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Headache ; 51(3): 392-402, 2011 Mar.
Article in English | MEDLINE | ID: mdl-21352213

ABSTRACT

OBJECTIVE: To determine if 5-HT(1D) receptors are located in the sphenopalatine ganglion. BACKGROUND: While the 5-HT(1D) receptor has been described in sensory and sympathetic ganglia in the head, it was not known whether they were also located in parasympathetic ganglia. METHODS: We used retrograde labeling combined with immunohistochemistry to examine 5-HT(1D) receptor immunoreactivity in rat sphenopalatine ganglion neurons that project to the lacrimal gland, nasal mucosa, cerebral vasculature, and trigeminal ganglion. RESULTS: We found 5-HT(1D) receptor immunoreactivity in nerve terminals around postganglionic cell bodies within the sphenopalatine ganglion. All 5-HT(1D) -immunoreactive terminals were also immunoreactive for calcitonin gene-related peptide but not vesicular acetylcholine transporter, suggesting that they were sensory and not preganglionic parasympathetic fibers. Our retrograde labeling studies showed that approximately 30% of sphenopalatine ganglion neurons innervating the lacrimal gland, 23% innervating the nasal mucosa, and 39% innervating the trigeminal ganglion were in apparent contact with 5-HT(1D) receptor containing nerve terminals. CONCLUSION: These data suggest that 5-HT(1D) receptors within primary afferent neurons that innervate the sphenopalatine ganglion are in a position to modulate the excitability of postganglionic parasympathetic neurons that innervate the lacrimal gland and nasal mucosa, as well as the trigeminal ganglion. This has implications for triptan (5-HT(1D) receptor agonist) actions on parasympathetic symptoms in cluster headache.


Subject(s)
Autonomic Nervous System/physiopathology , Cluster Headache/drug therapy , Ganglia, Parasympathetic/metabolism , Palate, Hard/innervation , Receptor, Serotonin, 5-HT1D/metabolism , Sphenoid Bone/innervation , Tryptamines/therapeutic use , Animals , Calcitonin Gene-Related Peptide/metabolism , Cluster Headache/physiopathology , Immunohistochemistry , Lacrimal Apparatus/innervation , Models, Animal , Nasal Mucosa/innervation , Rats , Rats, Sprague-Dawley , Receptor, Serotonin, 5-HT1D/drug effects , Receptor, Serotonin, 5-HT1D/immunology , Treatment Outcome , Tryptamines/pharmacology
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