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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Trigeminal nerve stimulation triggers oral mast cell activation and vascular permeability
Mohammed A Alhelal1, Iro Palaska2, Smaro Panagiotidou2
1Molecular Immunopharmacology and Drug Discovery Laboratory, Department of Integrative Physiology and Pathobiology, Tufts University School of Medicine, Boston, Massachusetts; Department of Periodontology, Tufts University School of Dental Medicine, Boston, Massachusetts.
Background:
The nervous system contributes to the pathophysiology of allergic and inflammatory diseases, including oral inflammation. Mast cells (MCs) are involved in their pathogenesis through proinflammatory mediator release.
Objective:
To investigate the effect of trigeminal nerve (TN) stimulation compared with sham operation on MC activation and oral vascular permeability in the gingiva, palate, buccal mucosa, and tongue of the rat and to examine the possible role of substance P using rats treated with capsaicin as neonates to deplete substance P.
Methods:
Six male Sprague-Dawley rats (250 g) were anesthetized and injected intravenously with Evans Blue (EB). Six other rats were injected neonatally with capsaicin (n = 3) or solvent (n = 3) and then injected with EB when they reached 250 g. The mandibular branch of the TN was stimulated for 1 minute (n = 3), and the remaining rats (n = 3) were subjected to sham operation. The ipsilateral and contralateral sides of the mouth were examined for EB extravasation, and tissue sections were removed for light and electron microscopy.
Results:
TN stimulation resulted in EB extravasation in the ipsilateral side compared with the contralateral side or the ipsilateral side of sham-operated rats. Significant degranulation of MCs also was evident only on the ipsilateral side (P < .0001). There was no difference in MC degranulation between the vehicle- and capsaicin-treated rats, implying that neuropeptides other than substance P may be involved.
Conclusion:
This is the first time that TN stimulation has been shown to result in MC activation and oral vascular permeability, suggesting that MC inhibitors may be used for the treatment of oral inflammatory diseases.
Insights
Trigeminal nerve stimulation activates mast cells and increases oral vascular permeability. This suggests mast cell inhibitors could treat oral inflammatory diseases.
Area of Science:
- Neuroscience
- Immunology
- Oral Biology
Background:
- The nervous system plays a role in oral inflammation.
- Mast cells (MCs) contribute to oral inflammation through mediator release.
Purpose of the Study:
- To investigate trigeminal nerve (TN) stimulation effects on mast cell activation and oral vascular permeability.
- To examine the role of substance P in these processes.
Main Methods:
- Rats were injected with Evans Blue (EB) to assess vascular permeability.
- Trigeminal nerve (TN) stimulation or sham operation was performed.
- Rats treated neonatally with capsaicin were used to deplete substance P.
Main Results:
- TN stimulation caused EB extravasation and mast cell degranulation on the ipsilateral side.
- No difference in mast cell degranulation was observed between vehicle and capsaicin-treated rats, suggesting other neuropeptides are involved.
Conclusions:
- TN stimulation activates mast cells and increases oral vascular permeability.
- This finding suggests mast cell inhibitors may be beneficial for treating oral inflammatory diseases.
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