The cornea is the anterior-most structure of the vertebrate eye, and as such it is exposed to environmental insults including noxious chemical agents and physical trauma. To respond to and protect against the damage that these insults produce, the cornea is very densely innervated by sensory nerves from the ophthalmic division of the trigeminal ganglion (OTG).
1 This dense corneal innervation is patterned during embryonic development by molecular cues such as Sema3A and Slit2.
2,3 Studies of sensory nerves in other tissues, such as skin, have shown that target tissue-derived factors can also instruct the maturation of sensory neurons into particular subtypes that respond to different stimuli.
4 However, little is known regarding the molecules produced by the cornea that influence the specification of sensory neurons and the mechanisms through which they act.
The sensory nerve fibers within the cornea are unmyelinated Aδ and C fibers that terminate as free nerve endings in the corneal epithelium.
5 These nerve fibers are heterogeneous, with subpopulations responding to mechanical forces, corneal surface cooling, or irritant chemicals.
6 The ability of these nerve fibers to transduce stimuli is critical in modulating the blink reflex, the production of tears, and avoidance behaviors that protect the cornea and maintain proper vision.
6 The nociceptive neurons that innervate the cornea are placode and neural crest derived.
7,8 During embryonic development, nociceptive neurons are initially positive for the TrkA receptor and are dependent on nerve growth factor (NGF), which binds to TrkA, for their survival.
9 As these neurons differentiate and innervate their target tissues, they produce a variety of molecules to detect noxious stimuli, such as transient receptor potential (TRP) channels (discussed below). From the initial TrkA-positive population, two subsets of nociceptive neurons are generated, the peptidergic and nonpeptidergic neuronal lineages.
4 The peptidergic neurons maintain TrkA expression and produce neuropeptides, such as calcitonin gene-related peptide (CGRP) and substance P.
4 The nonpeptidergic neurons, which do not produce neuropeptides, will decrease TrkA production and instead begin to express the Ret tyrosine kinase receptor, which is activated by ligands from the glial cell line–derived family (GDNF) of neurotrophic factors.
10,11
The cornea produces numerous factors that can regulate the growth and differentiation of nerves, including NGF, brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT3), and neurotrophin-4/5 (NT4/5).
1 These factors have been shown to control a wide range of processes, including neuronal survival, axon growth, neuronal differentiation, and gene regulation,
12 but their effects on nerve subtype specification in the cornea are unclear.
The OTG neurons innervating the cornea express a wide range of molecules such as purinergic receptors, acid sensing ion channels (ASICs), and the TRP channels mentioned above,
13 that are thought to be involved in detecting damaging noxious stimuli.
1 The TRP channel family consists of 28 members in humans, one of which is TRPA1.
14 TRPA1 is a nonselective cation channel that is present on nociceptive neurons, including trigeminal ganglion (TG) neurons.
15,16 This channel can be activated by cold temperatures (<0°C)
15 and a wide range of damaging compounds, many of which act as lachrymal agents, such as formalin, allyl isothiocyanate,
17–19 and the components of tear gas.
20 In mouse models, injections of molecules that activate TRPA1 induce a range of pain-associated behaviors that TRPA1 knockout animals lack.
18,19
Given the importance of TRPA1 in detecting noxious stimuli, we examined whether corneal-derived signals are involved in regulating its production in the OTG. We observed that as corneal innervation proceeds, TRPA1 mRNA levels increase in the OTG in vivo. Also, in an in vitro cornea–OTG coculture system, the cornea can increase TRPA1 production in the OTG. Furthermore, we determined that multiple factors can increase TRPA1 levels in the OTG, and that corneal-derived NT3 may be one of the factors responsible for this. However, other factors produced by the cornea, like NGF, for example, are also capable of regulating TRPA1. Lastly, we observed a synergistic increase of TRPA1 in the OTG when NT3 was combined with a ligand (neurturin) that activates the Ret tyrosine kinase receptor
21—suggesting that NT3 is regulating TRPA1 in a specific subpopulation of nociceptive neurons that have a functional Ret receptor. Taken together, these observations show that NT3 produced by the cornea is involved in regulating the synthesis of TRPA1 in nonpeptidergic OTG neurons.