Meedeniya A C, Al-Jiffry B O, Konomi H, Schloithe A C, Toouli J, Saccone G T
Department of General and Digestive Surgery, Centre for Digestive Health and Centre for Neuroscience, Flinders University of South Australia, Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia.
Gut. 2001 Nov;49(5):692-8. doi: 10.1136/gut.49.5.692.
Gall bladder functions are modulated by neurones intrinsic to the organ. Data are available on the neurochemical composition of intrinsic and extrinsic nerves innervating the gall bladder but are lacking on specific functional classes of gall bladder neurones.
To characterise the intrinsic motor neurones of the gall bladder and identify their roles using pharmacological techniques.
Retrograde tracing from the possum gall bladder muscle in vitro allowed identification of intrinsic motor neurones. Subsequently, their content of choline acetyltransferase and nitric oxide synthase, markers of acetylcholine and nitric oxide containing neurones, was established using immunohistochemical techniques. Organ bath pharmacology was used to evaluate neurotransmission by acetylcholine and nitric oxide in gall bladder muscle strips.
Innervation of the gall bladder musculature by neurones of both the muscular and serosal plexuses was demonstrated. A large proportion (62%) of these motor neurones were immunoreactive for nitric oxide synthase. All gall bladder neurones showed immunoreactivity for choline acetyltransferase. Organ bath pharmacology confirmed the neuroanatomical data, showing acetylcholine and nitric oxide mediating neurotransmission to the gall bladder musculature.
Neurones containing acetylcholine and nitric oxide, located within the muscular and serosal plexuses, provide excitatory and inhibitory motor innervation of the gall bladder, respectively. The large inhibitory innervation suggests active relaxation of the gall bladder during filling, mediated by intrinsic nerves.
胆囊功能受胆囊内固有神经元调节。关于支配胆囊的固有神经和外在神经的神经化学组成已有相关数据,但缺乏关于胆囊神经元特定功能类别的数据。
表征胆囊的固有运动神经元,并使用药理学技术确定其作用。
通过体外负鼠胆囊肌肉逆行追踪来识别固有运动神经元。随后,使用免疫组织化学技术确定其胆碱乙酰转移酶和一氧化氮合酶的含量,这两种物质分别是含乙酰胆碱和一氧化氮神经元的标志物。利用器官浴药理学方法评估乙酰胆碱和一氧化氮在胆囊肌条中的神经传递。
证实了肌肉丛和浆膜丛神经元对胆囊肌肉组织的支配。这些运动神经元中很大一部分(62%)对一氧化氮合酶呈免疫反应性。所有胆囊神经元对胆碱乙酰转移酶均呈免疫反应性。器官浴药理学证实了神经解剖学数据,表明乙酰胆碱和一氧化氮介导了向胆囊肌肉组织的神经传递。
位于肌肉丛和浆膜丛内的含乙酰胆碱和一氧化氮的神经元分别为胆囊提供兴奋性和抑制性运动神经支配。大量的抑制性神经支配表明在充盈过程中胆囊的主动舒张由固有神经介导。