[Analysis of clinical features and related genes variation in five patients with 46, XX male syndrome].

Objective: To explore the clinical manifestations and molecular features of 46, XX male syndrome. Method: The clinical and molecular data of five 46, XX male syndrome cases treated in the Department of Pediatrics of Shanghai Ruijin Hospital form August 2010 to August 2014 were retrospectively analyzed. Result: The five patients were all sociopsychologically males and came to hospital respectively for short stature, ambiguous genitalia or gynecomastia. They were all below the normal male's average height, and their karyotype was all 46, XX. One case in five was verified as sex determining region of Y chromosome (SRY gene) positive revealed no abnormality in their external genitalia. He had short stature since childhood, whose SRY gene fragments were shown by FISH transferred to the ends of X chromosome. Three cases in four were SRY gene negative with ambiguous genitalia of cryptorchidism and testicular dysplasia to different degrees. The copy number variations of SOX9 gene was found in one case, the loss of heterozygosity area in DHH gene of one case. Another SRY gene negative patient who had normal male external genitalia, came to the hospital due to puberty gynecomastia, that of SOX9 gene and its upstream gene both increased. Conclusion: The main clinical characteristics of 46, XX male syndrome are male phenotype, 46, XX karyotype, gonad of testis or ovotestis and no uterus. In addition, short stature, ambiguous genitalia or gynecomastia can be one reason for hospital visits. SRY gene translocation, SOX9 gene and its upstream gene copy number increase all can lead to 46, XX male syndrome. The cause of some may play an important role in 46, XX male syndrome, but has not yet been determined.

Vibration perception thresholds of human maxillary and mandibular central incisors.

Tactile information from dental mechanoreceptors contributes to the perception of food bolus textures and the control of mastication. While numerous studies have measured the light-touch sensory thresholds of teeth, little information is available about the vibrotactile perception thresholds of teeth. This study uses an adaptive psychophysical procedure to determine thresholds of vibratory stimulation of maxillary and mandibular central incisors in 16 healthy human subjects. An electromechanical vibrator delivered labiolingual forces perpendicular to the long axis of the maxillary and mandibular incisors at 10 stimulation frequencies between 40 and 315 Hz. The median thresholds ranged between 44 and 104 mN. A linear regression analysis revealed a significant increase in the vibrotactile thresholds with increasing frequencies for stimulation of the maxillary and mandibular incisors. No significant differences were found between regression slopes of the thresholds of the maxillary and mandibular incisors. These results indicated that maxillary and mandibular incisors should be able to discriminate effectively among a variety of textures based on their ability to encode a wide range of vibration frequencies.

Behavioral outcome of posterior parietal cortex injury in the monkey.

Recent studies from our laboratory have characterized the response properties of trigeminal nociceptive neurons located in the posterior parietal cortex of awake monkeys, particularly in the rostral portion of the inferior parietal lobule and parietal operculum within the lateral sulcus. The stimulus intensity-response functions of some nociceptive neurons were significantly correlated to the stimulus intensity-escape frequency functions. The present study provides evidence that trauma to the posterior parietal cortex alters pain sensibility to the contralateral face. Although thermal pain tolerance was dramatically altered, the discriminative aspect of thermosensitivity may have remained intact. Our results complement the recent findings of clinical studies concerned with pain and damage to the posterior parietal cortex and of experimental studies concerned with painful stimulation and changes in regional cerebral blood flow. The role of the posterior parietal cortex in nociception and pain is discussed in relation to the first somatosensory area and to unilateral spatial neglect (inattention).

Multisensory convergence and integration in the neostriatum and globus pallidus of the rat.

The extracellular response properties of neurons in the caudate-putamen (CPu), globus pallidus (GP) and lateral amygdaloid nucleus (La) evoked by auditory and somatosensory stimuli were investigated. A total of 61 neurons in these areas responded either singly to somatosensory stimulation (unisensory), or to both somatosensory and auditory stimulation (multisensory). Higher rates of somatosensory stimulation reduced the response magnitude of CPu neurons more than that of GP neurons. In multisensory neurons, combined somatosensory and auditory stimulation compared to unisensory stimulation resulted in three characteristic response patterns: enhancement, depression or interaction. Temporal misalignment of the peak frequency latencies evoked by auditory and somatosensory stimulation altered the response magnitude in the majority of neurons. The response properties and anatomical connectivity of CPu and GP neurons suggest that the observed multisensory integrative effects may be used to facilitate motor responses to low intensity stimuli.

