Department of Anesthesiology & Pain Medicine, Box 356540, University of Washington, Seattle, WA 98195-6540, USA.
Department of Anesthesiology & Pain Medicine, Box 356540, University of Washington, Seattle, WA 98195-6540, USA.
Arch Oral Biol. 2018 Jan;85:84-97. doi: 10.1016/j.archoralbio.2017.09.007. Epub 2017 Sep 29.
Intradental sensory receptors trigger painful sensations and unperceived mechanosensitivity, but the receptor bases for those functions are only partly defined. We present new evidence here concerning complex endings of myelinated axons in rat molars.
We sectioned mature rat jaws in sagittal and transverse planes to analyze neural immunoreactivity (IR) for parvalbumin, peripherin, neurofilament protein, neurotrophin receptors, synaptophysin, calcitonin gene-related peptide (CGRP), or mas-related g-protein-receptor-d (Mrgprd).
We found two complex sensory systems in mature rat molar dentin that labeled with neurofilament protein-IR, plus either parvalbumin-IR or peripherin-IR. The parvalbumin-IR system made extensively branched, beaded endings focused into dentin throughout each pulp horn. The peripherin-IR system primarily made unbeaded, fork-shaped dentinal endings scattered throughout crown including cervical regions. Both of these systems differed from neuropeptide CGRP-IR. In molar pulp we found peripherin- and parvalbumin-IR layered endings, either near special horizontal plexus arrays or in small coiled endings near tangled plexus, each with specific foci for specific pulp horns. Parvalbumin-IR nerve fibers had Aβ axons (5-7μm diameter), while peripherin-IR axons were thinner Aδ size (2-5μm). Mechano-nociceptive Mrgprd-IR was only found in peripherin-IR axons.
Complex somatosensory receptors in rat molars include two types of dentinal endings that both differ from CGRP-IR endings, and at least two newly defined types of pulpal endings. The PV-IR neurons with their widely branched, synaptophysin-rich, intradentinal beaded endings are good candidates for endodontic non-nociceptive, low threshold, unperceived mechanoreceptors. The complex molar dentinal and pulpal sensory systems were not found in rat incisors.
牙内感觉受体引发疼痛感觉和未感知的机械敏感性,但这些功能的受体基础仅部分定义。我们在此提出有关大鼠磨牙有髓轴突复合终末的新证据。
我们在矢状面和横断面上对成熟大鼠颌骨进行切片,以分析神经钙蛋白免疫反应(IR)、副甲状腺蛋白、神经丝蛋白、神经生长因子受体、突触小体蛋白、降钙素基因相关肽(CGRP)或 Mrgprd。
我们在成熟大鼠磨牙牙本质中发现了两个具有神经丝蛋白-IR 的复杂感觉系统,加上副甲状腺蛋白-IR 或外周蛋白-IR。副甲状腺蛋白-IR 系统形成广泛分支、珠状终末,聚焦于每个牙髓角的牙本质中。外周蛋白-IR 系统主要形成无珠状、叉状牙本质终末,散布于冠部,包括颈部。这两个系统与神经肽 CGRP-IR 不同。在磨牙牙髓中,我们发现外周蛋白和副甲状腺蛋白的分层终末,要么靠近特殊的水平丛排列,要么靠近缠结丛的小螺旋终末,每个终末都有特定的焦点用于特定的牙髓角。副甲状腺蛋白-IR 神经纤维具有 Aβ 轴突(5-7μm 直径),而外周蛋白-IR 轴突较细 Aδ 大小(2-5μm)。机械伤害性 Mrgprd-IR 仅在外周蛋白-IR 轴突中发现。
大鼠磨牙中的复杂躯体感觉受体包括两种类型的牙本质终末,它们都与 CGRP-IR 终末不同,并且至少有两种新定义的牙髓终末类型。具有广泛分支、富含突触小体蛋白、牙本质内珠状终末的 PV-IR 神经元是牙髓非伤害性、低阈值、未感知机械感受器的良好候选者。在大鼠切牙中未发现复杂的磨牙牙本质和牙髓感觉系统。