Departments of Physiology.
Oral and Maxillofacial Surgery.
Pain. 2017 Sep;158(9):1754-1764. doi: 10.1097/j.pain.0000000000000973.
Peripheral tissue inflammation or injury causes glutamate release from nociceptive axons, keratinocytes, and Schwann cells, resulting in thermal hypersensitivity. However, the detailed molecular mechanisms underlying glutamate-induced thermal hypersensitivity are unknown. The aim of this study was to clarify the involvement of peripheral transient receptor potential (TRP) TRP vanilloid 1 (TRPV1), TRP ankyrin 1 (TRPA1), and protein kinase C epsilon (PKCε) in glutamate-induced pain hypersensitivity. The amount of glutamate in the facial tissue was significantly increased 3 days after facial Complete Freund's adjuvant injection. The head-withdrawal reflex threshold to heat, cold, or mechanical stimulation was significantly decreased on day 7 after continuous glutamate or metabotropic glutamate receptor 5 (mGluR5) agonist (CHPG) injection into the facial skin compared with vehicle-injected rats, and glutamate-induced hypersensitivity was significantly recovered by mGluR5 antagonist MTEP, TRPA1 antagonist HC-030031, TRPV1 antagonist SB366791, or PKCε translocation inhibitor administration into the facial skin. TRPV1 and TRPA1 were expressed in mGluR5-immunoreactive (IR) trigeminal ganglion (TG) neurons innervating the facial skin, and mGluR5-IR TG neurons expressed PKCε. There was no significant difference in the number of GluR5-IR TG neurons among glutamate-injected, saline-injected, and naive rats, whereas that of TRPV1- or TRPA1-IR TG neurons was significantly increased 7 days after continuous glutamate injection into the facial skin compared with vehicle injection. PKCε phosphorylation in TG was significantly enhanced following glutamate injection into the facial skin. Moreover, neuronal activity of TG neurons was significantly increased following facial glutamate treatment. The present findings suggest that sensitization of TRPA1 and/or TRPV1 through mGluR5 signaling via PKCε is involved in facial thermal and mechanical hypersensitivity.
外周组织炎症或损伤导致伤害性轴突、角质形成细胞和雪旺细胞释放谷氨酸,从而导致热敏感性增加。然而,谷氨酸诱导的热敏感性的详细分子机制尚不清楚。本研究旨在阐明外周瞬时受体电位(TRP)TRP 香草素 1(TRPV1)、TRP 锚蛋白 1(TRPA1)和蛋白激酶 C ɛ(PKCε)在谷氨酸诱导的疼痛敏感性中的作用。面部组织中的谷氨酸含量在面部完全弗氏佐剂注射后 3 天显著增加。与载体注射大鼠相比,连续向面部皮肤注射谷氨酸或代谢型谷氨酸受体 5(mGluR5)激动剂(CHPG)后第 7 天,热、冷或机械刺激的头部撤回反射阈值显著降低,mGluR5 拮抗剂 MTEP、TRPA1 拮抗剂 HC-030031、TRPV1 拮抗剂 SB366791 或 PKCε 易位抑制剂可显著恢复谷氨酸诱导的敏感性进入面部皮肤。TRPV1 和 TRPA1 表达于支配面部皮肤的 mGluR5-免疫反应性(IR)三叉神经节(TG)神经元中,mGluR5-IR TG 神经元表达 PKCε。在谷氨酸注射、盐水注射和未处理大鼠之间,mGluR5-IR TG 神经元的数量没有显著差异,而在连续向面部皮肤注射谷氨酸后 7 天,TRPV1-或 TRPA1-IR TG 神经元的数量显著增加与载体注射相比。向面部皮肤注射谷氨酸后,TG 中的 PKCε 磷酸化明显增强。此外,面部谷氨酸处理后 TG 神经元的神经元活性明显增加。本研究结果表明,通过 PKCε 介导的 mGluR5 信号转导,TRPA1 和/或 TRPV1 的敏化参与了面部热和机械性超敏反应。