The density and distribution of nerve fibres immunoreactive to
antisera
for PGP 9.5 (general neuronal
marker), calcitonin gene related peptide (CGRP) and substance P (SP) (markers
for sensory neurons), as
well as neuropeptide Y (NPY), vasoactive intestinal peptide (VIP) and tyrosine
hydroxylase (TH) (markers
for autonomic fibres), were examined in the temporomandibular joint (TMJ)
of
late gestation fetal sheep.
This work formed part of a project investigating the influence of age and
osteoarthritis on the innervation of
the TMJ, and was undertaken to determine whether the innervation of the
joint
at 140 d gestation (17 d
before birth) differed from that in the mature adult. Immunofluorescence
microscopy was applied to serial
sections of the capsule, disc and synovial membrane of 10 joints from 5
fetuses and image analysis was used
for the quantitative assessment. The capsule, synovial membrane and the
disc contained fibres
immunoreactive (IR) to antisera for PGP 9.5, SP and CGRP. NPY-IR fibres
were
only visible in the loose
connective tissue of the capsule. No VIP- or TH-IR nerve fibres were
detected in the fetal TMJ. There was
no statistically detectable difference between the density of nerve fibres
immunoreactive to CGRP or PGP
9.5 antisera in the capsule or disc. Substance P-immunoreactivity (IR)
was
relatively weak in all samples
examined. Scattered branches of CGRP-IR fibres were found deep in the
disc proper. The lack of receptor
endings, other than free nerve endings in the TMJ of the late fetal sheep,
might
be a reflection of the
functional and anatomical immaturity of the TMJ, as reflected in the
immature, gross and microscopic
appearance of the disc, the inferior joint compartment and articular surface
of the condyle at this stage.
These results demonstrate that the capsule, synovial membrane and disc
in the
TMJ of fetal sheep at 140 d
gestation age are innervated with sensory fibres, while autonomic fibres
are
located in the capsule only. The
findings also support the view that the disc is innervated at an early
stage of
life but at a later stage the
density of innervation in the central part of the disc regresses and the
innervation remains only peripherally
in the adult TMJ disc. Further work is required to determine (1) at what
stage sympathetic fibres innervate
the disc and the synovium, and (2) when the mechanoreceptive nerve endings
develop.