Department of Medicine, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Department of Pathophysiology, Biomedical Center Martin, Jessenius Faculty of Medicine in Martin, Comenius University in Bratislava, Martin, Slovakia.
J Physiol. 2018 Apr 15;596(8):1419-1432. doi: 10.1113/JP275698.
The action potential initiation in the nerve terminals and its subsequent conduction along the axons of afferent nerves are not necessarily dependent on the same voltage-gated sodium channel (Na 1) subunits. The action potential initiation in jugular C-fibres within airway tissues is not blocked by TTX; nonetheless, conduction of action potentials along the vagal axons of these nerves is often dependent on TTX-sensitive channels. This is not the case for nodose airway Aδ-fibres and C-fibres, where both action potential initiation and conduction is abolished by TTX or selective Na 1.7 blockers. The difference between the initiation of action potentials within the airways vs. conduction along the axons should be considered when developing Na 1 blocking drugs for topical application to the respiratory tract.
The action potential (AP) initiation in the nerve terminals and its subsequent AP conduction along the axons do not necessarily depend on the same subtypes of voltage-gated sodium channels (Na 1s). We evaluated the role of TTX-sensitive and TTX-resistant Na 1s in vagal afferent nociceptor nerves derived from jugular and nodose ganglia innervating the respiratory system. Single cell RT-PCR was performed on vagal afferent neurons retrogradely labelled from the guinea pig trachea. Almost all of the jugular neurons expressed the TTX-sensitive channel Na 1.7 along with TTX-resistant Na 1.8 and Na 1.9. Tracheal nodose neurons also expressed Na 1.7 but, less frequently, Na 1.8 and Na 1.9. Na 1.6 were expressed in ∼40% of the jugular and 25% of nodose tracheal neurons. Other Na 1 α subunits were only rarely expressed. Single fibre recordings were made from the vagal nodose and jugular nerve fibres innervating the trachea or lung in the isolated perfused vagally-innervated preparations that allowed for selective drug delivery to the nerve terminal compartment (AP initiation) or to the desheathed vagus nerve (AP conduction). AP initiation in jugular C-fibres was unaffected by TTX, although it was inhibited by Na 1.8 blocker (PF-01247324) and abolished by combination of TTX and PF-01247324. However, AP conduction in the majority of jugular C-fibres was abolished by TTX. By contrast, both AP initiation and conduction in nodose nociceptors was abolished by TTX or selective Na 1.7 blockers. Distinction between the effect of a drug with respect to inhibiting AP in the nerve terminals within the airways vs. at conduction sites along the vagus nerve is relevant to therapeutic strategies involving inhaled Na 1 blocking drugs.
神经末梢的动作电位起始及其随后沿传入神经轴突的传导不一定依赖于相同的电压门控钠通道(Na 1 )亚基。气道组织内颈静脉 C 纤维中的动作电位起始不受 TTX 阻断;然而,这些神经的迷走神经轴突中的动作电位传导通常依赖于 TTX 敏感通道。气道 Aδ 纤维和 C 纤维中的情况并非如此,TTX 或选择性 Na 1.7 阻断剂可使这些纤维中的动作电位起始和传导均被阻断。在开发用于呼吸道局部应用的 Na 1 阻断药物时,应考虑气道内动作电位起始与沿轴突传导之间的差异。
神经末梢的动作电位(AP)起始及其随后沿轴突的 AP 传导不一定依赖于相同的电压门控钠通道(Na 1 )亚型。我们评估了来源于支配呼吸系统的颈静脉和结状神经节的迷走传入伤害感受器神经中的 TTX 敏感和 TTX 抗性 Na 1 通道的作用。通过逆行标记从豚鼠气管中获得的迷走传入神经元进行单细胞 RT-PCR。几乎所有颈静脉神经元均表达 TTX 敏感型通道 Na 1.7,同时还表达 TTX 抗性 Na 1.8 和 Na 1.9。气管结状神经元也表达 Na 1.7,但较少表达 Na 1.8 和 Na 1.9。Na 1.6 在约 40%的颈静脉和 25%的结状气管神经元中表达。其他 Na 1 α亚基很少表达。在离体灌流迷走神经支配的标本中,从支配气管或肺的迷走结状和颈静脉神经纤维中进行单纤维记录,该标本允许选择性地将药物递送至神经末梢隔室(AP 起始)或去鞘的迷走神经(AP 传导)。尽管 TTX 抑制了 Na 1.8 阻滞剂(PF-01247324)和 TTX 和 PF-01247324 的组合,但仍不影响颈静脉 C 纤维中的 AP 起始。然而,TTX 可使大多数颈静脉 C 纤维中的 AP 传导被阻断。相比之下,TTX 或选择性 Na 1.7 阻滞剂均可使结状伤害感受器中的 AP 起始和传导均被阻断。与吸入性 Na 1 阻断药物相关的治疗策略相比,药物在气道内神经末梢内抑制 AP 的作用与在沿迷走神经的传导部位的作用之间的区别具有相关性。