Dallel R, Raboisson P, Woda A, Sessle B J
Faculté de Chirurgie Dentaire, Université de Clermont-Ferrand, France.
Brain Res. 1990 Jun 25;521(1-2):95-106. doi: 10.1016/0006-8993(90)91529-p.
Recent studies have provided evidence suggesting the involvement of rostral components of the V brainstem complex such as trigeminal (V) subnucleus oralis in orofacial pain mechanisms. Since there has been no detailed investigation of the possible existence of nociceptive oralis neurons in the rat to substantiate this recent evidence, the present study was initiated to determine if neurons responsive to noxious orofacial stimuli were present in subnucleus oralis and to characterize their functional properties. In anesthetized rats, recordings were made of the extracellular activity of single neurons functionally characterized as low-threshold mechanoreceptive (LTM), wide dynamic range (WDR) or nociceptive-specific (NS) neurons. The 342 LTM neurons responded only to light mechanical stimulation of orofacial tissues. The mechanoreceptive field of the LTM neurons included the intraoral region in 28% and was localized to the adjacent perioral area in 65%. For 95% the field was localized within one V division. Responses evoked in LTM neurons by electrical stimulation of the orofacial mechanoreceptive field revealed A fiber afferent inputs but no activity that could be attributed to C fiber afferent inputs. The 72 nociceptive neurons included 52 WDR neurons which responded to light (e.g. tactile) as well as noxious (e.g. heavy pressure; pinch) mechanical stimulation of perioral cutaneous and intraoral structures, and 20 NS neurons which responded exclusively to noxious mechanical stimuli. They also differed from the LTM neurons in that 36% of the WDR and 20% of the NS neurons had a mechanoreceptive field involving more than one V division. However, in accordance with our findings for the LTM neurons, the majority of WDR and NS neurons had a mechanoreceptive field involving the intraoral and perioral representations of the mandibular and/or maxillary divisions; those neurons having a mandibular field which especially included intraoral structures predominated in the dorsomedial zone of subnucleus oralis whereas those with a perioral mechanoreceptive field which particularly involved the maxillary division were concentrated in the ventrolateral zone of oralis. In contrast to the LTM neurons, 57% of the WDR and 67% of the NS neurons showed evidence of electrically evoked C fiber as well as A fiber afferent inputs from their mechanoreceptive field. We also noted suppression of the electrically evoked responses by heating of the tail or pinching of the paw. This effect was considered to be a reflection of diffuse noxious inhibitory controls, and was seen in NS as well as WDR neurons; most, but not all, of these neurons received A fiber as well as C fiber orofacial afferent inputs.(ABSTRACT TRUNCATED AT 400 WORDS)
最近的研究提供了证据,表明脑干复合体嘴侧部分(如三叉神经(V)口侧亚核)参与口面部疼痛机制。由于尚未对大鼠中伤害性口侧神经元的可能存在进行详细研究以证实这一最新证据,因此开展本研究以确定口侧亚核中是否存在对口面部有害刺激有反应的神经元,并描述其功能特性。在麻醉的大鼠中,记录了功能上被表征为低阈值机械感受性(LTM)、广动力范围(WDR)或伤害性特异性(NS)神经元的单个神经元的细胞外活动。342个LTM神经元仅对口面部组织的轻度机械刺激有反应。LTM神经元的机械感受野在28%的情况下包括口腔内区域,在65%的情况下局限于相邻的口周区域。在95%的情况下,该感受野局限于一个V分支内。通过电刺激口面部机械感受野在LTM神经元中诱发的反应显示有A纤维传入输入,但没有可归因于C纤维传入输入的活动。72个伤害性神经元包括52个WDR神经元,它们对口周皮肤和口腔内结构的轻度(如触觉)以及有害(如重压;捏)机械刺激有反应,还有20个NS神经元,它们仅对有害机械刺激有反应。它们也与LTM神经元不同,因为36%的WDR神经元和20%的NS神经元的机械感受野涉及不止一个V分支。然而,与我们对LTM神经元的发现一致,大多数WDR和NS神经元的机械感受野涉及下颌和/或上颌分支的口腔内和口周代表区;那些具有下颌感受野(特别包括口腔内结构)的神经元在下颌口侧亚核的背内侧区占主导,而那些具有口周机械感受野(特别涉及上颌分支)且集中在口侧亚核腹外侧区。与LTM神经元不同,57%的WDR神经元和67%的NS神经元显示有来自其机械感受野的电诱发C纤维以及A纤维传入输入的证据。我们还注意到通过加热尾巴或捏爪子可抑制电诱发反应。这种效应被认为是弥漫性有害抑制控制的反映,在NS神经元以及WDR神经元中都可见到;这些神经元中的大多数(但不是全部)接受A纤维以及C纤维口面部传入输入。(摘要截于400字)