Dong H, Loomis C W, Bieger D
Division of Basic Medical Sciences, Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Gastroenterology. 2000 Feb;118(2):328-36. doi: 10.1016/s0016-5085(00)70215-0.
BACKGROUND & AIMS: This study aimed to show the presence of deglutitive and distal inhibition in the rat esophagus and to differentiate the underlying neural mechanisms.
Under urethane anesthesia, the pharyngoesophageal tract was fitted with water-filled balloons for luminal distention and pressure recording. Neural activity was recorded in the nucleus tractus solitarii subnucleus centralis and rostral nucleus ambiguous.
Distal esophageal distention evoked both rhythmic local contractions and burst discharges of ambiguous neurons that were simultaneously inhibited by a swallow or proximal esophageal distention. In subnucleus centralis interneurons, type I rhythmic burst discharges correlated with distal esophageal pressure waves and were suppressed by midthoracic esophageal distention; type II non-rhythmic excitatory responses, like type III inhibitory responses, were evoked by distention of either the thoracic or distal esophagus. When applied to the surface of the solitarius complex, bicuculline and, less effectively, strychnine suppressed distal inhibition, and 2-(OH)-saclofen and 3-aminopropylphosphonic acid were ineffective. None of the drugs tested, including systemic picrotoxin, affected deglutitive inhibition.
Distal and deglutitive inhibition are present in the rat esophagus. The former, unlike the latter, depends on activation of ligand-gated chloride channels associated with subnucleus centralis premotor neurons. Inhibitory aminoacidergic local interneurons are a probable source of type II responses.
本研究旨在证实大鼠食管中存在吞咽抑制和远端抑制,并区分其潜在的神经机制。
在氨基甲酸乙酯麻醉下,将咽食管段安装充满水的球囊以进行管腔扩张和压力记录。在孤束核中央亚核和吻侧疑核记录神经活动。
食管远端扩张诱发有节律的局部收缩和疑核神经元的爆发性放电,这些放电会被吞咽或食管近端扩张同时抑制。在中央亚核中间神经元中,I型节律性爆发放电与食管远端压力波相关,并被胸段食管中部扩张所抑制;II型非节律性兴奋反应,与III型抑制反应一样,由胸段或远端食管扩张诱发。当应用于孤束复合体表面时,荷包牡丹碱以及效果稍差的士的宁可抑制远端抑制,而2-(OH)-荷包牡丹碱和3-氨基丙基膦酸则无效。所测试的药物,包括全身应用印防己毒素,均未影响吞咽抑制。
大鼠食管中存在远端抑制和吞咽抑制。与后者不同,前者依赖于与中央亚核运动前神经元相关的配体门控氯通道的激活。抑制性氨基酸能局部中间神经元可能是II型反应的来源。