Mitsui T, Kakizaki H, Matsuura S, Ameda K, Yoshioka M, Koyanagi T
Department of Urology, Hokkaido University Graduate School of Medicine, Sapporo 060-8638, Japan.
J Neurophysiol. 2001 Nov;86(5):2276-84. doi: 10.1152/jn.2001.86.5.2276.
To evaluate the role of bladder afferent fibers in the hypogastric nerves (HGN) in modulation of the micturition reflex induced by chemical bladder irritation, voiding behavior, continuous cystometry, and spinal c-fos expression following intravesical acetic acid instillation were investigated in rats with or without HGN transection. Voiding behavior and continuous cystometry were examined in unanesthetized conscious rats. Following chemical bladder irritation, a significant increase in urinary frequency associated with a marked decrease in the voided volume per micturition, was noted in control rats with the intact HGN, but not in HGN-transected rats. Continuous infusion of acetic acid in control rats elicited irritative bladder responses characterized by a marked decrease in the intercontraction interval and a marked increase in maximal vesical pressure, both of which were absent in capsaicin-desensitized rats. HGN transection prevented the decrease in the intercontraction interval but not an increase in maximal vesical pressure following chemical bladder irritation. Compared with saline infusion, acetic acid infusion caused a significant increase in c-fos expression at L(1) and L(6) of the spinal cord, and HGN transection significantly reduced c-fos expression in the dorsal horn of the spinal cord at L(1) but not at L(6). These results suggest that capsaicin-sensitive bladder afferent fibers in the HGN, which travel through the rostral lumbar spinal cord, have a role in urinary frequency caused by chemical bladder irritation.
为评估膀胱传入纤维在下腹下神经(HGN)中对化学性膀胱刺激诱导的排尿反射的调节作用,研究了切断或未切断HGN的大鼠在膀胱内注入醋酸后的排尿行为、连续膀胱测压以及脊髓c-fos表达。在未麻醉的清醒大鼠中检查排尿行为和连续膀胱测压。在化学性膀胱刺激后,完整HGN的对照大鼠出现排尿频率显著增加,每次排尿量显著减少,但HGN切断的大鼠未出现这种情况。对照大鼠连续注入醋酸引发刺激性膀胱反应,其特征为收缩间期显著缩短和最大膀胱压力显著升高,而辣椒素脱敏的大鼠则未出现这些情况。HGN切断可防止化学性膀胱刺激后收缩间期的缩短,但不能防止最大膀胱压力的升高。与注入生理盐水相比,注入醋酸可使脊髓L(1)和L(6)处的c-fos表达显著增加,HGN切断可显著降低脊髓L(1)背角而非L(6)处的c-fos表达。这些结果表明,HGN中对辣椒素敏感的膀胱传入纤维经腰髓头端传导,在化学性膀胱刺激引起的尿频中起作用。