Somatosensory, multisensory, and task-related neurons in cortical area 7b (PF) of unanesthetized monkeys.

1. The goal of this study was to quantitatively characterize the response properties of somatosensory and multisensory neurons in cortical area 7b (or PF) of monkeys that were behaviorally trained to perform an appetitive tolerance-escape task. Particular emphasis was given to characterizing nociceptive thermal responses and correlating such responses to thermal pain tolerance as measured by escape frequency. 2. A total of 244 neurons that responded to somatosensory stimulation alone or to both somatosensory and visual stimulation (multisensory) were isolated and studied in the trigeminal region of cortical area 7b. Thirty neurons responded only to visual stimulation. Thermoreceptive neurons formed approximately 13% (31 of 244) of the neurons that had somatosensory response properties. Thermal nociceptive neurons made up approximately 9% (21 of 244) of the neurons that had somatosensory response properties or approximately 68% (21 of 31) of the neurons that had thermoreceptive response properties. Thermal nociceptive neurons responded either exclusively to noxious thermal stimuli (high-threshold thermoreceptive, HTT) or differentially to nonnoxious and noxious thermal stimuli (wide-range thermoreceptive, WRT). Multimodal HTT neurons had nonnociceptive (low-threshold mechanoreceptive, LTM) and/or nociceptive (nociceptive-specific, wide-dynamic-range) mechanical receptive fields, whereas multimodal WRT neurons had only nonnociceptive (LTM) mechanical receptive fields. Thermal nonnociceptive neurons (low-threshold thermoreceptive, LTT) made up approximately 3% (8 of 244) of the neurons that had somatosensory properties or approximately 26% (8 of 31) of the neurons that were thermoreceptive. The background discharge of two thermoreceptive neurons (6%, 2 of 31) was inhibited by innocuous thermal stimulation. 3. Thermal nociceptive neurons (HTT and WRT) were functionally differentiated by statistical analyses into subpopulations that did encode (HTT-EN, WRT-EN) and did not encode (HTT-NE, WRT-NE) the magnitude of noxious thermal stimulus intensities. The mean slopes and median regression coefficients for the stimulus-response (S-R) functions of HTT-EN and WRT-EN neurons, respectively, were significantly greater than those for the S-R functions of HTT-NE and WRT-NE neurons. In contrast to HTT-NE and WRT-NE neurons, HTT-EN and WRT-EN neurons reliably encoded the magnitude of noxious thermal intensity by grading their mean discharge frequency. 4. The S-R functions of HTT-EN and WRT-EN neurons, unlike those of HTT-NE and WRT-NE neurons, closely approximated stimulus intensity-escape frequency functions.(ABSTRACT TRUNCATED AT 400 WORDS)

A simplified method for manufacturing glass-insulated metal microelectrodes.

A simplified method to manufacture durable, glass-insulated, tungsten microelectrodes with sufficient control of the final electrode impedance is described. This method requires only two instruments, an electrolytic etcher for wires and pipette puller, for manufacturing these electrodes. The manufacture of these electrodes involves 3 steps: (1) etching tungsten wire to sharpen the tip, (2) insulating the electrode by pulling a glass pipette over the sharpened tungsten wire and (3) assessing and adjusting the tip exposure and impedance of the electrode to meet recording requirements. Control over the electrode impedance is easily accomplished by varying the distance between the uppermost portion of the heating coil and the sharpened wire tip before a glass pipette is pulled over the wire tip. This distance determines the area of tip exposure and also the location where the glass insulation ends and the exposed electrode tip begins. A performance test of these electrodes in a chronically prepared monkey showed that they were strong enough to repeatedly penetrate thickened dura mater without significant changes in impedance and to isolate cortical neuronal activity after these multiple penetrations. Furthermore, the strength of these microelectrodes eliminated the need to remove reactive granular tissue from the dura overlying the recording site.

