Ibuki T, Kido M A, Kiyoshima T, Terada Y, Tanaka T
Department of Prosthetic Dentistry I, Faculty of Dentistry, Kyushu University, Fukuoka, Japan.
J Dent Res. 1996 Dec;75(12):1963-70. doi: 10.1177/00220345960750120801.
Because the ultrastructure of the trigeminal sensory nerves in dentin, especially in relation to odontoblasts, remains to be clarified, we investigated the relationship between the trigeminal sensory nerves and the odontoblast processes using the anterograde axonal transport technique by injecting wheat germ agglutinin-horseradish peroxidase (WGA-HRP) into the rat trigeminal ganglion. Light microscopically, the nerves labeled with WGA-HRP were mainly concentrated at the pulpal horn, forming a nerve plexus at the subodontoblastic region and penetrating the predentin/dentin about 50 to 70 microns. Ultrastructurally, HRP reaction products were observed intra-axonally in the myelinated (A delta) and unmyelinated (C) axons in the subodontoblastic region. Most nerves lost the Schwann sheath and were naked in the predentin/dentin. The labeled varicosities were close to the odontoblast processes in the dentinal tubules. No synaptic structures could be detected between the varicosities and the odontoblasts, but a gap about 20 nm wide was found between them. One type of varicosity was a rich mitochondria-containing varicosity, while the other was a rich vesicle-containing (large dense core vesicles and small clear vesicles) one. The reaction products were also found in the extracellular spaces surrounding the axons. Sometimes the reaction products were seen in the coated pits or the endocytotic vesicles of the odontoblast processes. The present study demonstrated that nerve endings (varicosities) derived from the trigeminal ganglion were present in the dentinal tubules, and that WGA-HRP extracellularly extruded from the sensory nerves in the odontoblastic layer or predentin/dentin. These findings thus suggest that sensory nerves may have some (e.g., trophic) effect on either odontoblasts or the environment around the sensory nerves in the dentin/pulp.
由于牙本质中三叉神经感觉神经的超微结构,尤其是与成牙本质细胞相关的超微结构仍有待阐明,我们通过将小麦胚凝集素-辣根过氧化物酶(WGA-HRP)注入大鼠三叉神经节,采用顺行轴突运输技术研究了三叉神经感觉神经与成牙本质细胞突起之间的关系。在光学显微镜下,用WGA-HRP标记的神经主要集中在髓角,在成牙本质细胞下层形成神经丛,并穿透前期牙本质/牙本质约50至70微米。在超微结构上,在成牙本质细胞下层的有髓(Aδ)和无髓(C)轴突的轴突内观察到HRP反应产物。大多数神经在前期牙本质/牙本质中失去施万鞘而裸露。标记的膨体靠近牙本质小管中的成牙本质细胞突起。在膨体与成牙本质细胞之间未检测到突触结构,但在它们之间发现了约20纳米宽的间隙。一种膨体是富含线粒体的膨体,而另一种是富含囊泡(大的致密核心囊泡和小的清亮囊泡)的膨体。在轴突周围的细胞外间隙中也发现了反应产物。有时在成牙本质细胞突起的被膜小窝或内吞小泡中可见反应产物。本研究表明,源自三叉神经节的神经末梢(膨体)存在于牙本质小管中,并且WGA-HRP从成牙本质细胞层或前期牙本质/牙本质中的感觉神经细胞外挤出。因此,这些发现表明感觉神经可能对成牙本质细胞或牙本质/牙髓中感觉神经周围的环境有某种(例如营养)作用。