Effects of NGF-induced muscle sensitization on proprioception and nociception
- PMID: 18478213
- DOI: 10.1007/s00221-008-1399-4
Effects of NGF-induced muscle sensitization on proprioception and nociception
Abstract
Temporomandibular disorders (TMDs) are associated with perturbation of proprioceptive and nociceptive function. Recent studies have shown that injection of the neurotrophic protein nerve growth factor (NGF) into the masseter muscle causes sensitization to mechanical pressure stimuli; however, it is not clear if vibration sense and jaw stretch reflexes as measures of proprioceptive function as well as glutamate-evoked pain are also altered. We tested the hypothesis that NGF-induced mechanical sensitization would be associated with changes in vibration sense and stretch reflex sensitivity as well as facilitation of glutamate-evoked pain responses. A double-blind, randomized and placebo-controlled study was conducted on 14 healthy men. In one session subjects received an injection of NGF (5 microg in 0.2 ml) into the masseter muscle and in a control session an injection of buffered isotonic saline (0.9%, 0.2 ml). Subjects assessed their pain intensity on a 0-10 cm visual analogue scale (VAS) for 15 min after the injections. Pressure pain thresholds (PPT), vibration sense and jaw stretch reflexes were recorded at baseline and 1, 2, 3 and 24 h post-injection. The sensitivity to injections of glutamate into the masseter muscle (1 M, 0.2 ml) was assessed after 24 h. ANOVAs were used to assess significant differences. NGF did not cause more pain than isotonic saline, but significantly reduced PPTs 1, 2, 3 and 24 h post-injection (P < 0.001) whereas isotonic saline had no effects on PPTs (P = 0.583). The injection of glutamate after 24 h was associated with reduced PPTs in both sessions, but the PPTs remained lower in the NGF pretreated masseter than in the control masseter (P < 0.001). Ratings of vibratory stimuli and the normalized amplitude of the jaw stretch reflex were not affected by the NGF-induced sensitization; however, after glutamate injection a significant increase in the stretch reflex was observed in the injected masseter muscle in both sessions (P = 0.002). There were no significant differences in the perceived pain intensity of the glutamate injection between the masseter muscle pretreated with NGF or control (P > 0.414), although the glutamate-evoked pain drawing areas were larger for the NGF-pretreated masseter muscle (P = 0.009). In conclusion, this study confirms that masseter muscle injection of NGF is associated with a distinct and prolonged sensitization to mechanical stimuli, but without an effect on large-diameter mechanoreceptive and the muscle spindle afferents. Additional challenge of the NGF pretreated muscle with glutamate did not indicate a conspicuous sensitization to noxious chemical stimuli. These findings are discussed in terms of the concept of "proprioceptive allodynia".
Similar articles
-
Injection of nerve growth factor into human masseter muscle evokes long-lasting mechanical allodynia and hyperalgesia.Pain. 2003 Jul;104(1-2):241-7. doi: 10.1016/s0304-3959(03)00012-5. Pain. 2003. PMID: 12855334 Clinical Trial.
-
Nerve growth factor-evoked masseter muscle sensitization and perturbation of jaw motor function in healthy women.J Orofac Pain. 2008 Fall;22(4):340-8. J Orofac Pain. 2008. PMID: 19090407 Clinical Trial.
-
Glutamate-induced sensitization of rat masseter muscle fibers.Neuroscience. 2002;109(2):389-99. doi: 10.1016/s0306-4522(01)00489-4. Neuroscience. 2002. PMID: 11801373
-
Assessing signs of central sensitization: A critical review of physiological measures in experimentally induced secondary hyperalgesia.Eur J Pain. 2025 Mar;29(3):e4733. doi: 10.1002/ejp.4733. Epub 2024 Sep 24. Eur J Pain. 2025. PMID: 39315535 Free PMC article. Review.
-
The Neurophysiological Impact of Experimentally-Induced Pain on Direct Muscle Spindle Afferent Response: A Scoping Review.Front Cell Neurosci. 2021 Feb 19;15:649529. doi: 10.3389/fncel.2021.649529. eCollection 2021. Front Cell Neurosci. 2021. PMID: 33679333 Free PMC article.
Cited by
-
Pro-neurotrophins, sortilin, and nociception.Eur J Neurosci. 2014 Feb;39(3):363-74. doi: 10.1111/ejn.12466. Eur J Neurosci. 2014. PMID: 24494677 Free PMC article. Review.
-
Local anaesthesia decreases nerve growth factor induced masseter hyperalgesia.Sci Rep. 2020 Sep 22;10(1):15458. doi: 10.1038/s41598-020-71620-8. Sci Rep. 2020. PMID: 32963266 Free PMC article. Clinical Trial.
-
Functional Change in Experimental Allodynia After Glutamate-Induced Pain in the Human Masseter Muscle.Front Oral Health. 2020 Nov 23;1:609082. doi: 10.3389/froh.2020.609082. eCollection 2020. Front Oral Health. 2020. PMID: 35047987 Free PMC article.
-
Intramuscular injection of nerve growth factor as a model of temporomandibular disorder: nature, time-course, and sex differences characterising the pain experience.Neurobiol Pain. 2023 Jan 13;13:100117. doi: 10.1016/j.ynpai.2023.100117. eCollection 2023 Jan-Jul. Neurobiol Pain. 2023. PMID: 36687467 Free PMC article.
-
Sex-related differences in response to masseteric injections of glutamate and nerve growth factor in healthy human participants.Sci Rep. 2021 Jul 6;11(1):13873. doi: 10.1038/s41598-021-93171-2. Sci Rep. 2021. PMID: 34230516 Free PMC article.
References
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Medical