RT Journal Article SR Electronic T1 Astroglia in Medullary Dorsal Horn (Trigeminal Spinal Subnucleus Caudalis) Are Involved in Trigeminal Neuropathic Pain Mechanisms JF The Journal of Neuroscience JO J. Neurosci. FD Society for Neuroscience SP 11161 OP 11171 DO 10.1523/JNEUROSCI.3365-09.2009 VO 29 IS 36 A1 Akiko Okada-Ogawa A1 Ikuko Suzuki A1 Barry J. Sessle A1 Chen-Yu Chiang A1 Michael W. Salter A1 Jonathan O. Dostrovsky A1 Yoshiyuki Tsuboi A1 Masahiro Kondo A1 Junichi Kitagawa A1 Azusa Kobayashi A1 Noboru Noma A1 Yoshiki Imamura A1 Koichi Iwata YR 2009 UL http://www.jneurosci.org/content/29/36/11161.abstract AB The aim of this study was to investigate whether astroglia in the medullary dorsal horn (trigeminal spinal subnucleus caudalis; Vc) may be involved in orofacial neuropathic pain following trigeminal nerve injury. The effects of intrathecal administration of the astroglial aconitase inhibitor sodium fluoroacetate (FA) were tested on Vc astroglial hyperactivity [as revealed by glial fibrillary acid protein (GFAP) labeling], nocifensive behavior, Vc extracellular signal-regulated kinase phosphorylation (pERK), and Vc neuronal activity in inferior alveolar nerve-transected (IANX) rats. Compared with sham-control rats, a significant increase occurred in GFAP-positive cells in ipsilateral Vc at postoperative day 7 in IANX rats, which was prevented following FA administration. FA significantly increased the reduced head withdrawal latency to high-intensity heat stimulation of the maxillary whisker pad skin in IANX rats, although it did not significantly affect the reduced escape threshold to low-intensity mechanical stimulation of the whisker skin in IANX rats. FA also significantly reduced the increased number of pERK-like immunoreactive cells in Vc and the enhanced Vc nociceptive neuronal responses following high-intensity skin stimulation that were documented in IANX rats, and glutamine administration restored the enhanced responses. These various findings provide the first documentation that astroglia is involved in the enhanced nociceptive responses of functionally identified Vc nociceptive neurons and in the associated orofacial hyperalgesia following trigeminal nerve injury.