Lukács M, Haanes K A, Majláth Zs, Tajti J, Vécsei L, Warfvinge K, Edvinsson L
Department of Medicine, Institute of Clinical Sciences, Division of Experimental Vascular Research, Lund University, Sölvegatan 17, SE 221 84, Lund, Sweden.
J Headache Pain. 2015;16:564. doi: 10.1186/s10194-015-0564-y. Epub 2015 Sep 2.
Migraine is a painful disorder with a huge impact on individual and public health. We hypothesize that migraine pain originates from a central mechanism that results secondarily in hypersensitivity in peripheral afferents associated with the cerebral and cranial blood vessels. It has previously been shown that application of inflammatory or algesic substances onto the dura mater or chemical stimulation of the dural receptive fields causes hypersensitivity to mechanical and thermal stimulation together with direct activation of the TG. We asked whether local inflammation of dura mater induces inflammatory activation in the trigeminal ganglion.
We performed topical administration of inflammatory soup (IS) or Complete Freund's Adjuvant (CFA) onto an exposed area of the rat dura mater in vivo for 20 min. The window was closed and the rats were sacrificed after 4 h and up to 7 days. Myography was performed on middle meningeal arteries. The trigeminal ganglia were removed and processed for immunohistochemistry or Western blot.
Both CFA and IS induced enhanced expression of pERK1/2, IL-1β and CGRP in the trigeminal ganglia. The pERK1/2 immunoreactivity was mainly seen in the satellite glial cells, while IL-1β reactivity was observed in the neuronal cytoplasm, close to the cell membrane, seemingly as sign of neuro-glial interaction. The CGRP expression in the neurons and nerve fibres was enhanced after the application of either inflammatory agent. Myography resulted in a strong vasoconstrictor response to IS, but not to CFA.
These results suggest that the application of IS or CFA onto the dura mater causes long-term activation of the TG and demonstrate the importance of the neuro-glial interaction in the activation of the trigeminovascular system.
偏头痛是一种疼痛性疾病,对个人和公众健康有巨大影响。我们假设偏头痛疼痛源于一种中枢机制,该机制继而导致与脑和颅血管相关的外周传入神经超敏反应。此前已表明,将炎性或痛觉物质应用于硬脑膜或对硬脑膜感受野进行化学刺激会导致对机械和热刺激的超敏反应以及三叉神经节的直接激活。我们询问硬脑膜局部炎症是否会诱导三叉神经节的炎性激活。
我们在体内对大鼠硬脑膜的暴露区域局部应用炎性汤(IS)或完全弗氏佐剂(CFA)20分钟。关闭窗口,4小时后直至7天处死大鼠。对脑膜中动脉进行肌动描记法检测。取出三叉神经节并进行免疫组织化学或蛋白质印迹分析。
CFA和IS均诱导三叉神经节中pERK1/2、IL-1β和降钙素基因相关肽(CGRP)表达增强。pERK1/2免疫反应性主要见于卫星神经胶质细胞,而IL-1β反应性在靠近细胞膜的神经元细胞质中观察到,似乎是神经胶质相互作用的标志。应用任何一种炎性剂后,神经元和神经纤维中的CGRP表达均增强。肌动描记法检测显示,IS引起强烈的血管收缩反应,而CFA则无此反应。
这些结果表明,将IS或CFA应用于硬脑膜会导致三叉神经节的长期激活,并证明了神经胶质相互作用在三叉神经血管系统激活中的重要性。