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三叉神经节中 NMDAR1-Src-Pannexin1 信号通路在下颌神经切断术后对口颌面部异位痛的贡献。

NMDAR1-Src-Pannexin1 Signal Pathway in the Trigeminal Ganglion Contributed to Orofacial Ectopic Pain Following Inferior Alveolar Nerve Transection.

机构信息

State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China; Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China.

Laboratory of Anesthesia and Critical Care Medicine, Translational Neuroscience Center, West China Hospital of Sichuan University, Chengdu, China.

出版信息

Neuroscience. 2021 Jul 1;466:77-86. doi: 10.1016/j.neuroscience.2021.04.032. Epub 2021 May 6.

Abstract

The N-methyl-d-aspartate receptor (NMDAR) is a glutamate-gated receptor channel that plays a role in peripheral neuropathic pain. Src, a protein tyrosine kinase, can regulate the activation of NMDARs in chronic pain conditions. Pannexin 1 (Panx1), a plasma membrane channel, plays an important role in neuropathic pain and functionally interacts with NMDARs in the pathological condition of epilepsy. In this study, the roles of NMDAR1 (NR1), Src, and Panx1 and their interactions in the trigeminal ganglion (TG) in orofacial ectopic pain attributed to inferior alveolar nerve transection (IANX) were investigated. IANX induced mechanical allodynia in the whisker pad with increased expression levels of NR1, Src phosphorylation (p-Src), and Panx1 in the TG. Double immunostaining revealed that NR1, Src, and Panx1 all colocalized with glutamine synthetase (GS) and neuronal nuclei (NeuN), and they overlapped in the TG, suggesting that they might be structurally connected to one another. In addition, trigeminal injection of memantine, PP2, or Panx attenuated IANX-induced mechanical allodynia in the whisker pad. Continuous intraganglionic administration of memantine (an antagonist of NMDAR) decreased IANX-induced upregulated expression of p-Src and Panx1. Similarly, PP2 (an inhibitor of Src) also decreased Panx1 protein expression but had no effect on NR1. In addition, intraganglionic injection of Panx (a blocker of Panx1) decreased NR1 protein expression but did not affect Src. In general, our findings demonstrated that NR1, Src, and Panx1 all contributed to orofacial ectopic pain following IANX and that they composed a signalling pathway in the TG involved in mechanical allodynia.

摘要

N-甲基-D-天冬氨酸受体(NMDAR)是一种谷氨酸门控受体通道,在周围神经性疼痛中发挥作用。Src 是一种蛋白酪氨酸激酶,可调节慢性疼痛状态下 NMDAR 的激活。连接蛋白 1(Panx1)是一种质膜通道,在神经病理性疼痛中发挥重要作用,并在癫痫的病理状态下与 NMDAR 功能相互作用。在这项研究中,研究了三叉神经节(TG)中 NMDAR1(NR1)、Src 和 Panx1 及其相互作用在由下颌神经切断(IANX)引起的口腔面异位疼痛中的作用。IANX 导致胡须垫产生机械性痛觉过敏,TG 中 NR1、Src 磷酸化(p-Src)和 Panx1 的表达水平增加。双重免疫染色显示,NR1、Src 和 Panx1 均与谷氨酰胺合成酶(GS)和神经元核(NeuN)共定位,并且在 TG 中重叠,表明它们可能在结构上相互连接。此外,三叉神经内注射美金刚、PP2 或 Panx 可减轻胡须垫的 IANX 诱导的机械性痛觉过敏。持续 TG 内给予美金刚(NMDAR 拮抗剂)可降低 IANX 诱导的 p-Src 和 Panx1 表达上调。同样,PP2(Src 抑制剂)也降低了 Panx1 蛋白表达,但对 NR1 没有影响。此外,TG 内注射 Panx(Panx1 阻断剂)降低了 NR1 蛋白表达,但对 Src 没有影响。总的来说,我们的研究结果表明,NR1、Src 和 Panx1 均参与 IANX 后的口腔面异位疼痛,并且它们在 TG 中组成了一个参与机械性痛觉过敏的信号通路。

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