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Original Research

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A Rat Model of Temporomandibular Joint Pain with Histopathologic Modifications

  • Steven B. Nicoll1,2
  • Christopher K. Hee1
  • Martin B1
  • Beth A. Winkelstein1,*,

1Department of Bioengineering University of Pennsylvania, Philadelphia, Pennsylvania

2Department of Biomedical Engineering, The City College of The City University of New York, New York, New York

DOI: 10.11607/jofph.24.3.10 Vol.24,Issue 3,September 2010 pp.298-304

Published: 30 September 2010

*Corresponding Author(s): Beth A. Winkelstein E-mail: XXX

Abstract

Aims: To develop a rat model of temporomandibular joint (TMJ) pain and to characterize in it the development and temporal response of behavioral hypersensitivity as well as to evaluate if and to what extent a loading protocol is associated with histological changes in the TMJ consistent with osteoarthritic pathology. Methods: A novel rat model of TMJ pain was developed using a noninvasive, mechanical loading protocol. Rats were exposed to steady mouth-opening for 7 days (2 N force, 1 hour/day), and mechanical hyperalgesia (increased pain response) was measured during the loading period and for 14 days thereafter. Histological modifications in the joint cartilage were also evaluated. Outcomes for the mouth-opening exposure were compared to age-matched controls. Thresholds for evoking responses were compared using a ranked ANOVA with repeated measures. Results: Increased mechanical hypersensitivity in the temporomandibular region developed during daily loading and persisted even after the termination of the loading protocol. Histologic characterization revealed thinning of the cartilaginous structures of the joint and irregular zonal cellular arrangements in the condylar cartilage of rats subjected to the daily loading protocol. Conclusion: The injury model presented here is the first to demonstrate mechanically-induced behavioral hypersensitivity accompanied by osteoarthritic pathology in the TMJ.

Keywords

collagen;condylar cartilage;glycosaminoglycans;osteoarthritis;pain

Cite and Share

Steven B. Nicoll,Christopher K. Hee,Martin B,Beth A. Winkelstein. A Rat Model of Temporomandibular Joint Pain with Histopathologic Modifications. Journal of Oral & Facial Pain and Headache. 2010. 24(3);298-304.

References

1. Stegenga B, de Bont LGM, Boering G. Osteoarthritis as the cause of craniofacial pain and dysfunction. J Oral Maxillofac Surg 1989;47:249–256.

2. Israel HA, Saed-Nejad F, Ratcliffe A. Early diagnosis of osteoarthritis of the temporomandibular joint: Correlation between arthroscopic diagnosis and keratin sulfate levels in the synovial fluid. J Oral Maxillofac Surg 1991;49: 210–217.

3. Stegenga B, de Bont LGM, Boering G, van Willigen JD. Tissue responses to degenerative changes in the temporomandibular joint: A review. J Oral Maxillofac Surg 1991: 49:1079–1088.

4. Kawai Y, Kubota E, Okabe E. Reactive oxygen species participation in experimentally induced arthritis of the temporomandibular joint in rats. J Dent Res 2000;79: 1489–1495.

5. Imada M, Tanimoto K, Ohno S, Sasaki A, Sugiyama H, Tanne K. Changes in urinary bone resorption markers (pyridinoline, deoxypyridinoline) resulting from experimentally-induced osteoarthritis in the temporomandibular joint of rats. Cranio 2003;21:38–45.

6. Ali AM, Sharawy MM. Histopathological changes in rabbit craniomandibular joint associated with experimentally induced anterior disk displacement (ADD). J Oral Pathol Med 1994;23:364 –374.

7. Ali AM, Sharawy MM. Changes in the innervation of rabbit craniomandibular joint tissues associated with experimental induction of anterior disk displacement: Histochemical and immunohistochemical studies. Cranio 1995;13:50–56.

8. Ishimaru J-I, Goss AN. A model for osteoarthritis of the temporomandibular joint. J Oral Maxillofac Surg 1992; 50:1191–1195.

9. Fujisawa T, Kuboki T, Kasai T, et al. A repetitive, steady mouth opening induced an osteoarthritis-like lesion in the rabbit temporomandibular joint. J Dent Res 2003;82: 731–735.

