Effect of regional crosstalk between sympathetic nerves and sensory nerves on temporomandibular joint osteoarthritic pain
2025

How Nerves Affect Pain in Jaw Arthritis

Sample size: 60 publication 10 minutes Evidence: high

Author Information

Author(s): Ma Zhangyu, Wan Qianqian, Qin Wenpin, Qin Wen, Yan Janfei, Zhu Yina, Wang Yuzhu, Ma Yuxuan, Wan Meichen, Han Xiaoxiao, Zhao Haoyan, Hou Yuxuan, Tay Franklin R.

Primary Institution: The Fourth Military Medical University, Xi’an, China

Hypothesis

Sympathetic nerves play a regulatory role in TMJ-OA related pain.

Conclusion

The study found that sympathetic nerves increase pain in temporomandibular joint osteoarthritis by promoting sensory nerve growth and activation.

Supporting Evidence

  • Sympathetic nerve density increased in the subchondral bone of TMJ-OA mice.
  • Blocking sympathetic signals reduced pain sensitivity in the mice.
  • Norepinephrine release from sympathetic nerves promotes sensory nerve growth.
  • Behavioral tests showed that sympathetic nerve activation worsened pain-related behaviors.
  • Histological analyses confirmed osteoarthritic features in the UAC group.

Takeaway

This study shows that nerves in the jaw can make arthritis pain worse by helping other pain-sensing nerves grow and become more active.

Methodology

The study used a mouse model of TMJ-OA induced by a unilateral anterior crossbite and assessed pain through behavioral tests and histological analyses.

Limitations

The study does not exclude the impact of factors other than sympathetic nerves on pain.

Participant Demographics

Sixty 8-week-old female C57BL/6J mice were used in the study.

Statistical Information

P-Value

p<0.01

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.1038/s41368-024-00336-6

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