Nociceptive responses in the neostriatum and globus pallidus of the anesthetized rat.

1. Extracellular recordings were made from neurons in the neostriatum (caudate nucleus-putamen, CPu) and globus pallidus (GP) of anesthetized rats. Few cells (3%) were classified as low-threshold-mechanoreceptive (LTM) neurons. The majority (97%) of somatosensory CPu and GP neurons responded differentially or exclusively to noxious mechanical stimulation of the skin. Nociceptive neurons were classified into the following three groups on the basis of their response properties to noxious mechanical stimulation: wide-dynamic-range (WDR) neurons (21%); nociceptive-specific (NS) neurons (67%); and inhibited (INH) neurons (13%). 2. No differences in the response properties or in the proportions of WDR, NS, and INH neurons were found in the CPu compared with the GP. Nociceptive neurons were located most often along the CPu-GP border. Additionally, neurons of similar functional classification were often clustered within 200-400 microns of each other along a single microelectrode track. 3. The receptive fields of nociceptive CPu and GP neurons were often large and bilateral; some receptive fields encompassed the entire body. The trigeminal region, especially the perioral area, was included in the receptive fields of nociceptive neurons more often (62 of 63 cells) than any other part of the body. However, no preference for any particular division of the trigeminal nerve was observed in the receptive fields. Some neurons had receptive fields that were discontinuous. 4. Noxious pinching of the skin significantly increased the spontaneous neuronal discharge of WDR and NS neurons by an average of 482 and 221%, respectively. There were no significant differences between the discharge adaptation rates of WDR and NS neurons. Afterdischarge activity was observed in some WDR and NS neurons. INH neurons decreased their resting activity levels by an average of 43% after a noxious pinch. 5. The von Frey stimulus threshold of WDR neurons (11.0 g/mm2) was significantly lower than that of NS neurons (33.6 g/mm2) and INH neurons (32.6 g/mm2). Mean stimulus thresholds of WDR, NS, and INH neurons determined by using calibrated forceps were 1.6, 4.8, and 2.2 g/mm2, respectively. 6. Individual stimulus-response functions of nociceptive neurons were best fit by a negatively accelerating (logarithmic) curves. However, WDR neurons had significantly steeper slopes than NS neurons. 7. The results demonstrate that a large proportion of somatosensory neurons within the neostriatum and globus pallidus (especially along the CPu-GP border) receive nociceptive information. These data are discussed in relation to several putative afferent nociceptive pathways projecting to the CPu and GP.(ABSTRACT TRUNCATED AT 400 WORDS)

Static and dynamic responses of periodontal ligament mechanoreceptors and intradental mechanoreceptors.

1. The response properties of 39 periodontal ligament mechanoreceptors (PDLMs) and 12 intradental mechanoreceptors (IMs) related to the intact mandibular canine tooth were isolated by extracellular recording methods from the ipsilateral trigeminal semilunar ganglion. 2. The stimulus threshold and response magnitude of individual PDLMs depended on the direction of steady force applied to the intact canine tooth. Canine PDLMs as a population, however, did not have a preferred stimulus direction. IMs were activated only by a rapid mechanical transient applied to the intact tooth in any direction. The stimulus threshold and response magnitude of each IM were approximately equipotent in all stimulus directions. 3. Application of quantifiable ramp-and-hold stimulation showed that PDLMs can encode the intensity of steady forces as well as the rate of force ramps. Increasing the ramp rates decreased the total ramp discharge but increased the peak discharge frequency. IMs encoded only the rate of force ramps that were applied by percussion. Higher ramp rates increased both the total discharges and peak discharge frequency of IMs. 4. The dynamic response properties of PDLMs and IMs were clearly differentiated by sinusoidal vibratory stimulation. The maximum frequencies for entrainment of IM discharge at the stimulus cycle length (251 +/- 103 Hz, mean +/- SD) and at any periodicity including multiples of the stimulus cycle length (295 +/- 100 Hz) were significantly higher than the maximum frequencies for PDLM discharge entrainment at the stimulus cycle length (103 +/- 53 Hz) and at any periodicity (133 +/- 62 Hz). 5. The functional similarities of PDLMs and IMs, respectively, to slowly adapting type II mechanoreceptors and Pacinian corpuscle receptors in the skin are discussed. Our present findings, which complement earlier anatomic and behavioral evidence, strongly suggest that IMs subserve nonnociceptive and nonpain functions. Both PDLMs and IMs may provide a continuum of dynamic afferent inputs necessary for tactile sensibility of teeth.

