Wank M, Neuhuber W L
Anatomisches Institut I, Universität Erlangen-Nürnberg, 91054 Erlangen, Germany.
J Comp Neurol. 2001 Jun 18;435(1):41-59. doi: 10.1002/cne.1192.
The objective of the present study was to characterize further the vagal afferent fibers in the rat esophagus, particularly those in its uppermost part, their cell bodies in vagal sensory ganglia, and their central projections. We applied immunohistochemistry for calretinin, calbindin, and calcitonin gene-related peptide (CGRP); retrograde tracing with FluoroGold; and transganglionic tracing with wheat germ agglutinin-horseradish peroxidase in combination with neurectomies. Vagal terminal structures in the muscularis propria of the whole esophagus consisted of calretinin-immunoreactive intraganglionic laminar endings that were linked to cervical vagal and recurrent laryngeal nerve pathways. The mucosa of the uppermost esophagus was innervated by a very dense net of longitudinally arranged, calretinin-positive fibers that were depleted by section of the superior laryngeal nerve. Distal to this area, the mucosa was virtually devoid of calretinin-immunoreactive vagal afferents. Calretinin-positive mucosal fibers in the upper cervical esophagus were classified into four types. One type, the finger-like endings, was sometimes immunoreactive also for CGRP. About one-third of cell bodies in vagal sensory ganglia retrogradely labeled from the upper cervical esophagus expressed CGRP, whereas two-thirds coexpressed calretinin and calbindin but not CGRP. In addition to the central subnucleus of the nucleus of the solitary tract, vagal afferents from the upper cervical esophagus also projected heavily to the interstitial subnucleus. This additional projection was attributed to mucosal afferents traveling through the superior laryngeal nerve. The present study provides a possible morphological basis for bronchopulmonary and aversive reflexes elicited upon stimulation of the esophagus.
本研究的目的是进一步描述大鼠食管中的迷走传入纤维,特别是食管最上部的迷走传入纤维、它们在迷走神经感觉神经节中的细胞体以及它们的中枢投射。我们应用了钙视网膜蛋白、钙结合蛋白和降钙素基因相关肽(CGRP)的免疫组织化学方法;用荧光金进行逆行追踪;以及用小麦胚芽凝集素-辣根过氧化物酶结合神经切除术进行跨神经节追踪。整个食管肌层中的迷走终末结构由与颈迷走神经和喉返神经通路相连的钙视网膜蛋白免疫反应性神经节内层状终末组成。食管最上部的黏膜由非常密集的纵向排列的钙视网膜蛋白阳性纤维网支配,这些纤维在喉上神经切断后减少。在该区域远端,黏膜几乎没有钙视网膜蛋白免疫反应性迷走传入纤维。颈段食管上部的钙视网膜蛋白阳性黏膜纤维分为四种类型。其中一种类型,即指状终末,有时对CGRP也有免疫反应。从颈段食管上部逆行标记的迷走神经感觉神经节中约三分之一的细胞体表达CGRP,而三分之二的细胞体共表达钙视网膜蛋白和钙结合蛋白但不表达CGRP。除了孤束核的中央亚核外,颈段食管上部的迷走传入纤维还大量投射到间质亚核。这种额外的投射归因于通过喉上神经传导的黏膜传入纤维。本研究为刺激食管引发的支气管肺反射和厌恶反射提供了可能的形态学基础。