Temperature dependency of the chemical responses of the polymodal receptor units in vitro

Subtypes of nociceptive units in the rat temporomandibular joint

Response properties of nociceptors in the rat's temporomandibular joint (TMJ) were investigated using an in vitro TMJ-nerve preparation. Recordings were obtained from 33 nociceptive units that responded to mechanical, chemical, and/or thermal stimuli. According to both characteristics of nociceptors and afferent fibers, nociceptive units in the TMJ area were classified into the following four subtypes: Adelta-high-threshold mechanonociceptor (HTM) (12.1%), Adelta-polymodal nociceptor (POLY) (36.4%), C-HTM (12.1%), and C-POLY (39.4%). The mean mechanical threshold of the Adelta units was significantly lower than that of the C units. Bradykinin increased the discharge of Adelta- and C-POLY units. No significant differences of thermal thresholds between Adelta and C units were found. The percentage of Adelta units was 47.2% and of C units was 52.8%, respectively. In the TMJ area, POLY units were predominant (75.8%), suggesting that inflammatory reactions can easily evoke pain sensation.

An in vitro temporomandibular joint-nerve preparation for pain study in rats

A novel in vitro TMJ-nerve preparation was developed to quantitatively study peripheral sensory mechanisms of temporomandibular joint (TMJ). The TMJ region on one side (including mandibular head, disc, retrodiscal tissue and mandibular fossa) of adult Wistar albino rats was excised together with the auriculo-temporal nerve. The block was preserved in a modified Krebs-Henseleit solution saturated with O(2)/CO(2) (95/5%) gas mixture. Using a calibrated von Frey type apparatus, mechanical noxious stimulation was applied directly to various sites within the TMJ region. In addition, thermal and chemical noxious stimuli were also attempted. Stable recordings of single unit activities from the auriculo-temporal nerve could be obtained for as long as 5 h, which was sufficient to analyze the response properties of the TMJ units to various stimuli. This new preparation would be useful for investigating TMJ peripheral sensory mechanisms, especially pain, and potentially makes it possible to reveal neural mechanisms of temporomandibular arthralgia, a syndrome that has recently shown an increased incidence in clinical dentistry.

Sustained sensitization and recruitment of rat cutaneous nociceptors by bradykinin and a novel theory of its excitatory action

Excitation and sensitization to heat of nociceptors by bradykinin (BK) were examined using an isolated rat skin-saphenous nerve preparation. A total of 52 C-fibres was tested: 42 were mechano-heat sensitive (CMH) and 40% of them were excited and sensitized to heat by BK superfusion (10-5 M, 5 min) of their receptive fields; heat responses were augmented by more than five times and heat thresholds dropped to 36.4 degrees C, on average. Sixty per cent of the CMH did not respond to BK itself, but 3/4 of these units showed an increase in their heat responses by more than 100% following BK exposure. Ten high-threshold mechanosensitive C-fibres did not discharge upon BK application but following this five of them responded to heat in a well-graded manner. In all fibres, the sensitizing effect of BK was abolished within 9 min or less of wash-out, and it could be reproduced several times at equal magnitude, whereas the excitatory effect of BK regularly showed profound tachyphylaxis. Sustained superfusion (20 min) of BK induced a desensitizing excitatory response while superimposed heat responses showed constant degrees of sensitization. The large extent and high prevalence of BK-induced sensitization (almost 80% of all fibres tested) and de novo recruitment of heat sensitivity suggest a prominent role of BK not only in hyperalgesia but also in sustained inflammatory pain which may be driven by body or even lower local temperatures acting on sensitized nociceptors. Based on the latter assumption, a hypothesis is put forward that excludes a direct excitatory effect of BK on nociceptors, but assumes a temperature-controlled activation as a result of rapid and profound sensitization.

An in vitro jaw-nerve preparation for oral sensory study in the rat

We have developed an in vitro jaw-nerve preparation in Wistar albino rats, suitable for the quantitative study of peripheral sensory mechanisms in the oral region. The mandible on one side was excised together with the inferior alveolar nerve and was kept in a modified Krebs-Henseleit solution saturated with O2/CO2 (95:5) gas mixture. Recordings were made from single afferent fibers in the inferior alveolar nerve in response to mechanical stimulation of various oral sites (oral mucosa, periodontal ligament and tooth pulp) by calibrated von Frey hairs. In the case of tooth pulp stimulation, heat and chemical (bradykinin) stimuli were also used. Stable unitary recordings could be made for up to 5 h which was long enough to record the activities evoked by various stimuli applied to the oral area. This paper will describe the procedure for making this preparation together with some responses of single units in the inferior alveolar nerve to mechanical, thermal and chemical stimulations applied to this preparation.

The effects of capsaicin, bradykinin, PGE2 and cicaprost on the discharge of articular sensory receptors in vitro

The responses of articular sensory receptors to capsaicin, bradykinin, PGE2, and the selective IP-receptor agonist cicaprost were studied in a rat isolated hindlimb in vitro preparation. Long-term maintenance of normal sensory receptor function was achieved in vitro under conditions of combined superfusion and slow perfusion. Response characteristics to mechanical or chemical stimuli on articular sensory receptors identified in this study did not differ to those reported in vivo. This preparation lacks complex effects mediated via spinal or central reflex mechanisms and allows greater control over the physiological environment of the receptors being studied. These results support the conclusion that the effects of capsaicin, bradykinin and the prostanoids are mediated by distinct pharmacological receptors associated with articular sensory nerve endings. The potent potentiating effects of cicaprost on bradykinin-induced excitation suggests that these actions are mediated via IP-receptors.

