Involvement of glia in central sensitization in trigeminal subnucleus caudalis (medullary dorsal horn)

Brain Behav Immun. 2007 Jul;21(5):634-41. doi: 10.1016/j.bbi.2006.07.008. Epub 2006 Oct 20.

Abstract

Central sensitization is a crucial mechanism underlying the increased excitability of nociceptive pathways following peripheral tissue injury and inflammation. We have previously demonstrated that the small-fiber excitant and inflammatory irritant mustard oil (MO) applied to the tooth pulp produces glutamatergic- and purinergic-dependent central sensitization in brainstem nociceptive neurons of trigeminal subnucleus caudalis (Vc). Recent studies have implicated both astrocytes and microglia in spinal nociceptive mechanisms, showing, for example, that inhibition of spinal astroglial metabolism or spinal microglial p38MAPK activation can attenuate hyperalgesia in inflammatory pain models but have not tested effects of glial inhibitors on central sensitization in functionally identified spinal nociceptive neurons. The aim of the present study was to determine whether glial cells are involved in the MO-induced central sensitization in Vc nociceptive neurons, by examining the effects of intrathecally applied SB203580 (SB), an inhibitor of p38MAPK, and fluoroacetate (FA), an inhibitor of the astroglial metabolic enzyme aconitase. During continuous superfusion of phosphate-buffered saline over Vc, MO application to the pulp-induced central sensitization in Vc nociceptive neurons reflected in significant increases in cutaneous mechanoreceptive field (RF) size and responses to noxious mechanical stimuli and a decrease in mechanical activation threshold. The i.t. application of SB or FA markedly attenuated the MO-induced increases in pinch RF size and responses to noxious stimuli and the decrease in activation threshold. Neither SB nor FA application significantly affected the baseline (i.e., pre-MO application) RF and response properties. These results suggest that glial metabolic processes are important in the development of Vc central sensitization.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aconitate Hydratase / drug effects
  • Aconitate Hydratase / metabolism
  • Analysis of Variance
  • Animals
  • Astrocytes / drug effects
  • Astrocytes / metabolism*
  • Enzyme Inhibitors / pharmacology
  • Female
  • Microglia / drug effects
  • Microglia / metabolism*
  • Neural Pathways / cytology
  • Nociceptors / metabolism
  • Pain Threshold / drug effects
  • Pain Threshold / physiology*
  • Rats
  • Rats, Sprague-Dawley
  • Signal Transduction / physiology*
  • Trigeminal Caudal Nucleus / cytology
  • Trigeminal Caudal Nucleus / metabolism*
  • p38 Mitogen-Activated Protein Kinases / drug effects
  • p38 Mitogen-Activated Protein Kinases / metabolism*

Substances

  • Enzyme Inhibitors
  • p38 Mitogen-Activated Protein Kinases
  • Aconitate Hydratase