Gwynne Rachel M, Thomas E A, Goh S M, Sjövall H, Bornstein J C
Department of Physiology, University of Melbourne, Parkville, Victoria 3010, Australia.
J Physiol. 2004 Apr 15;556(Pt 2):557-69. doi: 10.1113/jphysiol.2003.057182. Epub 2004 Jan 30.
Small intestinal movements depend on the composition of the chyme with mixing predominating at high nutrient levels and propulsion being prevalent at low nutrient levels. The mechanisms coupling nutrients to motility are unknown. We used computer analysis of video recordings of isolated guinea-pig duodenum, jejunum and ileum to examine movements induced by a fatty acid, decanoic acid. Increasing intraluminal pressure past a threshold using control saline consistently evoked propulsive reflexes: lumen-occluding constrictions appeared at the oral end propagating at 20.4 +/- 2.4 mm s(-1) (mean +/-s.d., jejunum) to the anal end before being repeated until the intraluminal pressure was returned to control. Subthreshold pressure increases sometimes evoked a transient series of constrictions appearing at the oral end and propagating anally at 18.4 +/- 4.7 mm s(-1) (jejunum). At basal pressures, decanoic acid dose-dependently induced motor activity consisting of 40-60 s episodes of constrictions separated by 40-200 s periods of quiescence and lasting up to 2 h. Five contraction patterns were identified within episodes including localized stationary constrictions; constrictions that propagated slowly (5-8 mm s(-1)) for short distances orally or anally; and constrictions that propagated orally or anally for the length of the preparation at 14-20 mm s(-1). Decanoic acid induced motor activity was reversibly abolished by tetrodotoxin (3 microm), hyoscine (1 microm) and hexamethonium (100 microm), but was insensitive to blockade of P2 purinoceptors by PPADS (60 microm). Thus, decanoic acid induces motor activity equivalent to segmentation in guinea-pig small intestine in vitro and this depends on intrinsic neural pathways.
小肠运动取决于食糜的成分,在高营养水平时混合占主导,而在低营养水平时推进占主导。营养物质与运动性之间的耦合机制尚不清楚。我们使用计算机分析分离的豚鼠十二指肠、空肠和回肠的视频记录,以研究脂肪酸癸酸诱导的运动。使用对照生理盐水使腔内压力超过阈值持续诱发推进反射:在口端出现管腔阻塞性收缩,以20.4±2.4毫米/秒(平均值±标准差,空肠)的速度向肛端传播,然后重复出现,直到腔内压力恢复到对照水平。低于阈值的压力增加有时会诱发一系列短暂的收缩,出现在口端并以18.4±4.7毫米/秒(空肠)的速度向肛端传播。在基础压力下,癸酸剂量依赖性地诱导运动活动,包括40 - 60秒的收缩发作,间隔40 - 200秒的静止期,持续长达2小时。在发作期间识别出五种收缩模式,包括局部静止性收缩;在口端或肛端短距离缓慢传播(5 - 8毫米/秒)的收缩;以及在整个标本长度上以14 - 20毫米/秒的速度向口端或肛端传播的收缩。癸酸诱导的运动活动可被河豚毒素(3微摩尔)、东莨菪碱(1微摩尔)和六甲铵(100微摩尔)可逆性消除,但对PPADS(60微摩尔)阻断P2嘌呤受体不敏感。因此,癸酸在体外诱导豚鼠小肠中相当于分节运动的运动活动,这取决于内在神经通路。