Oxytocin receptor: Expression in the trigeminal nociceptive system and potential role in the treatment of headache disorders

Author:

Tzabazis Alexander1,Mechanic Jordan2,Miller James2,Klukinov Michael1,Pascual Conrado2,Manering Neil1,Carson Dean S23,Jacobs Allon2,Qiao Yanli1,Cuellar Jason1,Frey William H4,Jacobs Daniel25,Angst Martin12,Yeomans David C12

Affiliation:

1. Department of Anesthesiology, Perioperative and Pain Medicine, School of Medicine, Stanford University, Stanford, CA, USA

2. Trigemina, Inc., Moraga, CA, USA

3. Department of Psychiatry, School of Medicine, Stanford University, Stanford, CA, USA

4. HealthPartners Center for Memory and Aging, Regions Hospital, St. Paul, MN, USA

5. Department of Plastic Surgery, Kaiser Permanente Medical Center, San Jose, CA, USA

Abstract

Aims Our studies investigated the location of oxytocin receptors in the peripheral trigeminal sensory system and determined their role in trigeminal pain. Methods Oxytocin receptor expression and co-localization with calcitonin gene-related peptide was investigated in rat trigeminal ganglion using immunohistochemistry. Enzyme-linked immunosorbent assay was used to determine the effects of facial electrocutaneous stimulation and adjuvant-induced inflammation of the temporomandibular joint on oxytocin receptor expression in the trigeminal ganglion. Finally, the effects of oxytocin on capsaicin-induced calcitonin gene-related peptide release from dural nociceptors were investigated using isolated rat dura mater. Results Oxytocin receptor immunoreactivity was present in rat trigeminal neurons. The vast majority of oxytocin receptor immunoreactive neurons co-expressed calcitonin gene-related peptide. Both electrocutaneous stimulation and adjuvant-induced inflammation led to a rapid upregulation of oxytocin receptor protein expression in trigeminal ganglion neurons. Oxytocin significantly and dose-dependently decreased capsaicin-induced calcitonin gene-related peptide release from dural nociceptors. Conclusion Oxytocin receptor expression in calcitonin gene-related peptide containing trigeminal ganglion neurons, and the blockade of calcitonin gene-related peptide release from trigeminal dural afferents suggests that activation of these receptors may provide therapeutic benefit in patients with migraine and other primary headache disorders.

Publisher

SAGE Publications

Subject

Clinical Neurology,General Medicine

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