Berthoud H R, Kressel M, Neuhuber W L
Anatomy Institute, University of Zürich, Switzerland.
Anat Embryol (Berl). 1992 Oct;186(5):431-42. doi: 10.1007/BF00185458.
In order to investigate the distribution and structure of the vagal liver innervation, abdominal vagal afferents and efferents were selectively labeled by injecting WGA-HRP or Dil into the nodose ganglia, and DiA into the dorsal motor nucleus, respectively. Vagal afferent fibers produced characteristic terminal-like structures at three locations in the liver hilus: 1. Fine varicose endings preferentially surrounding, but not entering, the numerous peribiliary glands in the larger intra and extrahepatic bile ducts 2. Large, cup-shaped terminals in almost all paraganglia 3. Fine varicose endings in the portal vein adventitia. No fibers and terminals were found in the hepatic parenchyma. While about two thirds of the vagal afferent fibers that originate in the left nodose ganglion, and are contained in the hepatic branch, bypass the liver hilus area on their way to the gastroduodenal artery, a significant number (approx. 10% of the total) of vagal afferents that do innervate the area, originates from the right nodose ganglion, and projects to the periarterial plexus of the common hepatic artery and liver pedicle most likely through the dorsal celiac branch. Varicose vagal efferent fibers were present within the fascicles of the vagal hepatic branch and fine terminal-like structures in a small fraction of the paraganglia. No efferents were found to terminate in the hepatic parenchyma or on the few neurons embedded in nerves or paraganglia. In contrast to the paucity of vagal terminals in the hepatic parenchyma, an abundance of vagal efferent and afferent fibers and terminals with distinctive distribution patterns and structural characteristics was present in esophagus and gastrointestinal tract.(ABSTRACT TRUNCATED AT 250 WORDS)
为了研究迷走神经肝脏支配的分布和结构,分别通过将WGA-HRP或Dil注入结状神经节以及将DiA注入背运动核,选择性地标记腹部迷走神经传入和传出神经。迷走神经传入纤维在肝门的三个位置产生特征性的终末样结构:1. 细小曲张终末优先围绕但不进入较大肝内和肝外胆管中的众多胆小管周围腺;2. 几乎所有副神经节中的大杯状终末;3. 门静脉外膜中的细小曲张终末。肝实质内未发现纤维和终末。虽然约三分之二起源于左结状神经节并包含在肝支中的迷走神经传入纤维在前往胃十二指肠动脉的途中绕过肝门区域,但大量(约占总数的10%)支配该区域的迷走神经传入纤维起源于右结状神经节,并最有可能通过腹腔背侧支投射到肝总动脉和肝蒂的动脉周围丛。曲张的迷走神经传出纤维存在于迷走神经肝支的束内,并且在一小部分副神经节中有细小终末样结构。未发现传出神经终止于肝实质或嵌入神经或副神经节中的少数神经元上。与肝实质中迷走神经终末的稀少情况相反,食管和胃肠道中存在大量具有独特分布模式和结构特征的迷走神经传出和传入纤维及终末。(摘要截短于250字)