Most pulpal afferent neurons have cytochemical features in common with the class of nociceptors that express
neuropeptides and respond to
NGF, while very few bind the
plant lectin IB4, a widely used marker for the class of nociceptors that respond to the
GDNF family of
neurotrophic factors. The present study was undertaken to determine whether the
GDNF receptor, GFRalpha-1, is expressed by pulpal afferents, and, further, to determine whether
tooth injury evokes changes in expression of the
GDNF and
NGF receptors among pulpal afferents. The tracer,
fluoro-gold (FG), was applied to shallow cavities in dentin of first and second maxillary molars. After 4 weeks, the molars of one side received a test injury consisting of a deeper cavity that exposed pulp horns. Animals were perfusion fixed 2 days later, and sections of the trigeminal ganglia were double immunostained with combinations of
antibodies against GFRalpha-1, and TrkA. Under control conditions, GFRalpha-1 immunostaining was observed in 72% of neurons that projected to the molar pulp, TrkA in 78%, and immunostaining for both receptors was observed in 65% of pulpal afferents.
Tooth injury evoked up-regulation of GFRalpha-1 expression (to 93%) and a slight down-regulation of TrkA expression (67%) among tooth afferents, while there was no discernable change in the proportion of pulpal afferents that expressed both TrkA and GFRalpha-1 (to 61%).