Temporomandibular joint pain: a critical role for Trpv4 in the trigeminal ganglion.
Journal Article (Journal Article)
Temporomandibular joint disorder (TMJD) is known for its mastication-associated pain. TMJD is medically relevant because of its prevalence, severity, chronicity, the therapy-refractoriness of its pain, and its largely elusive pathogenesis. Against this background, we sought to investigate the pathogenetic contributions of the calcium-permeable TRPV4 ion channel, robustly expressed in the trigeminal ganglion sensory neurons, to TMJ inflammation and pain behavior. We demonstrate here that TRPV4 is critical for TMJ-inflammation-evoked pain behavior in mice and that trigeminal ganglion pronociceptive changes are TRPV4-dependent. As a quantitative metric, bite force was recorded as evidence of masticatory sensitization, in keeping with human translational studies. In Trpv4(-/-) mice with TMJ inflammation, attenuation of bite force was significantly less than in wildtype (WT) mice. Similar effects were seen with systemic application of a specific TRPV4 inhibitor. TMJ inflammation and mandibular bony changes were apparent after injections of complete Freund adjuvant but were remarkably independent of the Trpv4 genotype. It was intriguing that, as a result of TMJ inflammation, WT mice exhibited significant upregulation of TRPV4 and phosphorylated extracellular-signal-regulated kinase (ERK) in TMJ-innervating trigeminal sensory neurons, which were absent in Trpv4(-/-) mice. Mice with genetically-impaired MEK/ERK phosphorylation in neurons showed resistance to reduction of bite force similar to that of Trpv4(-/-) mice. Thus, TRPV4 is necessary for masticatory sensitization in TMJ inflammation and probably functions upstream of MEK/ERK phosphorylation in trigeminal ganglion sensory neurons in vivo. TRPV4 therefore represents a novel pronociceptive target in TMJ inflammation and should be considered a target of interest in human TMJD.
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Duke Authors
- Chen, Yong
- Liedtke, Wolfgang Bernhard
- McNulty, Amy Lynn
- Moore, Carlene D
- Taylor, Andrea Beth
- Wang, Fan
Cited Authors
- Chen, Y; Williams, SH; McNulty, AL; Hong, JH; Lee, SH; Rothfusz, NE; Parekh, PK; Moore, C; Gereau, RW; Taylor, AB; Wang, F; Guilak, F; Liedtke, W
Published Date
- August 2013
Published In
Volume / Issue
- 154 / 8
Start / End Page
- 1295 - 1304
PubMed ID
- 23726674
Pubmed Central ID
- PMC3722361
Electronic International Standard Serial Number (EISSN)
- 1872-6623
Digital Object Identifier (DOI)
- 10.1016/j.pain.2013.04.004
Language
- eng
Conference Location
- United States