Tanaka Tomohiro, Kuchiiwa Satoshi, Izumi Hiroshi
Department of Ophthalmology, Tohoku University School of Medicine, Miyagi, Japan.
Invest Ophthalmol Vis Sci. 2005 Nov;46(11):4267-74. doi: 10.1167/iovs.05-0088.
To determine the autonomic efferent nerve pathways for the reflex pupillary dilation elicited by somatic stimulation in cats.
Cats anesthetized with a mixture of alpha-chloralose (50 mg/kg) and urethane (100 mg/kg) were intubated and paralyzed by intravenous injection of pancuronium bromide. The central cut end of the lingual nerve (LN) was stimulated electrically to simulate somatic stimulation, and 1 microL of lidocaine (2%) was microinjected into the Vsp or the EW nucleus to determine its effect on the pupillary dilation induced by LN stimulation. The effect of electrically stimulating the Vsp or sectioning the superior cervical sympathetic nerve (CSN) on the pupillary response was also examined.
Stimulation of the LN or the trigeminal spinal nucleus (Vsp) evoked pupillary dilation in a frequency- and intensity-dependent manner. These responses were not affected by sectioning the ipsilateral or both CSNs. The pupillary responses were markedly suppressed by microinjecting lidocaine into the ipsilateral Vsp or the Edinger-Westphal (EW) nucleus, but not by injection into the contralateral Vsp.
These results indicate that the Vsp and EW nucleus act as bulbar relay centers for pupillary dilation elicited by LN stimulation and suggest that the efferent arc of the response is a parasympathetic pathway. The contralateral pupillary dilation appears to be mediated, at least in part, by fibers projecting from the Vsp to the contralateral EW nucleus.
确定猫体内由躯体刺激引起的反射性瞳孔扩张的自主传出神经通路。
用α-氯醛糖(50mg/kg)和乌拉坦(100mg/kg)混合麻醉的猫进行插管,并通过静脉注射泮库溴铵使其麻痹。电刺激舌神经(LN)的中枢切断端以模拟躯体刺激,并将1微升2%的利多卡因微量注射到三叉神经脊束核(Vsp)或动眼神经核(EW核)中,以确定其对LN刺激引起的瞳孔扩张的影响。还检查了电刺激Vsp或切断颈上交感神经(CSN)对瞳孔反应的影响。
刺激LN或三叉神经脊束核(Vsp)可引起频率和强度依赖性的瞳孔扩张。这些反应不受切断同侧或双侧CSN的影响。将利多卡因微量注射到同侧Vsp或动眼神经核(EW核)中可明显抑制瞳孔反应,但注射到对侧Vsp中则无此作用。
这些结果表明,Vsp和EW核作为LN刺激引起的瞳孔扩张的延髓中继中心,提示该反应的传出弧是一条副交感神经通路。对侧瞳孔扩张似乎至少部分由从Vsp投射到对侧EW核的纤维介导。