痛觉超敏
眶下神经
医学
疼痛
痛觉过敏
神经病理性疼痛
TLR4型
麻醉
脊髓
三叉神经
髓质
解剖
炎症
外科
伤害
内科学
受体
精神科
作者
Tingting Hu,Ranran Wang,Yingying Tang,Yu-Xing Wu,Jie Yu,Weiwei Hou,Guo‐Dong Lou,Yu‐Dong Zhou,Shi‐Hong Zhang,Zhong Chen
出处
期刊:Pain
[Ovid Technologies (Wolters Kluwer)]
日期:2017-11-03
卷期号:159 (2): 273-283
被引量:19
标识
DOI:10.1097/j.pain.0000000000001100
摘要
Abstract Pain sensitization after partial infraorbital nerve transection (p-IONX) in mice not only presents in orofacial region, but also spreads to distant body parts. The roles of toll-like receptor 4 (TLR4) in orofacial pain and the spreading process are still unclear. Here, we found that mice with deficient TLR4 because of Tr4 gene point mutation (C3H/HeJ) or spontaneous deletion (C57BL/10ScNJ) developed tactile allodynia and thermal hyperalgesia in the vibrissal pad in a parallel way to their respective wild types (C3HeB/FeJ or C57BL/6J) after p-IONX. However, allodynia in the hind paw was absent in mice with TLR4 deficiency. Pharmacological antagonism of TLR4 with LPS-RS, administered either intracisternally or intrathecally, abrogated allodynia in the hind paw without affecting the hypersensitivity in the vibrissal pad and hyperalgesia in the hind paw. Although TNF-α expression was upregulated in both the medulla and lumbar cord, the expression of TLR4 downstream molecule MyD88 increased only in the lumbar cord after p-IONX in wild types. By contrast, hind paw hypersensitivity after partial sciatic nerve ligation was significantly attenuated by TLR4 deletion. The hypersensitivity, which did not spread to the vibrissal pad, was accompanied with upregulation of MyD88 in the lumbar cord rather than in the medulla. These results suggest that TLR4 participates in the spread of allodynia component of orofacial pain to distant body sites, but not trigeminal neuropathic pain or the spread of its hyperalgesia component. This study suggests that TLR4 may serve as a potential target for the management of widespread allodynia associated with orofacial pain.
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