Tooth pulp-evoked potentials in the trigeminal brainstem nuclear complex.

The surface and depth distributions of mandibular canine, tooth pulp-evoked potentials (TPEPs) in the trigeminal brainstem nuclear complex were studied in anesthetized cats. Three pairs of positive-negative waves or components were elicited from each trigeminal brainstem nucleus (main sensory, MSN; oralis, NO; interpolaris, NI; caudalis or medullary dorsal horn, NC). The location and dipole orientation of the current generator source for each pair of components in each nucleus were determined by using the topographic amplitude distribution of TPEPs in both their normal-reference and inverted polarities and the isoelectric contour line. The current sources for all components were the following: MSN--dorsomedial subnucleus; NO--dorsolateral portion; NI--dorsomedial portion; NC--medial part of superficial and intermediate laminae. These loci are consistent with the central terminal zones of mandibular tooth pulp afferents reported in previous neuroanatomical studies. Measurements of mean peak latencies suggest that tooth pulp A beta afferents contribute to the putatively presynaptic (P1-N1) and monosynaptic (P2-N2) components found in all trigeminal brainstem nuclei and that A delta afferents contribute to the later and possibly polysynaptic components (P3-N3) in the same nuclei. The pertinence of these findings to the theory that both non-nociceptive and nociceptive intradental inputs project to rostral and caudal nuclei are discussed.

Increased axonal transport of trigeminal ganglion proteins in an electrode model.

This investigation uses an electrical stimulation model of ocular herpes simplex virus (HSV) reactivation to elucidate the relationship between neuronal protein synthesis, axonal transport and electrical stimulation. In this study, healthy adult albino rabbits were implanted with electrodes over the trigeminal ganglion (TG) and stimulated chronically twice a week for 28-34 days (previously shown to induce HSV reactivation in infected rabbits). The TG was visualized surgically and injected with 3H-proline to label newly synthesized protein. After various times, the TG, corneas and ophthalmic nerve were analyzed for labeled proteins. In nonimplanted and implanted rabbits (whether stimulated or not), the rate of fast anterograde axonal transport in the ophthalmic nerve was 347 mm/day and 326 mm/day, respectively. A lag period of 45 min occurred between initiation of protein labeling and onset of axonal transport. Only a small percentage of newly synthesized neuronal proteins were transported in the ophthalmic nerve (1-4% in the proximal 10 mm) or deposited in the cornea (less than 0.5%) after 24 hr. Neither the rate of protein synthesis in the TG nor the rate of axonal transport was changed by electrical stimulation. However, the amount of radioactively labeled proteins undergoing axonal transport in the stimulated group was five times that of the sham control group. Thus, the routing and loading of TG proteins for axonal transport is enhanced in the electrical stimulation model.

Nociceptive responses of trigeminal neurons in SII-7b cortex of awake monkeys.

A cluster of trigeminal nociceptive neurons was located in the lateral sulcus on the upper bank of the frontoparietal operculum in a region bordering between cortical areas SII and 7b. These neurons were isolated in cortical cell layers IV and V-VI. All nociceptive neurons responded exclusively to noxious mechanical stimulation of cutaneous receptive fields on the face/head or intraoral tissue. Sustained noxious mechanical stimulation elicited slowly adapting responses that accurately encoded the duration of the stimulation. Prolonged discharges following removal of noxious stimulation were not observed. These nociceptive specific neurons poorly encoded graded noxious stimuli. Trigeminal somatosensory neurons within and surrounding the SII-7b cluster were not topographically organized according to divisions of the trigeminal nerve, laterality of receptive fields, or division of face/head and intraoral receptive fields. The thalamocortical, corticocortical and indirect corticolimbic connectivities of SII and area 7b and the possible role of SII-7b nociceptive neurons in learning, memory and avoidance behaviors are discussed.

