Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, China Medical University, Shenyang, China.
Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China.
J Oral Rehabil. 2022 Feb;49(2):219-227. doi: 10.1111/joor.13243. Epub 2021 Aug 17.
Stem cells from human exfoliated deciduous teeth (SHED) have excellent immunomodulatory and neuroprotective abilities. It is possible that systemic SHED transplantation could ameliorate trigeminal neuralgia. The phosphorylation of c-Jun contributes to the development of hyperalgesia and allodynia.
The present study aimed to evaluate whether systemic SHED transplantation could lead to analgesic effects by regulating peripheral c-Jun in the trigeminal ganglia (TG) in a rat model of trigeminal neuralgia.
Chronic constriction injury of the infraorbital nerve (CCI-ION) was performed to establish a rat pain model. SHED were obtained from discarded exfoliated deciduous teeth from children and transplanted by a single infusion through the tail vein. SHED were labelled with the PKH26 red fluorescent cell linker mini kit for tract distribution. The mechanical threshold was determined using von Frey filaments. The mRNA levels of c-Jun in the ipsilateral TG were quantified. The phosphorylation of c-Jun in the ipsilateral TG was assessed by immunohistochemistry and Western blotting.
PKH26-labelled SHED were distributed to both sides of TG, lung, liver and spleen. Systemic SHED transplantation significantly elevated the mechanical thresholds in CCI-ION rats and blocked the upregulation of c-Jun mRNA levels in the TG caused by nerve ligation. The activation of c-Jun in the TG was blocked by SHED transplantation.
These findings demonstrate that systemic SHED administration reverts trigeminal neuralgia via downregulation of c-Jun in the TG.
人脱落乳牙来源的干细胞(SHED)具有出色的免疫调节和神经保护能力。全身 SHED 移植可能改善三叉神经痛。c-Jun 的磷酸化有助于痛觉过敏和感觉异常的发展。
本研究旨在评估全身 SHED 移植是否通过调节三叉神经节(TG)中的外周 c-Jun 来发挥镇痛作用,从而改善三叉神经痛大鼠模型。
采用眶下神经慢性缩窄性损伤(CCI-ION)建立大鼠疼痛模型。SHED 从儿童脱落的乳牙中获得,并通过尾静脉单次输注进行移植。用 PKH26 红色荧光细胞连接物试剂盒对 SHED 进行示踪。使用 von Frey 细丝测定机械阈值。定量测定同侧 TG 中 c-Jun 的 mRNA 水平。通过免疫组织化学和 Western blot 评估同侧 TG 中 c-Jun 的磷酸化。
PKH26 标记的 SHED 分布于 TG、肺、肝和脾的两侧。全身 SHED 移植可显著提高 CCI-ION 大鼠的机械阈值,并阻断神经结扎引起的 TG 中 c-Jun mRNA 水平的上调。SHED 移植可阻断 TG 中 c-Jun 的激活。
这些发现表明,全身给予 SHED 通过下调 TG 中的 c-Jun 逆转三叉神经痛。