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17β-雌二醇增强海马神经生长因子并参与大鼠炎性 TMJ 痛觉过敏。

Hippocampal nerve growth factor potentiated by 17β-estradiol and involved in allodynia of inflamed TMJ in rat.

机构信息

Center for TMD & Orofacial Pain, Peking University School and Hospital of Stomatology, Beijing, China.

出版信息

J Pain. 2012 Jun;13(6):555-63. doi: 10.1016/j.jpain.2012.03.005. Epub 2012 May 2.

Abstract

UNLABELLED

The hippocampus is believed to play an important role in sex-based differences of pain perception. Whether estrogen potentiates allodynia in the inflamed temporomandibular joint (TMJ) through affecting the expressions of pain-related genes in the hippocampus remains largely unknown. Because the nerve growth factor (NGF) is an important gene related to inflammatory pain, we tested whether hippocampal NGF may be involved in TMJ inflammatory pain. Here we showed that the rat hippocampal NGF was upregulated by TMJ inflammation induced by complete Freund adjuvant. NGF upregulation was further potentiated by estradiol in a dose-dependent manner. In contrast, NGF transcription in the amygdala, prefrontal cortex, and thalamus was not affected by TMJ inflammation and estradiol. An intrahippocampal injection of NGF antibody or NGF receptor inhibitor K252a (inhibitor for tropomyosin receptor kinase A, TrkA) reduced the allodynia of inflamed TMJ in proestrous rats. Our data suggest that the hippocampal NGF is involved in estradiol-sensitized allodynia of inflammatory TMJ pain.

PERSPECTIVE

We report that complete Freund adjuvant-induced temporomandibular joint (TMJ) inflammation upregulated hippocampal nerve growth factor (NGF) expression, and estradiol replacement potentiated this upregulation. These results propose that estradiol could modulate TMJ pain through the NGF signaling pathway in the hippocampus to exacerbate TMJ pain and offer a possible mechanism of sexual dimorphism of temporomandibular disorder pain.

摘要

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据信,海马体在性别差异的疼痛感知中起着重要作用。雌激素是否通过影响海马体中与疼痛相关基因的表达来增强炎症性颞下颌关节(TMJ)的痛觉过敏,目前还知之甚少。由于神经生长因子(NGF)是与炎症性疼痛相关的重要基因,我们测试了海马体 NGF 是否参与 TMJ 炎症性疼痛。在这里,我们表明,完全弗氏佐剂诱导的 TMJ 炎症会导致大鼠海马体 NGF 上调。NGF 的上调进一步被雌二醇以剂量依赖的方式增强。相比之下,TMJ 炎症和雌二醇对杏仁核、前额叶皮层和丘脑的 NGF 转录没有影响。海马内注射 NGF 抗体或 NGF 受体抑制剂 K252a(原肌球蛋白受体激酶 A,TrkA 的抑制剂)可减轻发情前期大鼠炎症性 TMJ 的痛觉过敏。我们的数据表明,海马体 NGF 参与了雌二醇敏化炎症性 TMJ 疼痛的痛觉过敏。

观点

我们报告称,完全弗氏佐剂诱导的 TMJ 炎症会导致海马体神经生长因子(NGF)表达上调,而雌二醇替代会增强这种上调。这些结果表明,雌二醇可以通过海马体中的 NGF 信号通路来调节 TMJ 疼痛,从而加剧 TMJ 疼痛,并为颞下颌关节紊乱疼痛的性别二态性提供了一种可能的机制。

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