Assessment of peripheral nerve crush injury with cortical somatosensory evoked potentials in the cat.

Somatosensory evoked potentials (SEPs) were recorded from anesthetized cats to assess regeneration of the superficial radial nerve after crush injury. SEPs were recorded by epidural electrodes chronically implanted over the primary somatosensory cortex (SI) and elicited by electrical stimulation of the dorsal surface of the contralateral forepaw. The stimulation intensity and impedances measured across the skin-stimulating electrodes were maintained constant for each animal throughout the experimental period. SEPs which disappeared after the radial nerve crush were elicited within the first week by stimulation applied to skin nearest the nerve crush site. Radial nerve crush also affected the SEP elicited by stimulating the intact ulnar side of the forepaw. In all animals examined, the SEP amplitude evoked by stimulation of the skin supplied by the ulnar nerve increased immediately after radial nerve crush. As early as 4 days after nerve crush, SEPs were elicited by stimulating the distal region of the digits that had been denervated. This phenomenon might be accounted for by peripheral collateral sprouting of intact neighboring nerves and/or by central unmasking of ulnar median input from the denervated radial skin area. Within 117 days, SEPs were elicited by stimulation applied anywhere in the previously denervated forepaw area. The topographical amplitude distribution of SEPs after reinnervation was not identical to that obtained under baseline conditions. The use of SEPs for chronic recording is an effective means to monitor reinnervation of skin after peripheral nerve injury.

Comparison of trigeminal receptor location and structure in the periodontal ligament of different types of teeth from the rat, cat, and monkey.

The periodontal ligament is richly innervated by mechanoreceptors whose cell bodies are located either in the trigeminal ganglion (TG) or the mesencephalic (MS) trigeminal nucleus. Both are sensitive to stretch of the ligament induced by tooth movement, but their thresholds, central connections, and functional significance differ. This study compared the location of TG and MS receptors in the periodontal ligament of cat teeth after labeling each by anterograde axonal transport. We also compared the location and ultrastructure of the feline TG receptors with labeled TG receptors in the periodontal ligament of monkey teeth and rat incisors in order to determine their location and ultrastructural properties. We found that the MS and TG receptors had a different distribution in the periodontal ligament of cat teeth; the MS terminals were concentrated below and next to the base of the roots, whereas the TG receptors were most numerous around the middle of the roots. The TG receptors of monkey teeth had a similar location to the feline TG receptors, but those of rat incisors were very different. Rat incisors are curved, continuously erupting teeth, and their TG receptors were located primarily on the lingual side in the alveolar (nonerupting) portion of the ligament. Ultrastructural comparisons found that most mechanoreceptors in the periodontal ligament of all the teeth had an unencapsulated branched Ruffini-like structure. The TG receptors in the rat incisor ligament were the largest; those of monkey had the most varied form. Some coiled or encapsulated receptors were found in the monkey and cat ligament, but not in the rat incisor ligament. The TG receptors appear to be located at sites that would be most easily stretched during tooth contact. The different sites and intensity of the stretch forces occurring during the use of different types of teeth may determine the variations in the size and location of the TG mechanoreceptors and of their associated support cells. The different distribution of MS receptors may contribute to their response thresholds and static properties, which differ from those of TG receptors.

Use of captive bolt as a method of euthanasia in larger laboratory animal species.

The penetrative captive bolt pistol was tested on dogs (Canis familiaris) and rabbits (Oryctolagus cunniculi) to assess if it is a humane method of euthanasia to use when a physical method is required. The bolt was placed directly on the skull at the intersection of lines drawn from the lateral canthus of each eye to the opposite ear, and fired. In all cases, consciousness appeared to be lost immediately as evidenced by motoric collapse of the animal and loss of the corneal reflex. The only movement noted appeared to be reflex in nature. In order to determine the time of onset of brain death, the auditory evoked potential (AEP) and electroencephalogram (EEG) were measured in dogs. Within 15 seconds after firing the pistol, organized AEP activity could not be detected above the medulla and EEG activity became isoelectric. These findings suggest that cerebral death occurred almost immediately and, therefore, the captive bolt pistol is a humane method of euthanasia.

