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肿瘤坏死因子-α信号在三叉神经节中的作用导致颞下颌关节炎症期间咀嚼肌机械性超敏反应。

Tumor Necrosis Factor Alpha Signaling in Trigeminal Ganglion Contributes to Mechanical Hypersensitivity in Masseter Muscle During Temporomandibular Joint Inflammation.

出版信息

J Oral Facial Pain Headache. 2018 Winter;32(1):75–83. doi: 10.11607/ofph.1854. Epub 2017 Nov 16.

Abstract

AIMS

To determine the involvement of tumor necrosis factor alpha (TNFα) signaling in the trigeminal ganglion (TG) in the mechanical hypersensitivity of the masseter muscle during temporomandibular joint (TMJ) inflammation.

METHODS

A total of 55 male Sprague-Dawley rats were used. Following injection of Complete Freund's Adjuvant into the TMJ, the mechanical sensitivities of the masseter muscle and the overlying facial skin were measured. Satellite glial cell (SGC) activation and TNFα expression in the TG were investigated immunohistochemically, and the effects of their inhibition on the mechanical hypersensitivity of the masseter muscle were also examined. Student t test or two-way repeated-measures analysis of variance followed by Bonferroni multiple comparisons test were used for statistical analyses. P < .05 was considered to reflect statistical significance.

RESULTS

Mechanical allodynia in the masseter muscle was induced without any inflammatory cell infiltration in the muscle after TMJ inflammation. SGC activation and an increased number of TNFα-immunoreactive cells were induced in the TG following TMJ inflammation. Intra-TG administration of an inhibitor of SGC activity or of TNFα-neutralizing antibody depressed both the increased number of TG cells encircled by activated SGCs and the mechanical hypersensitivity of the masseter following TMJ inflammation.

CONCLUSION

These findings suggest that persistent masseter hypersensitivity associated with TMJ inflammation was mediated by SGC-TG neuron interactions via TNFα signaling in the TG.

摘要

目的

确定肿瘤坏死因子 α(TNFα)信号在颞下颌关节(TMJ)炎症期间三叉神经节(TG)中对咀嚼肌机械性高敏反应的参与。

方法

共使用 55 只雄性 Sprague-Dawley 大鼠。在 TMJ 注射完全弗氏佐剂后,测量咀嚼肌和其上面部皮肤的机械敏感性。免疫组织化学研究 TG 中卫星胶质细胞(SGC)的激活和 TNFα 的表达,并检查其抑制对咀嚼肌机械性高敏反应的影响。采用学生 t 检验或双因素重复测量方差分析,再用 Bonferroni 多重比较检验进行统计学分析。P<0.05 被认为反映了统计学意义。

结果

TMJ 炎症后,肌肉中没有任何炎症细胞浸润,但诱导了咀嚼肌的机械性痛觉过敏。TMJ 炎症后,TG 中诱导了 SGC 激活和 TNFα 免疫反应性细胞数量增加。TG 内给予 SGC 活性抑制剂或 TNFα 中和抗体可抑制 TG 中被激活 SGC 包围的细胞数量增加和 TMJ 炎症后的咀嚼肌机械性高敏反应。

结论

这些发现表明,与 TMJ 炎症相关的持续性咀嚼肌高敏反应是通过 TG 中 TNFα 信号的 SGC-TG 神经元相互作用介导的。

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