Bielefeldt Klaus, Ozaki Noriyuki, Gebhart Gerald F
Department of Internal Medicine, University of Iowa, Iowa City, Iowa 52242, USA.
Gastroenterology. 2002 Mar;122(3):752-61. doi: 10.1053/gast.2002.31901.
BACKGROUND & AIMS: Visceral hypersensitivity can be found in more than one third of patients with dyspeptic symptoms. We hypothesized that peripheral sensitization plays an important role in the development of hypersensitivity.
We induced mild gastritis in Sprague-Dawley rats by adding 0.1% iodoacetamide to the drinking water. The stomach was injected with a retrograde label to identify gastric sensory neurons. Nodose and T9, T10 dorsal root ganglia were removed 7 days after initiation of iodoacetamide treatment. The cells were dissociated and cultured for 3-8 hours before recording whole cell currents using the patch-clamp technique.
Iodoacetamide induced a mild gastritis. Although there were no changes in voltage-sensitive inward and outward currents in nodose neurons, the inward currents increased significantly in T9, T10 spinal neurons. A more detailed analysis of sodium currents showed that this was caused by an increase in the tetrodotoxin-resistant sodium current.
Mild gastritis increases the tetrodotoxin-resistant current in gastric spinal sensory neurons. Considering the importance of sodium currents as determinants of neuron excitability, this change may contribute to peripheral sensitization and enhanced neuron excitability.
超过三分之一的消化不良症状患者存在内脏高敏感性。我们推测外周敏化在高敏感性的发展中起重要作用。
通过在饮用水中添加0.1%碘乙酰胺,在斯普拉格-道利大鼠中诱导轻度胃炎。向胃内注射逆行标记物以识别胃感觉神经元。在开始碘乙酰胺治疗7天后,取出结状神经节和T9、T10背根神经节。分离细胞并培养3 - 8小时,然后使用膜片钳技术记录全细胞电流。
碘乙酰胺诱导了轻度胃炎。虽然结状神经元中电压敏感性内向和外向电流没有变化,但T9、T10脊髓神经元中的内向电流显著增加。对钠电流的更详细分析表明,这是由河豚毒素抗性钠电流增加引起的。
轻度胃炎增加了胃脊髓感觉神经元中的河豚毒素抗性电流。考虑到钠电流作为神经元兴奋性决定因素的重要性,这种变化可能导致外周敏化和神经元兴奋性增强。