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삼차신경입쪽핵에서 치수유래 들신경종말의 면역조직화학적 분석

Postembedding Immunocytochemical Analysis of Tooth Pulp Afferent Terminals in the Trigeminal Nucleus Oralis

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초록

삼차신경입쪽핵(trigeminal nucleus oralis)은 치수유래 들신경섬유로부터 통각정보를 전달받아 하악반사에 관여하는 것으로 알려져 있다. 하지만 치수에서 유래하는 통각정보가 삼차신경입쪽핵에서 전달되고처리되는데 관여하는 신경전달물질에 대해서는 잘 알려져 있지 않다. 이를 밝히기 위해 본 연구에서는 신경추적자(WGA-HRP)를 이용하여 삼차신경입쪽핵으로 투사하는 치수유래 들신경섬유의 종말을 표식한 후전자현미경적 면역조직화학기법을 시행하여 다음과 같은 결과를 얻었다. 삼차신경입쪽핵에서 치수유래 표식종말은 직경 45-55 ㎚의 둥근 모양의 소포를 함유하고 있었으며 일부에서 직경 90-120 ㎚의 큰 치밀소포(dense cored vesicles)가 관찰되었다. 표식종말은 대부분이 중간부분(middle dendrite) 혹은 먼쪽(distal dendrite) 가지돌기와 비대칭 연접을 이루었으며 세포체(soma)나 몸쪽가지돌기(proximal dendrite)와 연접하는 경우는 관찰되지 않았다. 표식종말은 여러 형태의 소포를 함유하는 종말(p-ending)과 대칭연접을 이루었는데 이들 종말내의 연접부위에서 소포들이 밀집되어 있는 것으로보아 이들로부터 연접신호를 전달받는 것으로 나타났다. 금입자면역조직화학기법에 의한 면역반응 결과 일차들신경종말 및 이와 연접하는 p-ending은 각각 글루탐산염 및 GABA에 양성반응을 나타내었다. 이상의 결과로 미루어보아 삼차신경입쪽핵에 투사하는 치수유래 신경섬유의 말단은 글루탐산염을 신경전달물질로 사용하며 이는 GABA를 신경전달물질로 사용하는 p-ending에 의하여 조절을 받는 것으로 생각된다.

Abstract

Trigeminal nucleus oralis (Vo) receiving nociceptive information from the dental pulp is involved in reflexive jaw movement. However, little information is available regarding the neurotransmitters which are involved in the transmission and processing of pulpal nociceptive information in the Vo. To address this issue, we labeled afferents of rat upper molar pulps using retrograde wheat germ agglutinin-conjugated horseradish peroxidase (WGA-HRP) tracing, performed postembedding immunocytochemistry with glutamate and GABA antisera, and ultrastructural analysis. The labeled pulpal afferent terminals in the Vo contained many spherical synaptic vesicles (45-55 nm in diameter). They frequently made asymmetrical synaptic contacts with the middle or distal parts of dendrites rather than the soma or proximal part of dendrites. They received synapse from pleomorphic vesicles containing presynaptic endings. Gold particles labeling the glutamate were densely distributed in the afferent terminals of the tooth pulp but were sparse in the presynaptic endings. On the other hand, gold particles labeling GABA were densely distributed in the presynaptic endings, but sparse in the afferent terminals of the tooth pulp. These findings indicate that tooth pulp afferent terminals use glutamate as a neurotransmitter in the Vo and they are controlled by presynaptic endings that use GABA as a neurotransmitter.

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