RESUMEN
Burning mouth syndrome is characterized by altered sensory qualities, namely tongue pain hypersensitivity. We found that the mRNA expression of Artemin (Artn) in the tongue mucosa of patients with burning mouth syndrome was significantly higher than that of control subjects, and we developed a mouse model of burning mouth syndrome by application of 2,4,6-trinitrobenzene sulfonic acid (TNBS) diluted with 50% ethanol to the dorsum of the tongue. TNBS treatment to the tongue induced persistent, week-long, noninflammatory tongue pain and a significant increase in Artn expression in the tongue mucosa and marked tongue heat hyperalgesia. Following TNBS treatment, the successive administration of the transient receptor potential vanilloid 1 (TRPV1) antagonist SB366791 or neutralizing anti-Artn antibody completely inhibited the heat hyperalgesia. The number of glial cell line-derived neurotrophic factor family receptor α3 (GFRα3)-positive and TRPV1-positive trigeminal ganglion (TG) neurons innervating the tongue significantly increased following TNBS treatment and was significantly reduced by successive administration of neutralizing anti-Artn antibody. The capsaicin-induced current in TG neurons innervating the tongue was enhanced following TNBS treatment and was inhibited by local administration of neutralizing anti-Artn antibody to the tongue. These results suggest that the overexpression of Artn in the TNBS-treated tongue increases the membrane excitability of TG neurons innervating the tongue by increasing TRPV1 sensitivity, which causes heat hyperalgesia. This model may be useful for the study of tongue pain hypersensitivity associated with burning mouth syndrome.
Asunto(s)
Síndrome de Boca Ardiente/genética , Glosalgia/metabolismo , Hiperalgesia/metabolismo , Proteínas del Tejido Nervioso/genética , Proteínas del Tejido Nervioso/metabolismo , Neuronas/metabolismo , ARN Mensajero/metabolismo , Lengua/metabolismo , Ganglio del Trigémino/metabolismo , Anciano , Anciano de 80 o más Años , Anilidas/farmacología , Animales , Anticuerpos Neutralizantes/farmacología , Western Blotting , Síndrome de Boca Ardiente/inducido químicamente , Síndrome de Boca Ardiente/metabolismo , Cinamatos/farmacología , Modelos Animales de Enfermedad , Femenino , Receptores del Factor Neurotrófico Derivado de la Línea Celular Glial/metabolismo , Glosalgia/inducido químicamente , Calor , Humanos , Hiperalgesia/inducido químicamente , Masculino , Ratones , Persona de Mediana Edad , Proteínas del Tejido Nervioso/farmacología , Técnicas de Placa-Clamp , Reacción en Cadena en Tiempo Real de la Polimerasa , Transducción de Señal , Canales Catiónicos TRPV/antagonistas & inhibidores , Canales Catiónicos TRPV/metabolismo , Lengua/efectos de los fármacos , Ganglio del Trigémino/citología , Ácido Trinitrobencenosulfónico/toxicidadRESUMEN
Radiation therapy and chemotherapy have decreased the mortality rates of cancer patients, but the morbidity associated with oral complications is high in many cases. A pretreatment oral evaluation and institution of a preventive care program reduce oral symptoms such as glossodynia considerably. When oral symptoms are minimized, the dentist can improve the patient's quality of life.