Trigeminal neuralgia(TN)is characterized by recurrent facial acupuncture like,electric shock like,burning like pain and other common clinical cranial nerve diseases in the trigeminal nerve distribution area.Around the...Trigeminal neuralgia(TN)is characterized by recurrent facial acupuncture like,electric shock like,burning like pain and other common clinical cranial nerve diseases in the trigeminal nerve distribution area.Around the world,people who are 40 or more are at risk.The incidence rate of TN of female is slightly higher than that of male and most of the affecting areas are on the right side unilaterally,which affects maxillary nerve and mandibular nerve,yet seldom ophthalmic nerve.Although controversy exists in the pathogenesis of TN,the most accepted theory is microvascular compression,which forces on the demyelination of the sensory axon of the trigeminal nerve root.Additionally,slight touch,conversation and chewing may cause intolerable pain.The diagnosis of TN mainly depends on clinical manifestation.The treatment mainly includes medicine,operation,and some supplementary methods.Among them,antiepileptics and tricyclic antidepressants are the first-line treatment.Surgical treatment is mainly used for patients with TN who have failed in drug treatment or have intolerable side effects.The methods of operation include destructive or non-destructive operation.Deep brain stimulation(DBS)and motor cortex stimulation(MCS)are new therapeutic techniques emerged recently.This method is expected to alleviate the refractory TN with poor drug control or ineffective conventional surgical treatment.At present,this method has not been approved for clinical treatment.Of course,more clinical data collection processes are in progress.展开更多
Trigeminal neuropathic pain(TNP)is a significant health problem but the involved mechanism has not been completely elucidated.Toll-like receptors(TLRs)have recently been demonstrated to be expressed in the dorsal root...Trigeminal neuropathic pain(TNP)is a significant health problem but the involved mechanism has not been completely elucidated.Toll-like receptors(TLRs)have recently been demonstrated to be expressed in the dorsal root ganglion and involved in chronic pain.Here,we show that TLR8 was persistently increased in the trigeminal ganglion(TG)neurons in model of TNP induced by partial infraorbital nerve ligation(pIONL).In addition,deletion or knockdown of Tlr8 in the TG attenuated pIONL-induced mechanical allodynia,reduced the activation of ERK and p38-MAPK,and decreased the expression of pro-inflammatory cytokines in the TG.Furthermore,intra-TG injection of the TLR8 agonist VTX-2337 induced pain hypersensitivity.VTX-2337 also increased the intracellular Ca^(2+)concentration,induced the activation of ERK and p38,and increased the expression of pro-inflammatory cytokines in the TG.These data indicate that TLR8 contributes to the maintenance of TNP through increasing MAPK-mediated neuroinflammation.Targeting TLR8 signaling may be effective for the treatment of TNP.展开更多
文摘Trigeminal neuralgia(TN)is characterized by recurrent facial acupuncture like,electric shock like,burning like pain and other common clinical cranial nerve diseases in the trigeminal nerve distribution area.Around the world,people who are 40 or more are at risk.The incidence rate of TN of female is slightly higher than that of male and most of the affecting areas are on the right side unilaterally,which affects maxillary nerve and mandibular nerve,yet seldom ophthalmic nerve.Although controversy exists in the pathogenesis of TN,the most accepted theory is microvascular compression,which forces on the demyelination of the sensory axon of the trigeminal nerve root.Additionally,slight touch,conversation and chewing may cause intolerable pain.The diagnosis of TN mainly depends on clinical manifestation.The treatment mainly includes medicine,operation,and some supplementary methods.Among them,antiepileptics and tricyclic antidepressants are the first-line treatment.Surgical treatment is mainly used for patients with TN who have failed in drug treatment or have intolerable side effects.The methods of operation include destructive or non-destructive operation.Deep brain stimulation(DBS)and motor cortex stimulation(MCS)are new therapeutic techniques emerged recently.This method is expected to alleviate the refractory TN with poor drug control or ineffective conventional surgical treatment.At present,this method has not been approved for clinical treatment.Of course,more clinical data collection processes are in progress.
基金the National Natural Science Foundation of China(31970938,31671091,31871064,81571070,and 31700899)the Natural Science Research Program of Jiangsu Province,China(BK20171255 and BK20191448)+1 种基金the Qing Lan Projectthe Innovation and Entrepreneurship Training Program for College Students in Jiangsu Province,China(201810304029Z)。
文摘Trigeminal neuropathic pain(TNP)is a significant health problem but the involved mechanism has not been completely elucidated.Toll-like receptors(TLRs)have recently been demonstrated to be expressed in the dorsal root ganglion and involved in chronic pain.Here,we show that TLR8 was persistently increased in the trigeminal ganglion(TG)neurons in model of TNP induced by partial infraorbital nerve ligation(pIONL).In addition,deletion or knockdown of Tlr8 in the TG attenuated pIONL-induced mechanical allodynia,reduced the activation of ERK and p38-MAPK,and decreased the expression of pro-inflammatory cytokines in the TG.Furthermore,intra-TG injection of the TLR8 agonist VTX-2337 induced pain hypersensitivity.VTX-2337 also increased the intracellular Ca^(2+)concentration,induced the activation of ERK and p38,and increased the expression of pro-inflammatory cytokines in the TG.These data indicate that TLR8 contributes to the maintenance of TNP through increasing MAPK-mediated neuroinflammation.Targeting TLR8 signaling may be effective for the treatment of TNP.
