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牙髓去传入对猫三叉神经尾侧亚核(延髓背角)伤害性和非伤害性神经元的影响。

Effects of tooth pulp deafferentation on nociceptive and nonnociceptive neurons of the feline trigeminal subnucleus caudalis (medullary dorsal horn).

作者信息

Hu J W, Sessle B J

机构信息

Faculty of Dentistry, University of Toronto, Ontario, Canada.

出版信息

J Neurophysiol. 1989 Jun;61(6):1197-206. doi: 10.1152/jn.1989.61.6.1197.

Abstract
  1. Effects of deafferentation of the tooth pulps of the posterior mandibular teeth were studied in single neurons recorded in the ipsilateral subnucleus caudalis of the trigeminal (V) spinal tract nucleus of adult cats and kittens. The functional properties of neurons in each anesthetized animal were determined electro-physiologically in a series of microelectrode penetrations of the subnucleus. 2. The more than 800 neurons investigated could be subdivided on the basis of their cutaneous mechanoreceptive field properties into low-threshold mechanoreceptive (LTM) neurons, wide dynamic range (WDR) neurons, or nociceptive-specific (NS) neurons. Comparisons of neuronal properties were made between control (intact) cats and 7-15 day deafferented cats studied in a blind design, as well as groups of longer term deafferented cats, and kittens undergoing a "natural" deafferentation as a result of exfoliation of primary teeth. 3. There was no apparent change in the somatotopic pattern of organization of the subnucleus in the kittens and pulp-deafferented cats and no statistically significant differences were noted between kittens and control cats in any property except for alterations in the incidence of spontaneously active neurons. 4. Limited but statistically significant alterations were noted in some of the neuronal properties in the deafferented cats. These changes were especially apparent in the LTM neurons. The incidence of spontaneous activity was significantly decreased in the neurons of most long-term deafferented groups of cats. In the 7-15 day deafferented group, significantly more LTM neurons had a mechanoreceptive field involving all three divisions of the V nerve, and there was a significant increase in the incidence of LTM neurons activated by electrical stimulation of intraoral sites. Mechanosensitive neurons responsive only to tap stimuli were found only in the deafferented groups of cats. 5. These alterations in caudalis contrast with previous reports claiming marked hyperexcitability of caudal V brain stem neurons as a consequence of deafferentation and implicating such effects in the development of pain. However, some of the changes are in general not inconsistent with deafferentation-induced changes reported in spinal somatosensory neurons and with the pulp deafferentation-induced changes that we have recently documented in LTM neurons of subnucleus oralis of the V spinal tract nucleus of adult cats.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 研究了成年猫和幼猫三叉神经(V)脊髓束核同侧尾侧亚核中记录的单个神经元下颌后牙牙髓去传入的影响。在一系列对亚核的微电极穿刺中,通过电生理方法确定每只麻醉动物中神经元的功能特性。2. 所研究的800多个神经元可根据其皮肤机械感受野特性细分为低阈值机械感受(LTM)神经元、宽动态范围(WDR)神经元或伤害性特异性(NS)神经元。在盲法设计中,对对照(完整)猫和去传入7 - 15天的猫以及长期去传入猫组和因乳牙脱落而经历“自然”去传入的幼猫之间的神经元特性进行了比较。3. 幼猫和牙髓去传入的猫中,亚核的躯体定位组织模式没有明显变化,除了自发活动神经元发生率的改变外,幼猫和对照猫在任何特性上均未发现统计学上的显著差异。4. 在去传入的猫中,一些神经元特性出现了有限但具有统计学意义的改变。这些变化在LTM神经元中尤为明显。大多数长期去传入猫组的神经元自发活动发生率显著降低。在去传入7 - 15天的组中,显著更多的LTM神经元具有涉及V神经所有三个分支的机械感受野,并且通过电刺激口腔内部位激活的LTM神经元发生率显著增加。仅对轻敲刺激有反应的机械敏感神经元仅在去传入的猫组中发现。5. 尾侧亚核的这些改变与先前的报告形成对比,先前报告称去传入会导致尾侧V脑干神经元明显的过度兴奋,并认为这种效应与疼痛的发生有关。然而,一些变化总体上与脊髓体感神经元中报道的去传入诱导的变化以及我们最近在成年猫V脊髓束核口侧亚核的LTM神经元中记录的牙髓去传入诱导的变化并不矛盾。(摘要截取自400字)

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