Sensory innervation of pulp and dentin in adult dog teeth as demonstrated by autoradiography.

In order to study the location of sensory nerve fibers in dog teeth, we injected 3H-amino acids into the left trigeminal ganglion of 2 anesthetized adult dogs; we then waited 24 hours for axonal transport of labeled protein and prepared the fixed decalcified teeth for autoradiography. Heavily labeled sensory neurons were found in the maxillary and mandibular divisions of each injected ganglion and its peripheral nerves and central root. Numerous labeled axons were found entering dental roots; they arborized mostly in the crown to end in peripheral pulp or inner dentin. Some labeled fibers extended 150-175 microns into dentinal tubules, but most intradentinally labeled fibers were less than 100 microns long. The dentinal innervation was most concentrated in the crown, with autoradiographic label over more than 50% of the tubules at the tip of each pulp horn. Differences in innervation density for coronal, cervical, intercuspal, septal, radicular, and reparative dentin were analyzed. In some regions, labeled endings branched along the pulp-predentin border but did not enter the dentinal tubules. Electron microscopic autoradiograms were prepared to confirm specific labeling of nerve fibers and nerve endings, and to describe their ultrastructure and association with odontoblasts. The results show that labeled sensory fibers in dog teeth have an ultrastructure similar to that described previously for rat molars and for monkey and cat teeth. No specific junctions were found between labeled sensory fibers and odontoblasts, in agreement with previous studies of other teeth.

Electrical correlates of brain injury resulting from severe hypotension and hemodilution in monkeys.

The effects of hypotension, hemodilution, and their combination on the relationship between concurrent brain electrical activity and resulting brain injury were studied in anesthetized monkeys. The authors compared changes in the electroencephalogram and somatosensory and auditory evoked potentials with eventual neuropathologic outcome. Our goals were: 1) to define the margin of safety for the monkey brain during hemodilution and hypotension under several simulated clinical conditions; and 2) to determine whether noninvasive measurements of brain electrical activity can predict ischemic brain cell damage. Forty-one monkeys were anesthetized with halothane (0.8 vol % inspired) and ventilated mechanically. Arterial hypotension was induced with trimethaphan (25 +/- 8 mmHg mean arterial blood pressure [MABP] for 30 min). Hemodilution was induced by replacing blood with lactated Ringer's solution (14 +/- 2% hematocrit for 1 h). Combined hemodilution and hypotension consisted of 30 min of hemodilution alone followed by superimposing hypotension for 30 min (16 +/- 3% hematocrit and 29 +/- 5 mmHg MABP). Ten monkeys died following severe hypotension alone or combined hemodilution and hypertension as a consequence of cardiac arrest or undetermined (possibly neurologic) causes. No histologic evidence of ischemic brain cell injury was found in surviving monkeys subjected to hemodilution or hypotension alone. Neuropathologic alterations in the cerebral cortex, cerebellum, hippocampus and globus pallidus as well as neurologic and behavioral deficits were found in seven of 16 surviving monkeys subjected to both hemodilution and hypotension. These findings resulted from combinations of hematocrit less than 20% and MABP below 40 mmHg.(ABSTRACT TRUNCATED AT 250 WORDS)

Cortical nociceptive responses and behavioral correlates in the monkey.

