Lindeström Lille-Mor, Ekblad Eva
Department of Physiology and Neuroscience, University of Lund, Sweden.
Auton Neurosci. 2002 May 31;97(2):73-82. doi: 10.1016/s1566-0702(02)00056-5.
Nerve fibres play an important role in the regulation of gastric emptying. The aims of this study were to clarify the distribution, projections and origin of neuronal type nitric oxide synthase (NOS)-, tyrosine hydroxylase (TH)-, vesicular acetylcholine transporter (VAchT)- and peptide-containing nerve fibres of the rat pyloric sphincter. Extrinsic and local denervations of the sphincter were performed in order to reveal the origin and projections of the various nerve fibre populations. Pylorus from control and denervated animals were processed for the immunocytochemical demonstration of cholecystokinin (CCK), enkephalin, gastrin-releasing peptide (GRP), somatostatin, calcitonin gene-related peptide (CGRP), neuropeptide Y (NPY), pituitary adenylate cyclase-activating peptide (PACAP), substance P (SP), vasoactive intestinal peptide (VIP), galanin, NOS, VAchT and TH. VAchT, TH, nNOS, and all of the peptides investigated were found in nerve fibres innervating the pyloric sphincter, and coexistence of several putative neurotransmitters were revealed. Extrinsic denervation caused a total loss of NPY/TH-, SP/CGRP- and SP/CGRP/VIP/NOS/PACAP-containing nerve fibres. Local denervation immediately proximal to the sphincter markedly reduced the numbers of VIP/NOS/galanin- and VIP/NOS/galanin/PACAP +/- NPY-containing fibres within the sphincter suggesting an origin of these fibres in myenteric ganglia in the antral region; denervation at the level of the oxyntic-pyloric border had no effect. Local denervation immediately distal to the sphincter caused a marked decrease in VAchT-, SP/enkephalin-, enkephalin-, somatostatin-, CCK- and GRP-containing fibres within the sphincter suggesting that these emanate from the duodenum. The latter procedure also reduced the number of SP/CGRP-containing fibres of extrinsic origin within the pyloric sphincter.
神经纤维在胃排空的调节中发挥着重要作用。本研究的目的是阐明大鼠幽门括约肌中神经元型一氧化氮合酶(NOS)、酪氨酸羟化酶(TH)、囊泡乙酰胆碱转运体(VAchT)和含肽神经纤维的分布、投射和起源。为了揭示各种神经纤维群体的起源和投射,对括约肌进行了外在和局部去神经支配。对来自对照和去神经支配动物的幽门进行处理,以免疫细胞化学方法显示胆囊收缩素(CCK)、脑啡肽、胃泌素释放肽(GRP)、生长抑素、降钙素基因相关肽(CGRP)、神经肽Y(NPY)、垂体腺苷酸环化酶激活肽(PACAP)、P物质(SP)、血管活性肠肽(VIP)、甘丙肽、NOS、VAchT和TH。在支配幽门括约肌的神经纤维中发现了VAchT、TH、nNOS以及所有研究的肽,并且揭示了几种假定神经递质的共存。外在去神经支配导致含NPY/TH、SP/CGRP和SP/CGRP/VIP/NOS/PACAP的神经纤维完全丧失。在括约肌紧邻处的局部去神经支配显著减少了括约肌内VIP/NOS/甘丙肽和VIP/NOS/甘丙肽/PACAP+/-NPY含纤维的数量,提示这些纤维起源于胃窦区域的肌间神经节;在胃底-幽门边界水平的去神经支配没有影响。在括约肌紧邻远端的局部去神经支配导致括约肌内VAchT、SP/脑啡肽、脑啡肽、生长抑素、CCK和GRP含纤维显著减少,提示这些纤维起源于十二指肠。后一种方法也减少了幽门括约肌内起源于外部的含SP/CGRP纤维的数量。