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喉感觉功能缺陷对喉肌生物化学的影响。

Effect of deficits in laryngeal sensation on laryngeal muscle biochemistry.

作者信息

Nagai Hiromi, Ota Fumikazu, Connor Nadine P

机构信息

Department of Otololaryngology--Head and Neck Surgery, Kitasato University School of Medicine, Kanagawa, Japan.

出版信息

Ann Otol Rhinol Laryngol. 2005 May;114(5):352-60. doi: 10.1177/000348940511400504.

Abstract

Swallowing deficits in elderly people are significant clinical problems and may be associated with impaired pharyngolaryngeal sensation. However, the extent to which sensory innervation affects the motor system is unclear. Our purpose was to examine differences in biochemical properties of laryngeal muscles following sensory nerve ablation. We used sodium dodecyl sulfate-polyacrylamide gel electrophoresis to evaluate laryngeal muscles of young and old Fischer 344/Brown Norway rats, and rats that underwent sensory ablation via bilateral section of the superior laryngeal nerve, internal branch (SLNi), or mixed sensory-motor nerve ablation via left-sided recurrent laryngeal nerve (RLN) section. In lateral thyroarytenoid muscle, a reduction was found in the proportion of the most rapidly contracting myosin heavy chain isoform (type 2B) with SLNi section, RLN section, and aging. Section of the SLNi did not alter the proportion of any myosin heavy chain isoform within the lateral cricoarytenoid or posterior cricoarytenoid muscles, but RLN section resulted in a reduction in the proportion of type 2B. Accordingly, alteration in biochemical properties of the lateral thyroarytenoid muscle alone was demonstrated following sensory ablation. We conclude that sensory changes may affect properties of laryngeal muscles, and may thus have an impact on motor control during critical functions, such as airway protection during swallowing.

摘要

老年人吞咽功能缺陷是重要的临床问题,可能与咽喉感觉受损有关。然而,感觉神经支配对运动系统的影响程度尚不清楚。我们的目的是研究感觉神经切除后喉肌生化特性的差异。我们使用十二烷基硫酸钠-聚丙烯酰胺凝胶电泳来评估年轻和老年Fischer 344/布朗挪威大鼠的喉肌,以及通过双侧切断喉上神经内支(SLNi)进行感觉切除的大鼠,或通过切断左侧喉返神经(RLN)进行感觉运动混合神经切除的大鼠。在甲杓侧肌中,发现切断SLNi、RLN以及衰老均会使收缩最快的肌球蛋白重链亚型(2B型)的比例降低。切断SLNi并未改变环杓侧肌或环杓后肌中任何肌球蛋白重链亚型的比例,但切断RLN会导致2B型比例降低。因此,感觉切除后仅甲杓侧肌的生化特性发生了改变。我们得出结论,感觉变化可能会影响喉肌特性,从而可能对诸如吞咽时气道保护等关键功能期间的运动控制产生影响。

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