Sakakibara Ryuji, Nakazawa Ken, Uchiyama Tomoyuki, Yoshiyama Mitsuharu, Yamanishi Tomonori, Hattori Takamichi
Department of Neurology, Chiba University School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba 260-8670, Japan.
Auton Neurosci. 2002 Nov 29;102(1-2):30-8. doi: 10.1016/s1566-0702(02)00180-7.
Parkinson's disease patients are known to have not only motor but also urinary autonomic disorders, suggesting central dopaminergic pathways being involved in the micturition function. However, there is little evidence that the substantia nigra pars compacta (SNC) and the ventral tegmental area (VTA), the major dopamine-containing nuclei in the midbrain, should participate in regulating micturition. We investigated micturition-related electrophysiological properties in the SNC and VTA. In 20 male cats under ketamine anaesthesia, in which spontaneous isovolumetric micturition reflex was generated, we performed electrical stimulation and extracellular single-unit recording in the SNC and the VTA, and correlation analysis of the neuronal firings and antidromic stimulation between the SNC/VTA and the pontine storage centre (PSC). Electrical stimulations in the SNC elicited termination of the micturition reflex, whereas those in the VTA elicited both termination and facilitation of the reflex. Forty-nine neurons in the SNC/VTA showed firing in response to the bladder storage/micturition cycles. The major neurons were tonic storage (55%) and phasic storage neurons (22%), which were found diffusely in th e SNC/VTA. The rest were tonic micturition (16%) and phasic micturition neurons (6%), which were concentrated in the caudal part (A2-4 in the Horsley-Clarke coordinates). These neuronal types were further subclassified into augmenting, constant, binary and decrementing neurons according to their temporal discharge rate change. The decrementing neurons were concentrated in the caudal part (A2-4), whereas the augmenting neurons in the rostral part (A4-6). Some of the recorded neurons had preceding firing pattern, which was more frequently found in the tonic type than in the phasic-type neurons. Twenty-four of the neuronal firings in the SNC/VTA were recorded simultaneously with those in the PSC. However, there was no apparent time-correlation between both sets of neuronal firings. In 15 of the simultaneous recording sites, electrical stimulation was applied to one site to see if antidromic response might be evoked in another site. However, there was no orthodromic or antidromic response in either SNC/VTA or PSC. In conclusion, the present study indicates that neurons in the SNC and the VTA are involved in supra-pontine control of micturition, particularly of urinary storage phase. It is also likely that the major role of the SNC is inhibition of the micturiton reflex, whereas that of the VTA is both facilitation and inhibition of the micturition reflex.
已知帕金森病患者不仅存在运动障碍,还存在泌尿自主神经功能障碍,这表明中枢多巴胺能通路参与排尿功能。然而,几乎没有证据表明中脑主要含多巴胺的黑质致密部(SNC)和腹侧被盖区(VTA)参与调节排尿。我们研究了SNC和VTA中与排尿相关的电生理特性。在20只接受氯胺酮麻醉的雄性猫中,这些猫能产生自发性等容排尿反射,我们在SNC和VTA中进行电刺激和细胞外单单位记录,并对SNC/VTA与脑桥储存中枢(PSC)之间的神经元放电和逆向刺激进行相关性分析。SNC中的电刺激引发排尿反射终止,而VTA中的电刺激则引发反射的终止和促进。SNC/VTA中的49个神经元表现出对膀胱储存/排尿周期的放电反应。主要的神经元是紧张性储存神经元(55%)和相位性储存神经元(22%),它们在SNC/VTA中广泛分布。其余的是紧张性排尿神经元(16%)和相位性排尿神经元(6%),它们集中在尾部(霍斯利-克拉克坐标中的A2-4)。根据它们的时间放电率变化,这些神经元类型进一步细分为增强型、恒定型、二元型和递减型神经元。递减型神经元集中在尾部(A2-4),而增强型神经元在头部(A4-6)。一些记录的神经元有前置放电模式,在紧张性类型神经元中比在相位性类型神经元中更常见。SNC/VTA中的神经元放电有24次与PSC中的同时记录。然而,两组神经元放电之间没有明显的时间相关性。在15个同步记录部位,对一个部位施加电刺激,以观察另一个部位是否会诱发逆向反应。然而,在SNC/VTA或PSC中均未出现顺向或逆向反应。总之,本研究表明SNC和VTA中的神经元参与排尿的脑桥以上控制,特别是在膀胱储存期。SNC的主要作用可能是抑制排尿反射,而VTA的作用是促进和抑制排尿反射。