Experiments were performed to characterize cerebral cortical activity and pain behavior elicited by electrical stimulation of the tooth pulp in unanesthetized monkeys. Four monkeys were trained on two different operant paradigms: two on a simple escape task and two on an appetitive tolerance-escape task. All monkeys were implanted with bipolar stimulating electrodes in the right maxillary canine tooth and subdural recording electrodes over the left primary (SI) and/or secondary (SII) somatosensory cortices. Subdural tooth pulp-evoked potentials (TPEPs) recorded over the SII consisted of components P1 (27.5 ms), N1 (40.3 ms), P2 (84.0 ms), N2 (163.5 ms), P3 (295.3 ms), and N3 (468.0 ms). The long latency component (P3-N3) was found exclusively over the SII and was elicited by high intensity stimulation. The appearance of component P3-N3 required the recruitment of A delta nerve fibers into the maxillary nerve compound action potential and was correlated with high frequencies of escape. Administration of morphine sulfate (4 mg/kg, i.m.) caused a contemporaneous reduction in escape frequency and in the amplitude of P3-N3 recorded over the SII. The relationships between TPEP amplitude, escape behavior and A delta nerve fiber activity strongly suggest that the SII is involved with nociception and pain behavior.

Mesencephalic trigeminal sensory neurons of cat: axon pathways and structure of mechanoreceptive endings in periodontal ligament.

We injected 3H-proline into cat brainstem in order to label the entire mesencephalic trigeminal nucleus (Mes-V) for autoradiographic analysis of the size and pathways of Mes-V sensory axons and for microscopic study of Mes-V receptor structure in dental tissue. Labeled sensory axons were found in the trigeminal motor and sensory tracts and roots; approximately equal numbers of axons were found in both roots. The sensory root and all three divisions of the trigeminal nerve contained larger Mes-V axons than the motor root. Labeled Mes-V axons were found at the ganglion in the dorsomedial (infratrochlear) branch of the ophthalmic nerve but not in the ventrolateral branch. The mean diameter of Mes-V axons in periodontal ligament was 4.0 +/- 1.9 micron compared to 7.3 +/- 2.1 micron in maxillary and mandibular nerve, suggesting axonal arborization prior to innervation of ligament. Mes-V receptors in dental tissue were confined to ipsilateral periodontal ligament close to the root apex, with greater innervation on the posterior side. Receptor incidence was moderate for most teeth; however, maxillary first and second incisors and maxillary and mandibular canines had focal areas with remarkably dense innervation. No labeled axons were found in pulp of any ipsilateral teeth, and none was found in any contralateral dental tissue. EM-autoradiography demonstrated that Mes-V axons form unencapsulated Ruffini-like mechanoreceptors in periodontal ligament. The preterminal axons were small and myelinated. Neighboring bundles of unmyelinated axons and rare encapsulated endings were not labeled. The labeled mechanoreceptors branched to varying degrees among the ligament fibers; they contained numerous mitochondria and glycogen particles, as well as some vesicles and rare multivesicular bodies. They were surrounded by special Schwann cells that formed one or several layers around the ending. The endings were exposed to the basal lamina at numerous sites and occasionally extended fingers beyond the lamellar Schwann cells to contact ligament collagen.

Peak latency differences in evoked potentials elicited by painful dental and cutaneous stimulation.

Long-latency evoked potentials (EPs) (50-400 msec) have been obtained from humans during both noxious stimulation of tooth and cutaneous sites in studies of pain and analgesic states. This study investigated whether EPs elicited by tooth and lip stimulation differed in peak latency and whether EPs obtained during painful cutaneous stimulation showed increasing peak latency values with increased conduction distance. Twelve volunteers received painful electrical stimulation at four sites: tooth, lip, thumb, and toe in counterbalanced orders. Evoked potentials recorded at vertex were summation averaged over 128 trials. Multivariate stepwise discriminate analysis was used to determine whether any of the peak latencies of the event-related potentials differed across stimulation sites. No significant latency differences were observed across lip, thumb or toe at any of the major peaks. Since peaks of these EPs did not vary in latency with conduction distance, they appear to reflect processing at higher levels rather than sensory transmission. The negative 140 msec peak of the dental waveform occurred significantly later than the same peak at cutaneous sites.

Physiological properties of intradental mechanoreceptors.

A major role of tooth receptors in signaling overt or impending tissue damage (nociception) has been previously established by substantial evidence from mechanical, thermal and chemical stimulation of exposed dentin. We report evidence showing that some intradental receptors in canine teeth of the cat detect mechanical transients applied to intact enamel. This new finding suggests that dental innervation may play an important non-nociceptive role in oral function such as detecting tooth contact during mastication and swallowing.