Effects of trigeminal nerve injury on the expression of galanin and its receptors in the rat trigeminal ganglion
Introduction
Galanin (GAL), a neuropeptide consisting of 29 amino acids (30 in humans) (Tatemoto et al. 1983), is widely distributed in the central and peripheral nervous system (Ichikawa and Helke 1993; Melander et al. 1986; Skofitsch and Jacobowitz 1985). In the brain and spinal cord of rats, GAL is expressed in various types of neurons and nerve fiber terminals and associated with modulation of action potentials (Bai et al. 2018; Ch'ng et al. 1985; Simpson et al. 1999; Yue et al. 2011). In the dorsal root ganglion (DRG) and trigeminal ganglion (TG) of rats, GAL is mainly expressed by small sensory neurons that can propagate nociceptive signals (Coronel et al. 2008; Deguchi et al. 2006). Previous studies have reported GAL is involved in the neuropathic pain caused by nerve injury with excitatory and inhibitory effects (Lang et al. 2015). Following peripheral nerve injury, spontaneous and evoked neuropathic pain behaviors are compromised in GAL knockout mice, which suggests endogenous GAL has pro-nociceptive function (Kerr et al. 2000). However, there is evidence that the spinal administration of exogenous GAL can also inhibit mechanical and cold allodynia in rats after partial sciatic nerve injury (Hao et al. 1999). In addition, GAL has been shown to accelerate the repair and regeneration of the injured nerve (Brumovsky et al. 2006; Hobson et al. 2006). Meanwhile, the axotomy and ligation of sciatic nerve significantly increase the content of GAL and its mRNA in the rat dorsal root ganglion (Ma and Bisby, 1997, Ma and Bisby, 1999; Villar et al. 1989).
GAL exerts its biologic effects via three known metabotropic and G-protein-coupled receptors: GAL1R, GAL2R, and GAL3R (Habert-Ortoli et al. 1994; Howard et al. 1997; Wang et al. 1997). Previous studies have also demonstrated GAL receptors (GALRs) are expressed in the central and peripheral nervous systems of rodent animals and associated with pronociceptive and analgesic functions (Duan et al. 2015; Hulse et al. 2011; Lemons and Wiley 2011; Liu and Hokfelt 2002a; Lyu et al. 2020; Sipkova et al. 2017; Waters and Krause 2000). For instance, the upregulation of GAL in rat DRG neurons following nerve injury results in antinociception via stimulation of GAL1R in the dorsal horn interneurons, while the pro-nociceptive effect of GAL is related to presynaptic GAL2R on primary afferents (Brumovsky et al. 2006; Landry et al. 2006; Liu and Hokfelt 2002a; Yue et al. 2011). Furthermore, nerve injury can affect the expression of GALRs in the spinal cord and sensory ganglia (Brumovsky et al. 2006; Lyu et al. 2020; Xu et al. 1996). After the transection of sciatic nerve, the level of GAL1R and GAL2R mRNA was decreased in the rat DRG (Sten Shi et al. 1997; Xu et al. 1996). In the rat TG, GAL1R is expressed in TG neurons (Suzuki et al. 2002). However, the expression and distribution of GAL2R and GAL3R in the TG have not been reported.
The infraorbital nerve (ION) and inferior alveolar nerve (IAN) are derived from the maxillary and mandibular branches of trigeminal nerve, respectively. Previous studies have demonstrated an inconclusive expression of GAL after damage of different trigeminal branches. No significant difference in the level of GAL in TG neurons was observed between the ipsilateral and contralateral TG after ION transection in mice (Lynds et al. 2017). Transection of IAN increased GAL and its mRNA in the ipsilateral TG of rats (Zhang et al. 1996). However, transection of IAN with ligation at the mesial nerve ending reduced GAL level in the ferret TG (Elcock et al. 2001). Therefore, the effects of nerve injury on GAL expression in the TG may be different based on the different trigeminal nerve branches and different types of nerve injuries involved. Furthermore, it is unknown whether the damage of trigeminal nerve regulates the expression of GAL and GALRs in injured and uninjured TG neurons. We hypothesized that expression of GAL and GALRs in the TG will be affected by nerve injury, further suggesting a role for the GAL signaling system in the modulation of neuronal activity, nociceptive transduction, and regeneration.
