biology, University of Melbourne, Parkville, Vic., Australia.
Headache. 2011 May;51(5):744-51. doi: 10.1111/j.1526-4610.2011.01862.x. Epub 2011 Mar 31.
The aim of the current study was to determine the proportion of trigeminal primary afferent neurons that innervate the intracranial vasculature, and other craniofacial tissues, that are also 5 hydroxy triptamine (5-HT)(1D) receptor immunoreactive.
Retrograde tracing and immunohistochemistry was used to identify 5-HT(1D) receptor labeled trigeminal primary afferent neurons that innervate the lacrimal gland (n = 3 animals), nasal mucosa (n = 3 animals), and the intracranial vasculature (middle meningeal artery in the dura [n = 3 animals] and middle cerebral artery [n = 3 animals]).
The percentage of neurons that were 5-HT(1D) receptor immunoreactive was greater for primary afferent neurons innervating the middle meningeal artery (41.8 ± 1%) than those innervating the middle cerebral artery (28.4 ± 0.8%), nasal mucosa (25.6 ± 1%), or lacrimal gland (23.5 ± 3%). For each retrograde labeled population, the 5-HT(1D) receptor immunoreactive cells were among the smallest of the retrograde labeled cells.
These findings provide a basis for understanding the role of 5-HT(1D) receptor agonists (eg, triptans) in the treatment of primary vascular headaches and suggest that the selectivity of triptans in the treatment of these headaches does not appear to result from specific localization of the 5-HT(1D) receptor to trigeminovascular neurons alone.
本研究旨在确定支配颅内血管和其他颅面组织的三叉神经初级传入神经元中,5-羟色胺(5-HT)(1D)受体免疫反应阳性的比例。
逆行追踪和免疫组织化学方法用于鉴定支配泪腺(n=3 只动物)、鼻黏膜(n=3 只动物)和颅内血管(硬脑膜中的脑膜中动脉[n=3 只动物]和大脑中动脉[n=3 只动物])的 5-HT(1D)受体标记三叉神经初级传入神经元。
支配脑膜中动脉的初级传入神经元中 5-HT(1D)受体免疫反应阳性的神经元比例(41.8±1%)高于支配大脑中动脉(28.4±0.8%)、鼻黏膜(25.6±1%)或泪腺(23.5±3%)的神经元。对于每个逆行标记的群体,5-HT(1D)受体免疫反应阳性细胞是逆行标记细胞中最小的细胞之一。
这些发现为理解 5-HT(1D)受体激动剂(如曲坦类药物)在原发性血管性头痛治疗中的作用提供了基础,并表明曲坦类药物在治疗这些头痛中的选择性似乎不是由于 5-HT(1D)受体仅特异性定位于三叉神经血管神经元。