Yasuda M, Shinoda M, Honda K, Fujita M, Kawata A, Nagashima H, Watanabe M, Shoji N, Takahashi O, Kimoto S, Iwata K
Department of Oral Function and Restoration, Division of Pediatric Dentistry, Graduate School of Dentistry, Kanagawa Dental University, Yokosuka, Japan.
Department of Physiology, Nihon University School of Dentistry, Tokyo, Japan Division of Functional Morphology, Dental Research Center, Nihon University School of Dentistry, Tokyo, Japan
J Dent Res. 2016 Sep;95(10):1191-7. doi: 10.1177/0022034516661159. Epub 2016 Jul 29.
It is well known that exposure to maternal separation (MS) in early life causes plastic changes in the nervous system in adulthood, occasionally resulting in ubiquitous chronic pain. However, the pathogenic mechanisms of pain hypersensitivity remain unclear. Here, the authors examined the involvement of corticosterone in orofacial mechanical hypersensitivity induced by MS. To establish a rat model of MS, pups were placed in isolated cages 180 min/d and kept in a temperature-controlled environment at 22 ± 2 °C for 14 d. Mechanical allodynia in the whisker pad skin in adulthood was induced by MS and was significantly suppressed by successive postnatal subcutaneous administration of the glucocorticoid receptor antagonist mifepristone. Corticosterone levels were increased in the serum of MS rats, and successive postnatal administration of subcutaneous corticosterone to naive rats induced mechanical allodynia in the whisker pad skin. The number of P2X3 receptor-immunoreactive (P2X3R-IR) trigeminal ganglion (TG) neurons innervating the whisker pad skin was significantly increased in MS rats and decreased following subcutaneous administration of mifepristone. The number of P2X3R-IR TG neurons innervating the whisker pad skin was also significantly increased following successive postnatal administration of subcutaneous corticosterone in naive rats. Moreover, the mechanical allodynia was suppressed 30 min after administration of the P2X3R antagonist A317491 to the whisker pad skin in MS rats. These findings suggest that the increase in P2X3R-IR TG neurons innervating the whisker pad skin via enhanced neonatal corticosterone signaling by MS plays an important role in orofacial mechanical allodynia in adulthood.
众所周知,早年经历母婴分离(MS)会导致成年期神经系统发生可塑性变化,偶尔会引发全身性慢性疼痛。然而,疼痛超敏反应的致病机制仍不清楚。在此,作者研究了皮质酮在MS诱导的口面部机械性超敏反应中的作用。为建立MS大鼠模型,将幼崽每天置于隔离笼中180分钟,并在22±2°C的温度控制环境中饲养14天。MS诱导成年期须垫皮肤出现机械性异常性疼痛,而出生后连续皮下注射糖皮质激素受体拮抗剂米非司酮可显著抑制这种疼痛。MS大鼠血清中的皮质酮水平升高,对新生大鼠出生后连续皮下注射皮质酮会诱导须垫皮肤出现机械性异常性疼痛。支配须垫皮肤的P2X3受体免疫反应性(P2X3R-IR)三叉神经节(TG)神经元数量在MS大鼠中显著增加,而皮下注射米非司酮后则减少。对新生大鼠出生后连续皮下注射皮质酮后,支配须垫皮肤的P2X3R-IR TG神经元数量也显著增加。此外,给MS大鼠须垫皮肤注射P2X3R拮抗剂A317491 30分钟后,机械性异常性疼痛得到抑制。这些发现表明,MS通过增强新生期皮质酮信号传导,使支配须垫皮肤的P2X3R-IR TG神经元增加,在成年期口面部机械性异常性疼痛中起重要作用。