Tsuda K, Shin T, Masuko S
Department of Otolaryngology, Saga Medical School, Japan.
Otolaryngol Head Neck Surg. 1992 Jan;106(1):42-6. doi: 10.1177/019459989210600126.
To study the mechanism of autonomic regulation in the larynx, intralaryngeal local ganglia of the cat were investigated using immunohistochemical techniques. Small intralaryngeal ganglia were found in the peripheral portions of internal branches of the superior laryngeal nerve. Ninety-one percent of the ganglionic neurons were immunoreactive (IR) to vasoactive intestinal polypeptide (VIP), and 10% of the VIP-IR cells were also immunoreactive to enkephalin (ENK) and/or substance P (SP). The immunoreactivity of neuronal cell bodies remained unchanged even after denervation of the bilateral superior and recurrent laryngeal nerves. A dense distribution of calcitonin gene-related peptide (CGRP)-IR nerve fibers was found around almost all neuronal cells in the intralaryngeal ganglia. A few VIP-IR, ENK-IR, and SP-IR nerve fibers were also observed. Only the CGRP-IR fibers disappeared after the denervation experiments. In the laryngeal glands and mucosal arterioles, VIP-IR nerve terminals were found that were also immunoreactive to ENK and/or SP. However, these immunoreactive nerve endings in the glands and arterioles remained after the denervation experiments. The results of our study indicate that laryngeal exocrine secretion and blood flow are regulated by postganglionic autonomic parasympathetic fibers from intralaryngeal ganglia that contain VIP alone or VIP with ENK and/or SP, and that these ganglionic neurons may be innervated by CGRP-IR extrinsic nerve fibers.
为研究喉自主神经调节机制,采用免疫组织化学技术对猫喉内局部神经节进行了研究。在喉上神经内支的外周部分发现了小的喉内神经节。91%的神经节神经元对血管活性肠肽(VIP)呈免疫反应性(IR),10%的VIP-IR细胞对脑啡肽(ENK)和/或P物质(SP)也呈免疫反应性。即使双侧喉上神经和喉返神经去神经支配后,神经元胞体的免疫反应性仍保持不变。在喉内神经节几乎所有神经元细胞周围发现降钙素基因相关肽(CGRP)-IR神经纤维密集分布。还观察到一些VIP-IR、ENK-IR和SP-IR神经纤维。去神经支配实验后,只有CGRP-IR纤维消失。在喉腺和黏膜小动脉中,发现了对ENK和/或SP也呈免疫反应性的VIP-IR神经末梢。然而,去神经支配实验后,这些腺体内和小动脉中的免疫反应性神经末梢仍然存在。我们的研究结果表明,喉外分泌和血流受来自喉内神经节的节后自主副交感神经纤维调节,这些纤维单独含有VIP或含有VIP与ENK和/或SP,并且这些神经节神经元可能受CGRP-IR外在神经纤维支配。