Leukotriene B4 induced decrease in mechanical and thermal thresholds of C-fiber mechanonociceptors in rat hairy skin

We have recently shown that leukotriene B4 (LTB4), a product of the 5-lipoxygenase pathway of arachidonic acid metabolism, sensitizes nociceptors to mechanical stimuli. The present study examined whether LTB4 also induces a thermal sensitization of cutaneous C-fiber high-threshold mechanonociceptors (C-HTMs). C-HTMs were characterized according to their responsiveness to noxious mechanical, thermal and chemical stimuli, including glacial acetic acid, bradykinin and capsaicin. C-HTMs were found to be either heat responsive (heat C-HTMs) or heat and chemically responsive (polymodal C-HTMs). Ninety-four percent of polymodal C-HTMs and 60% of C-HTMs were sensitized to thermal and mechanical stimuli by LTB4 (75 ng). All sensitized C-HTMs showed decreases in both thermal and mechanical thresholds. LTB4 lowered in both subclasses of C-HTMs average thermal threshold from 45 to 35 degrees C and produced an average decrease in the mechanical threshold of approximately 82-86%. For both heat and polymodal C-HTMs, the magnitude of LTB4-evoked decreases in thermal and mechanical thresholds was similar to that produced by 75 ng of PGE2. The possibility was discussed that LTB4 may contribute to the component of hyperalgesia that is resistant to non-steroidal anti-inflammatory agents.

Effects of prostaglandins and other putative chemical intermediaries on the activity of canine testicular polymodal receptors studied in vitro

An in vitro testis-superior spermatic nerve preparation was used to evaluate the effects of chemical agents applied in the bathing solution. Both directly evoked discharges and responses to algesic solutions [bradykinin (BK) 9 X 10(-8) M, hypertonic saline 616 mM and high K+ solution 60 mM] of polymodal receptors were studied. Prostaglandin (PG)-E2 (1.4 X 10(-6)-1.4 X 10(-5) M) and serotonin (5-HT) (1.1 X 10(-6) to 1.4 X 10(-4) M) had only a weak excitatory effect. However, test responses to algesic substances were regularly greatly increased by PG-E2, -I2 and 5-HT. Concentrations of PG-E2 of 1.4 X 10(-8) M or greater augmented BK responses; higher concentrations and/or longer applications were needed to enhance responses to algesic salt solutions. Effective concentrations for the PGs and 5-HT were near those reported for inflamed tissues and exudate. Aspirin (ASA) (5.5 X 10(-4) M or greater, for more than 4 min) suppressed the responses to BK but not those evoked by hypertonic saline. The ASA effect on the BK response was largely restored by an addition of PG-E2. Substance P also had a weak excitatory effect on some polymodal receptors, but no significant enhancement of the response to BK was noted. These results further support a role of polymodal receptors in transmitting nociceptive information, of inflammatory origin.

Thermally potentiated responses to algesic substances of visceral nociceptors

Using spermatic nerve preparations from testis superior, the effects of temperature rise on chemical responses were studied in vitro, within both subthreshold and suprathreshold ranges for testicular polymodal receptors, one type of visceral nociceptor. In the range of temperature subthreshold for polymodal receptors, the responses to algesic substances tested were greater at higher temperatures. The mean discharge rates induced by various concentrations of bradykinin (BK, 9 X 10(-9)-9 X 10(-6) M), were significantly greater at 36 degrees C than at 30 degrees C. Responses to hypertonic saline, tested in the temperature range, 34-43 degrees C, showed similar temperature-dependent increases, and Q10 values between 2.3 and 4.2. In the units exhibiting 'heat sensitization' with repeated testing of suprathreshold temperature rises, the response to hypertonic saline (616 mM) at 34 degrees C also increased. Although calor in the inflamed tissues is in itself not high enough to cause excitation of 'pain receptors,' temperature-dependent augmentation of chemical responses of the polymodal receptor might partly explain peripheral hyperalgesic behaviour observable in inflamed tissue on the basis of sensory receptor activity.

Sensory receptors in mammalian skin in an in vitro preparation

The saphenous nerve and a patch of innervated skin were excised from the rat and guinea pig and kept in modified Krebs-Henseleit solution. The nerve was split into filaments and single fibre action potentials were recorded. Various cutaneous receptors could be identified by adequate stimulation of the superfused skin with radiant heat, von Frey hairs, constant pressure, cold and chemical stimuli restricted to receptive fields. In comparison to previous in vivo experiments no obvious differences occurred with respect to excitability and spontaneous activity. Within 12 h after excision of the skin no time-related changes in receptor behaviour became obvious.

Abnormal activity of polymodal receptors induced by clioquinol (5-chloro-7-iodo-8-hydroxyquinoline)

To know possible involvement of primary afferents in paresthesia of subacute myelo-optico-neuropathy (SMON), influence on polymodal receptor, a type of nociceptor, of its causal agent clioquinol (5-chloro-7-iodo-8-hydroxyquinoline) was tested using in vitro testis-superior spermatic nerve preparations of dogs. Exposure to clioquinol (greater than 1 microM) induced an abnormal bursting activity in polymodal receptors, and thereafter the receptors were sensitized to an algesic stimulus (hypertonic saline) and gained a new sensitivity to cold, while pure mechanoreceptors were not influenced. On the other hand, clioquinol glucuronide (100 microM), a detoxicated form, had no such effects. These results are consistent with several clinical observations of sensory aberrations, suggesting possible involvement of the abnormal activities of polymodal receptors in SMON paresthesia.