Brehmer A, Göbel D, Frieser M, Graf M, Radespiel-Tröger M, Neuhuber W
Institut für Anatomie I, Universität Erlangen-Nürnberg, Erlangen, Germany.
Neurogastroenterol Motil. 2000 Apr;12(2):155-62. doi: 10.1046/j.1365-2982.2000.00190.x.
Muscular hypertrophy in the ileum of two pigs aged 6 weeks was induced using two different surgical techniques, narrowing of the gut circumference (mechanical stenosis) and segmental reversal of an ileal loop which results in a persistent antiperistalsis of that segment (functional stenosis). These pigs were sacrificed 5-6 weeks postoperatively. Cross sections through the gut wall at various distances from the operation sites revealed marked muscular hypertrophy in the pre-stenotic regions and in the reversed segment. Whole mounts from pre- and post-stenotic, as well as reversed ileal regions, were silver- impregnated. The corresponding ileal region of a third, nonoperated pig served as control. Using a computer-aided morphometric device, somal areas of five morphological neurone types were measured at various distances orally and anally from the operation sites and along the control ileum. Values between hypertrophic and nonhypertrophic zones as well as between two corresponding zones of nonoperated ileum were compared statistically. Along the control ileum, values revealed no differences in soma sizes. Within the experimentally altered material, somal areas of type VI neurones showed marked hypertrophy related to the sites of muscular hypertrophy whereas the other types remained constant throughout (II, IV in segmental reversal) or showed slightly larger somal areas within the post-stenotic, nonhypertrophied zones (I, V, IV in stenosis). Additionally, within the reversed segment, neuronal perikarya of type I, II, IV and V neurones were larger as compared to the neighbouring regions. However, this enlargement of perikarya within the reversed segment may not be correlated with muscular hypertrophy but rather with the transections of intramural axons before reversing this segment. The results suggest that morphologically distinct neurone types may play different roles within the mechanically stressed small intestine and possibly also in the coordination of normal muscular function.
采用两种不同的手术技术诱导6周龄的两头猪回肠出现肌肉肥大,即缩小肠周长(机械性狭窄)和回肠袢节段翻转,这会导致该节段持续出现逆蠕动(功能性狭窄)。这些猪在术后5至6周被处死。在距手术部位不同距离处对肠壁进行横断面检查,发现在狭窄前区域和翻转节段有明显的肌肉肥大。对狭窄前和狭窄后以及翻转回肠区域的整装标本进行银浸染。第三头未手术猪的相应回肠区域用作对照。使用计算机辅助形态测量装置,在距手术部位口侧和肛侧不同距离处以及对照回肠上测量五种形态学神经元类型的胞体面积。对肥大区和非肥大区之间以及未手术回肠的两个相应区域之间的值进行统计学比较。在对照回肠上,各值显示胞体大小无差异。在实验改变的材料中,VI型神经元的胞体面积在与肌肉肥大部位相关处显示出明显肥大,而其他类型在整个过程中保持不变(节段翻转中的II型、IV型),或在狭窄后非肥大区显示胞体面积略大(狭窄中的I型、V型、IV型)。此外,在翻转节段内,I型、II型、IV型和V型神经元的神经元胞体比相邻区域大。然而,翻转节段内胞体的这种增大可能与肌肉肥大无关,而与该节段翻转前壁内轴突的横断有关。结果表明,形态学上不同的神经元类型可能在机械应激的小肠中发挥不同作用,也可能在正常肌肉功能的协调中发挥作用。