Page Amanda J, Young Richard L, Martin Chris M, Umaerus Mia, O'Donnell Tracey A, Cooper Nicole J, Coldwell Jonathan R, Hulander Malin, Mattsson Jan P, Lehmann Anders, Blackshaw L Ashley
Nerve-Gut Research Laboratory, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
Gastroenterology. 2005 Feb;128(2):402-10. doi: 10.1053/j.gastro.2004.11.062.
Inhibitory G-protein-coupled receptors have demonstrated potential in treatment of gastroesophageal reflux disease (GERD) through actions on vagal afferent signaling. Metabotropic glutamate receptors (mGluR) belong to this receptor family and have great pharmacologic and molecular diversity, with 8 subtypes. We investigated mGluR in the vagal system of humans and other species.
Expression of mGluR1-8 in human, dog, ferret, and rodent nodose ganglia was investigated by reverse-transcription polymerase chain reaction. mGluR1-8 immunohistochemistry was performed in combination with retrograde tracing of vagal afferents from ferret proximal stomach to nodose ganglia. Transport of mGluR peripherally was investigated by vagal ligation, followed by immunohistochemistry. Glutamate receptor pharmacology of ferret and rodent gastroesophageal vagal afferents was investigated by testing single fiber responses to graded mechanical stimuli during drug application to their peripheral endings.
Messenger RNA for several mGluR was detected in the nodose ganglia of all species. Retrograde tracing indicated that ferret gastric vagal afferents express mGluR protein. Accumulation of immunoreactivity proximal to a ligature showed that mGluR were transported peripherally in the vagus nerves. Glutamate (1-30 mumol/L with kynurenate 0.1 mmol/L) concentration dependently inhibited vagal afferent mechanosensitivity. This was mimicked by selective group II and III mGluR agonists but not by a group I agonist. Conversely, a group III mGluR antagonist increased mechanosensitivity to intense stimuli.
Both exogenous and endogenous glutamate inhibits mechanosensitivity of vagal afferents. Group II (mGluR2 and 3) and group III mGluR (mGluR4, 6, 7, 8) are novel targets for inhibition of vagal signaling with therapeutic potential in, for example, GERD.
抑制性G蛋白偶联受体已显示出通过作用于迷走神经传入信号来治疗胃食管反流病(GERD)的潜力。代谢型谷氨酸受体(mGluR)属于该受体家族,具有巨大的药理学和分子多样性,共有8个亚型。我们研究了人类和其他物种迷走神经系统中的mGluR。
采用逆转录聚合酶链反应研究mGluR1 - 8在人、犬、雪貂和啮齿动物结节神经节中的表达。结合从雪貂近端胃到结节神经节的迷走神经传入纤维逆行追踪进行mGluR1 - 8免疫组织化学研究。通过迷走神经结扎,随后进行免疫组织化学研究mGluR向周围的转运。在向雪貂和啮齿动物胃食管迷走神经传入纤维的外周末端施加药物期间,通过测试对分级机械刺激的单纤维反应来研究谷氨酸受体药理学。
在所有物种的结节神经节中均检测到几种mGluR的信使核糖核酸。逆行追踪表明雪貂胃迷走神经传入纤维表达mGluR蛋白。结扎近端免疫反应性的积累表明mGluR在迷走神经中向周围转运。谷氨酸(1 - 30 μmol/L加0.1 mmol/L犬尿氨酸)浓度依赖性地抑制迷走神经传入机械敏感性。这被选择性II组和III组mGluR激动剂模拟,但未被I组激动剂模拟。相反,III组mGluR拮抗剂增加了对强烈刺激的机械敏感性。
外源性和内源性谷氨酸均抑制迷走神经传入纤维的机械敏感性。II组(mGluR2和3)和III组mGluR(mGluR4、6、7、8)是抑制迷走神经信号传导的新靶点,在例如GERD中具有治疗潜力。