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水肿对山羊腭黏膜高阈值机械感受器致敏作用的贡献。

Contribution of edema to the sensitization of high-threshold mechanoreceptors of the goat palatal mucosa.

作者信息

Cooper B

机构信息

Department of Oral and Maxillofacial Surgery, University of Florida, College of Dentistry, Gainesville 32610.

出版信息

J Neurophysiol. 1993 Aug;70(2):512-21. doi: 10.1152/jn.1993.70.2.512.

DOI:10.1152/jn.1993.70.2.512
PMID:8410152
Abstract
  1. Carrageenan has been shown to alter transduction capacities of high-threshold mechanoreceptors of the goat palatal mucosa. Assessments were made of the contributions of carrageenan-induced edema to the sensitization of mechanonociceptors (mechanically insensitive afferents) and intense pressure receptors of the palatal mucosa of the goat. The degree of edema was assessed by measurement of changes in tissue compliance produced by carrageenan. The impact of a simulated edema on both dynamic and static aspects of transduction were examined. The following observations were made. 2. Tissue compliance of the ventral zone of the incisal papilla (IP) was decreased after carrageenan treatment (0.042-0.014 mm/g). Tissue compliance changes were large for small displacements (< 1.4 mm), where displacement curves were substantially linear. For large displacements (> 1.4 mm), there was an exponential relationship between displacement and reactive force, and the compliance was unchanged. The exponential component may have represented the contribution of the maxillary bone compliance measures. 3. A simulated edema was created to assess the effects of edema on afferent reactivity. Saline was used to create the simulated edema by using changes in tissue compliance as a means of matching simulated to carrageenan-induced edema. An analysis of linear and exponential phases of saline or carrageenan-induced changes in tissue compliance indicated that saline injections produced a good approximation of the changes in linear properties, but diverged from a match of the exponential phase of carrageenan edema. 4. Assessments were made of modifications in nociceptor reactivity after simulated edema or retested controls (n = 47). There was little indication that edema influenced quantitative aspects of either static or dynamic force transduction. Mechanonociceptors, but not intense pressure receptors, sensitized after repeated intense stimulation (mean decline of dynamic activation threshold of 42 +/- 16 g/mm2, mean +/- SE). Artificial edema did not further contribute to this sensitization. 5. Qualitative features of stimulus transduction were modified by simulated edema. Eleven of 17 afferents without initial static or dynamic transduction capacity acquired the capacity after artificial edema. 6. Although most aspects of force transduction were unaffected by artificial edema, displacement transduction was considerably shifted. Artificial edema decreased the threshold and shifted the displacement range over which nociceptors transduced dynamic and static aspects of force (threshold decreased from 1,894 +/- 229 to 1,456 +/- 194 microns; range decreased 239 +/- 99 microns). 7. It was concluded the contribution of edema to allodynia and hyperalgesia is best understood in terms of its contribution to population-coding mechanisms that are brought about by changes in transmission properties.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 角叉菜胶已被证明可改变山羊腭黏膜高阈值机械感受器的转导能力。对角叉菜胶诱导的水肿对山羊腭黏膜机械性伤害感受器(机械不敏感传入纤维)和强压感受器致敏作用的贡献进行了评估。通过测量角叉菜胶引起的组织顺应性变化来评估水肿程度。研究了模拟水肿对转导动态和静态方面的影响。得出了以下观察结果。2. 角叉菜胶处理后,切牙乳头(IP)腹侧区的组织顺应性降低(从0.042降至0.014 mm/g)。对于小位移(<1.4 mm),组织顺应性变化较大,位移曲线基本呈线性。对于大位移(>1.4 mm),位移与反作用力之间呈指数关系,顺应性不变。指数成分可能代表了上颌骨顺应性测量的贡献。3. 创建模拟水肿以评估水肿对传入反应性的影响。通过利用组织顺应性变化作为使模拟水肿与角叉菜胶诱导的水肿相匹配的手段,使用盐水来创建模拟水肿。对盐水或角叉菜胶诱导的组织顺应性变化的线性和指数阶段进行分析表明,盐水注射对线性质的变化有较好的近似,但与角叉菜胶水肿的指数阶段不匹配。4. 对模拟水肿或重新测试的对照组(n = 47)后伤害感受器反应性的改变进行了评估。几乎没有迹象表明水肿会影响静态或动态力转导的定量方面。机械性伤害感受器,而非强压感受器,在反复强烈刺激后致敏(动态激活阈值平均下降42±16 g/mm2,平均值±标准误)。人工水肿并未进一步促进这种致敏作用。5. 模拟水肿改变了刺激转导的定性特征。17条最初无静态或动态转导能力的传入纤维中有11条在人工水肿后获得了这种能力。6. 尽管力转导的大多数方面不受人工水肿影响,但位移转导发生了显著变化。人工水肿降低了阈值,并改变了伤害感受器转导力的动态和静态方面的位移范围(阈值从1894±229降至1456±194微米;范围减少239±99微米)。7. 得出结论,从水肿对由传递特性变化引起的群体编码机制的贡献方面,能最好地理解水肿对异常性疼痛和痛觉过敏的贡献。(摘要截断于400字)

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