10. Tanaka E, Aoyama J, Miyauchi M, et al. Vascular endothelial growth factor plays an important autocrine/paracrine role in the progression of osteoarthritis. Histochem Cell Biol 2005;123:275–281.

11. Kawai N, Tanaka E, Langenbach GEJ, et al. Jaw-muscle activity changes after the induction of osteoarthrosis in the temporomandibular joint by mechanical loading. J Orofac Pain 2008;22:153–162.

12. Zimmermann M. Ethical guidelines for investigations of experimental pain in conscious animals. Pain 1983;16: 109–110.

13. Ren KE. An improved method for assessing mechanical allodynia in the rat. Physiol Behav 1999;67:711–716.

14. Shinoda M, Ozaki N, Asai H, Nagamine K, Sugiura Y. Changes in P2X3 receptor expression in the trigeminal ganglion following monoarthritis of the temporomandibu-lar joint in rats. Pain 2005;116:42–51.

15. Takeda M, Tanimoto T, Nasu M, Ikeda M, Kadoi J, Matsumoto S. Activation of NK1 receptor of trigeminal root ganglion via substance P paracrine mechanism contributes to the mechanical allodynia in the temporomandibular joint inflammation in rats. Pain 2005;116: 375–385.

16. Lin W, Shuster S, Maibach HI, Stern R. Patterns of hyaluronan staining are modified by fixation techniques. J Histochem Cytochem 1997;45:1157–1163.

17. Gruber HE, Ingram J, Hanley EN Jr. An improved staining method for intervertebral disc tissue. Biotech Histochem 2002;77:81–83.

18. Tominaga K, Alstergren P, Kurita H, Kopp S. Clinical course of an antigen-induced arthritis model in the rabbit temporomandibular joint. J Oral Pathol Med 1999;28: 268–273.

19. Cairns BE, Sim Y, Bereiter DA, Sessle BJ, Hu JW. Influence of sex on reflex jaw muscle activity evoked from the rat temporomandibular joint. Brain Res 2002;957: 338–344.

20. Ren K, Dubner R. Central nervous system plasticity and persistent pain. J Orofac Pain 1999;13:155–163.

21. Fiorentino PM, Cairns BE, Hu JW. Development of inflammation after application of mustard oil or glutamate to the rat temporomandibular joint. Arch Oral Biol 1999;44:27–32.

22. Imbe H, Iwata K, Zhou QQ, Zou S, Dubner R, Ren K. Orofacial deep and cutaneous tissue inflammation and trigeminal neuronal activation. Implications for persistent temporomandibular pain. Cells Tissues Organs 2001;169: 1244–1253.

23. Pelegrini-da-Silva A, Oliveira MC, Parada CA, Tambeli CH. Nerve growth factor acts with the beta-2 adrenoreceptor to induce spontaneous nociceptive behavior during temporomandibular joint inflammatory hyperalgesia. Life Sci 2008;83:780–785.

24. Ali AM, Sharawy M. Histochemical and immunohisto-chemical studies of the effects of experimental anterior disc displacement on sulfated glycosaminoglycans, hyaluronic acid, and link protein of the rabbit craniomandibular joint. J Oral Maxillofac Surg 1996;54: 992–1003.

25. Ali AM, Sharawy MM. An immunohistochemical study of collagen types III, VI and IX in rabbit craniomandibular joint tissues following surgical induction of anterior disk displacement. J Oral Pathol Med 1996;25:78–85.

26. Sharawy M, Ali AM, Choi WS. Experimental induction of anterior disk displacement of the rabbit craniomandibular joint: An immuno-electron microscopic study of collagen and proteoglycan occurrence in the condylar cartilage. J Oral Pathol Med 2003;32:176–184.

27. Malemud CJ. Changes in proteoglycans in osteoarthritis: Biochemistry, ultrastructure and biosynthetic processing. J Rheumatol Suppl 1991;27:60–62.

28. Lorenzo P, Bayliss MT, Heinegård D. Altered patterns and synthesis of extracellular matrix macromolecules in early osteoarthritis. Matrix Biol 2004;23:381–391.

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