Therefore, the present study examined possible changes in the level of GAL mRNA and peptide immunoreactivity in the rat TG after ION/IAN transection by quantitative real-time reverse transcription-polymerase chain reaction (RT-qPCR) and immunohistochemical methods, respectively. Changes in GAL expression in nerve-injured and nerve-uninjured TG neurons were also investigated by double immunofluorescence labeling of GAL and activating transcription factor 3 (ATF3), a marker for nerve-injured neurons (Tsujino et al. 2000). In addition, a trichrome immunofluorescence staining for GAL, GALRs, and ATF3 was performed to understand the effects of nerve injury on the expression of GAL and GALRs in nerve-injured and nerve-uninjured TG neurons. The specificity of different receptor antisera was checked by pre-absorption test. The major findings of this study were that ION and IAN transections upregulated the levels of GAL mRNA and peptide in both injured and adjacent uninjured small to medium-sized TG neurons, without affecting distant intact TG neurons. In addition, GAL1R, GAL2R, and GAL3R were predominantly located in small to medium-sized TG neurons, and GAL2R was decreased in injured and adjacent uninjured TG neurons, while GAL1R and GAL3R remained unchanged after ION and IAN transections. In line with previous studies in other spinal neuron systems, these results suggest that GAL, GAL1R, GAL2R, and GAL3R play functional roles in orofacial neuropathic pain and trigeminal nerve regeneration after trigeminal nerve injury.
Section snippets
Animals and axotomy
A total of 32 male Wistar rats (180–250 g) were used in this study. Transection of the left ION or IAN was performed on the rats under deep anesthesia with a mixture of medetomidine hydrochloride (0.04 mg/kg), midazolam (0.3 mg/kg), and butorphanol tartrate (0.4 mg/kg) (i.p.). The left ION of 8 rats was exposed through an incision of skin and subcutaneous layer in the infraorbital region. For IAN transection (n = 8), the left mandibular skin, subcutaneous layer, and the masseter muscle were
Levels of GAL mRNA increased in the TG after trigeminal nerve injury
To investigate the effects of ION/IAN transection on levels of GAL mRNA in the caudal and rostral halves of the TG, RT-qPCR was performed. In sham-operated rats, the expression of GAL mRNA in the caudal and rostral halves of the TG was similar after sham operations for ION or IAN injury (Fig. 1A and B). However, the level of GAL mRNA was higher in the rostral half (R1/2) of the TG than that of the caudal half (C1/2) of the TG after transection of ION (C1/2 vs. R1/2 = 22.8 ± 5.2 vs. 32.4 ± 3.7,
Discussion
The present study demonstrated that the transection of ION/IAN increased both GAL mRNA and peptide levels in the rat TG. This is consistent with several previous studies observed that transection or crush of nerves increases the expression of GAL mRNA and peptide in the rodent TG, DRG, pelvic ganglia, superior cervical ganglion (SCG), facial nucleus, spinal cord, and brain stem (Bodie et al. 1997; Burazin and Gundlach 1998; Girard et al. 2012; Makwana et al. 2010; Schreiber et al. 1994; Villar
CRediT authorship contribution statement
Fei Liu: Conceptualization, Data curation, Investigation, Methodology, Writing - original draft, Writing - review & editing. Takehiro Yajima: Formal analysis, Methodology, Writing - review & editing. Min Wang: Validation, Writing - review & editing. Jie-Fei Shen: Validation, Writing - review & editing. Hiroyuki Ichikawa: Conceptualization, Resources, Supervision, Validation, Writing - review & editing. Tadasu Sato: Data curation, Methodology, Software, Project administration.
Declaration of Competing Interest
The authors declare that there is no conflict of interest.
Acknowledgment
We thank all the members in our laboratory for their helpful assistance and comments.
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Permanent Address: State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department II of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, No. 14, Section 3, Renminnan Road, Chengdu, Sichuan 610,041, China