降钙素基因相关肽通过介导神经元-胶质细胞串扰调节口面痛。
CGRP Modulates Orofacial Pain through Mediating Neuron-Glia Crosstalk.
机构信息
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Key Laboratory of Oral Diseases of Gansu Province, Northwest Minzu University; Key Laboratory of Stomatology of State Ethnic Affairs Commission, Northwest Minzu University, Lanzhou, Gansu, China.
出版信息
J Dent Res. 2021 Jan;100(1):98-105. doi: 10.1177/0022034520950296. Epub 2020 Aug 27.
Calcitonin gene-related peptide (CGRP) plays a crucial role in the modulation of orofacial pain, and we hypothesized that CGRP mediated a neuron-glia crosstalk in orofacial pain. The objective of this study was to elucidate the mechanisms whereby CGRP mediated trigeminal neuron-glia crosstalk in modulating orofacial pain. Orofacial pain was elicited by ligating closed-coil springs between incisors and molars. Trigeminal neurons and satellite glial cells (SGCs) were cultured for mechanistic exploration. Gene and protein expression were determined through immunostaining, polymerase chain reaction, and Western blot. Orofacial pain was evaluated through the rat grimace scale. Our results revealed that the expressions of CGRP were elevated in both trigeminal neurons and SGCs following the induction of orofacial pain. Intraganglionic administration of CGRP and olcegepant exacerbated and alleviated orofacial pain, respectively. The knockdown of CGRP through viral vector-mediated RNA interference was able to downregulate CGRP expressions in both neurons and SGCs and to alleviate orofacial pain. CGRP upregulated the expression of inducible nitric oxide synthase through the p38 signaling pathway in cultured SGCs. In turn, L-arginine (nitric oxide donor) was able to enhance orofacial pain by upregulating CGRP expressions in vivo. In cultured trigeminal neurons, L-arginine upregulated the expression of CGRP, and this effect was diminished by cilnidipine (N-type calcium channel blocker) while not by mibefradil (L-type calcium channel blocker). In conclusion, CGRP modulated orofacial pain through upregulating the expression of nitric oxide through the p38 signaling pathway in SGCs, and the resulting nitric oxide in turn stimulated CGRP expression through N-type calcium channel in neurons, building a CGRP-mediated positive-feedback neuron-glia crosstalk.
降钙素基因相关肽(CGRP)在调节口腔疼痛中发挥着关键作用,我们假设 CGRP 介导了口腔疼痛中的神经元-神经胶质细胞串扰。本研究的目的是阐明 CGRP 通过何种机制介导三叉神经神经元-神经胶质细胞串扰来调节口腔疼痛。通过在切牙和磨牙之间结扎闭合线圈弹簧来诱发口腔疼痛。培养三叉神经神经元和卫星神经胶质细胞(SGC)以进行机制探索。通过免疫染色、聚合酶链反应和 Western blot 确定基因和蛋白表达。通过大鼠面部表情量表评估口腔疼痛。我们的结果表明,在口腔疼痛诱导后,CGRP 在三叉神经神经元和 SGC 中的表达均升高。神经节内给予 CGRP 和 olcegepant 分别加剧和缓解口腔疼痛。通过病毒载体介导的 RNA 干扰下调 CGRP 能够下调神经元和 SGC 中的 CGRP 表达并缓解口腔疼痛。CGRP 通过 p38 信号通路在上皮神经胶质细胞中上调诱导型一氧化氮合酶的表达。反过来,L-精氨酸(一氧化氮供体)能够通过体内上调 CGRP 表达来增强口腔疼痛。在培养的三叉神经神经元中,L-精氨酸上调 CGRP 的表达,而这种作用被 cilnidipine(N 型钙通道阻滞剂)减弱,而 mibefradil(L 型钙通道阻滞剂)则不减弱。总之,CGRP 通过在 SGC 中通过 p38 信号通路上调一氧化氮的表达来调节口腔疼痛,而由此产生的一氧化氮通过神经元中的 N 型钙通道反过来刺激 CGRP 的表达,建立了 CGRP 介导的正反馈神经元-神经胶质细胞串扰。