Fujita Satoshi, Kaneko Mari, Nakamura Hiroko, Kobayashi Masayuki
Department of Pharmacology, School of Dentistry, Nihon UniversityTokyo, Japan; Division of Oral and Craniomaxillofacial Research, Dental Research Center, School of Dentistry, Nihon UniversityTokyo, Japan.
Department of Pharmacology, School of Dentistry, Nihon UniversityTokyo, Japan; Department of Orthodontics, School of Dentistry, Nihon UniversityTokyo, Japan.
Front Neural Circuits. 2017 Jan 30;11:4. doi: 10.3389/fncir.2017.00004. eCollection 2017.
Muscle spindles in the jaw-closing muscles, which are innervated by trigeminal mesencephalic neurons (MesV neurons), control the strength of occlusion and the position of the mandible. The mechanisms underlying cortical processing of proprioceptive information are critical to understanding how sensory information from the masticatory muscles regulates orofacial motor function. However, these mechanisms are mostly unknown. The present study aimed to identify the regions that process proprioception of the jaw-closing muscles using optical imaging with a voltage-sensitive dye in rats under urethane anesthesia. First, jaw opening that was produced by mechanically pulling down the mandible evoked an optical response, which reflects neural excitation, in two cortical regions: the most rostroventral part of the primary somatosensory cortex (S1) and the border between the ventral part of the secondary somatosensory cortex (S2) and the insular oral region (IOR). The kinetics of the optical signal, including the latency, amplitude, rise time, decay time and half duration, in the S1 region for the response with the largest amplitude were comparable to those in the region with the largest response in S2/IOR. Second, we visualized the regions responding to electrical stimulation of the masseter nerve, which activates both motor efferent fibers and somatosensory afferent fibers, including those that transmit nociceptive and proprioceptive information. Masseter nerve stimulation initially excited the rostral part of the S2/IOR region, and an adjacent region responded to jaw opening. The caudal part of the region showing the maximum response overlapped with the region responding to jaw opening, whereas the rostral part overlapped with the region responding to electrical stimulation of the maxillary and mandibular molar pulps. These findings suggest that proprioception of the masseter is processed in S1 and S2/IOR. Other sensory information, such as nociception, is processed in a region that is adjacent to these pulpal regions and is located in the rostral part of S2/IOR, which receives nociceptive inputs from the molar pulps. The spatial proximity of these regions may be associated with the mechanisms by which masseter muscle pain is incorrectly perceived as dental pain.
由三叉神经中脑神经元(MesV神经元)支配的闭口肌中的肌梭,控制着咬合强度和下颌骨位置。本体感觉信息的皮质处理机制对于理解来自咀嚼肌的感觉信息如何调节口面部运动功能至关重要。然而,这些机制大多尚不明确。本研究旨在通过在乌拉坦麻醉的大鼠中使用电压敏感染料进行光学成像,来确定处理闭口肌本体感觉的区域。首先,通过机械下拉下颌骨产生的张口动作,在两个皮质区域诱发了一种反映神经兴奋的光学反应:初级躯体感觉皮层(S1)最靠前腹侧部分,以及次级躯体感觉皮层(S2)腹侧部分与岛叶口腔区域(IOR)之间的边界。S1区域中最大幅度反应的光学信号动力学,包括潜伏期、幅度、上升时间、衰减时间和半持续时间,与S2/IOR中最大反应区域的动力学相当。其次,我们观察了对咬肌神经电刺激产生反应的区域,咬肌神经电刺激会激活运动传出纤维和躯体感觉传入纤维,包括那些传递伤害性和本体感觉信息的纤维。咬肌神经刺激最初兴奋了S2/IOR区域的前部,相邻区域对张口动作产生反应。显示最大反应的区域的尾部与对张口动作产生反应的区域重叠,而前部与对上颌和下颌磨牙牙髓电刺激产生反应的区域重叠。这些发现表明,咬肌的本体感觉在S1和S2/IOR中进行处理。其他感觉信息,如伤害感受,在与这些牙髓区域相邻且位于S2/IOR前部的区域进行处理,该区域接收来自磨牙牙髓的伤害性输入。这些区域在空间上的接近可能与咬肌疼痛被错误地感知为牙痛的机制有关。