Abstract

To evaluate the involvement of the mitogen-activated protein kinase (MAPK) cascade in orofacial neuropathic pain mechanisms, this study assessed nocifensive behavior evoked by mechanical or thermal stimulation of the whisker pad skin, phosphorylation of extracellular signal-regulated kinase (ERK) in trigeminal spinal subnucleus caudalis (Vc) neurons, and Vc neuronal responses to mechanical or thermal stimulation of the whisker pad skin in rats with the chronic constriction nerve injury of the infraorbital nerve (ION-CCI). The mechanical and thermal nocifensive behavior was significantly enhanced on the side ipsilateral to the ION-CCI compared to the contralateral whisker pad or sham rats. ION-CCI rats had an increased number of phosphorylated ERK immunoreactive (pERK-IR) cells which also manifested NeuN-IR but not GFAP-IR and Iba1-IR, and were significantly more in ION-CCI rats compared with sham rats following noxious but not non-noxious mechanical stimulation. After intrathecal administration of the MEK1 inhibitor PD98059 in ION-CCI rats, the number of pERK-IR cells after noxious stimulation and the enhanced thermal nocifensive behavior but not the mechanical nocifensive behavior were significantly reduced in ION-CCI rats. The enhanced background activities, afterdischarges and responses of wide dynamic range neurons to noxious mechanical and thermal stimulation in ION-CCI rats were significantly depressed following i.t. administration of PD98059, whereas responses to non-noxious mechanical and thermal stimulation were not altered. The present findings suggest that pERK-IR neurons in the Vc play a pivotal role in the development of thermal hypersensitivity in the face following trigeminal nerve injury.

Highlights

  • Peripheral nerve injury may result in neuropathic pain which is characterized by severe persistent pain in the areas innervated by the injured nerve [1,2,3,4,5]

  • In the trigeminal nociceptive system, Extracellular signal-regulated kinase (ERK) is phosphorylated in Vc and upper cervical spinal cord (C1/C2) neurons within 5 min after strong noxious stimulation of the orofacial region, and the number of phosphorylated ERK-immunoreactive (IR) Vc neurons increases as noxious stimulus intensity is increased [28,29,30]

  • The present study has provided novel findings of the effects of ION-CCI on the rat, documenting mechanical or thermal behavioral hypersensitivity of the whisker pad skin innervated by the injured ION, significant increases in the number of phosphorylated ERK immunoreactive (pERK-IR) cells in the Vc following noxious but not non-noxious stimulation of the whisker pad skin, and changes in the response properties of Vc WDR neurons that are indicative of Vc central sensitization

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Summary

Introduction

Peripheral nerve injury may result in neuropathic pain which is characterized by severe persistent pain in the areas innervated by the injured nerve [1,2,3,4,5]. A variety of animal models with trigeminal nerve injury have been developed to evaluate mechanisms underlying orofacial neuropathic pain, and include chronic constriction injury of the infraorbital nerve (ION-CCI) and inferior alveolar nerve (IAN). Molecular changes and enhancement of neuronal excitability can be observed in trigeminal ganglion (TG) neurons [15,16,17] and trigeminal spinal subnucleus caudalis (Vc) neurons after infraorbital or cervical nerve injury [18,19,20]. Mitogen-activated protein (MAP) kinase is one of the important molecules involved in the intracellular transduction cascade resulting in neuronal excitability changes [21,22,23,24]. In the trigeminal nociceptive system, ERK is phosphorylated in Vc and upper cervical spinal cord (C1/C2) neurons within 5 min after strong noxious stimulation of the orofacial region, and the number of phosphorylated ERK (pERK)-immunoreactive (IR) Vc neurons increases as noxious stimulus intensity is increased [28,29,30]

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