Smith Terence K, Oliver Gavin R, Hennig Grant W, O'Shea Deirdre M, Vanden Berghe Pieter, Kang Sok Han, Spencer Nick J
Department of Physiology and Cell Biology, University of Nevada School of Medicine, Reno, NV 89557, USA.
J Physiol. 2003 Sep 15;551(Pt 3):955-69. doi: 10.1113/jphysiol.2003.049163. Epub 2003 Jul 7.
We have investigated the tone dependence of the intrinsic nervous activity generated by localized wall distension in isolated segments of guinea-pig distal colon using mechanical recordings and video imaging of wall movements. A segment of colon was threaded through two partitions, which divided the colon for pharmacological purposes into oral, stimulation and anal regions. An intraluminal balloon was located in the stimulation region between the two partitions (12 mm apart). Maintained colonic distension by an intraluminal balloon or an artificial faecal pellet held at a fixed location generated rhythmic (frequency 0.3 contractions min(-1); duration approximately 60 s) peristaltic waves of contraction. Video imaging of colonic wall movements or the selective application of pharmacological agents suggested that peristaltic waves originated just oral (< or = 4 mm) to the pellet and propagated both orally (approximately 11 mm s(-1)) and anally (approximately 1 mm s(-1)). Also, during a peristaltic wave the colon appears to passively shorten in front of a pellet, as a result of an active contraction of the longitudinal muscle oral to the pellet. Faecal pellet movement only occurred when a rhythmic peristaltic wave was generated. Rhythmic peristaltic waves were abolished in all regions by the smooth muscle relaxants isoproterenol (1 microM), nicardipine (1 microM) or papavarine (10 microM), and by the neural antagonists tetrodotoxin (TTX; 0.6 microM), hexamethonium (100 microM) or atropine (1 microM), when added selectively to the stimulation region. Nicardipine, atropine, TTX, or hexamethonium (100 microM) also blocked the evoked peristaltic waves when selectively added to the oral region. Nomega-nitro-L-arginine (L-NA; 100 microM) added to the anal region reduced the anal relaxation but increased the anal contraction, leading to an increase in the apparent conduction velocity of each peristaltic wave. In conclusion, maintained distension by a fixed artificial pellet generates propulsive, rhythmic peristaltic waves, whose enteric neural activity is critically dependent upon smooth muscle tone. These peristaltic waves usually originate just oral to the pellet, and their apparent conduction velocity is generated by activation of descending inhibitory nerve pathways.
我们使用机械记录和肠壁运动视频成像技术,研究了豚鼠远端结肠离体节段中局部肠壁扩张所产生的内在神经活动对张力的依赖性。一段结肠穿过两个隔板,这两个隔板为药理学研究目的将结肠分为口侧、刺激和肛侧区域。一个腔内球囊位于两个隔板之间的刺激区域(相距12毫米)。通过腔内球囊或固定在某一位置的人工粪便颗粒维持结肠扩张,可产生有节律的(频率0.3次收缩/分钟;持续时间约60秒)蠕动收缩波。结肠壁运动的视频成像或药理学试剂的选择性应用表明,蠕动波起源于粪便颗粒口侧(≤4毫米),并向口侧(约11毫米/秒)和肛侧(约1毫米/秒)传播。此外,在蠕动波期间,由于粪便颗粒口侧纵行肌的主动收缩,结肠似乎在粪便颗粒前方被动缩短。只有在产生有节律的蠕动波时,粪便颗粒才会移动。当选择性地添加到刺激区域时,平滑肌松弛剂异丙肾上腺素(1微摩尔)、尼卡地平(1微摩尔)或罂粟碱(10微摩尔)以及神经拮抗剂河豚毒素(TTX;0.6微摩尔)、六甲铵(100微摩尔)或阿托品(1微摩尔)可消除所有区域的节律性蠕动波。当选择性地添加到口侧区域时,尼卡地平、阿托品、TTX或六甲铵(100微摩尔)也会阻断诱发的蠕动波。添加到肛侧区域的N-硝基-L-精氨酸(L-NA;100微摩尔)可减少肛侧松弛,但增加肛侧收缩,导致每个蠕动波的表观传导速度增加。总之,由固定的人工粪便颗粒维持的扩张会产生推进性的、有节律的蠕动波,其肠内神经活动严重依赖于平滑肌张力。这些蠕动波通常起源于粪便颗粒的口侧,其表观传导速度是由下行抑制性神经通路的激活产生的。