Chang Hui-Yi, Cheng Chen-Li, Chen Jia-Jin J, de Groat William C
Institute of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
Am J Physiol Regul Integr Comp Physiol. 2006 Jul;291(1):R224-34. doi: 10.1152/ajpregu.00780.2005. Epub 2006 Feb 9.
This study was conducted to examine reflex mechanisms that mediate urinary bladder and external urethral sphincter (EUS) coordination in urethane-anesthetized female Sprague-Dawley rats. We investigated the properties of EUS reflexes elicited by electrical stimulation of pelvic nerve afferent axons (pelvic-EUS reflex). The changes in the reflexes induced by bladder distension and administration of agonists or antagonists for glutamatergic or serotonergic receptors were examined. The reflexes consisted of an early response (ER, 18- to 22-ms latency) and a late, long-duration (>100-ms latency) response (LR), which consisted of bursts of activity at 20- to 160-ms interburst intervals. In a few experiments, a reflex with an intermediate (40- to 70-ms) latency was also identified. With the bladder empty, the ER, but not the LR, was detected in the majority of experiments. The LR was markedly enhanced when the bladder was distended. The ER remained, but the LR was abolished, after spinal cord transection at T8-T9. The ER and LR were significantly decreased 75 and 35%, respectively, by the N-methyl-D-aspartate receptor antagonist MK-801 (0.3 mg/kg iv), but only decreased 18 and 14%, respectively, by the alpha-amino-5-methylisoxazole-4-propionate receptor antagonist LY-215490 (3 mg/kg iv). The serotonin (5-HT1A) receptor agonist 8-hydroxy-2-(di-n-propylamino)-tetralin (1 mg/kg iv) enhanced spontaneous EUS activity and the pelvic-EUS reflex. WAY-100635 (0.1-1 mg/kg iv), a 5-HT1A antagonist, reversed the effect of 8-hydroxy-2-(di-n-propylamino)-tetralin and suppressed EUS activity and the pelvic-EUS reflex. These results indicate that glutamatergic and serotonergic mechanisms are important in the reflex pathways underlying bladder- sphincter coordination in rats.
本研究旨在探讨在氨基甲酸乙酯麻醉的雌性Sprague-Dawley大鼠中介导膀胱与尿道外括约肌(EUS)协调的反射机制。我们研究了电刺激盆神经传入轴突所引发的EUS反射特性(盆神经-EUS反射)。检测了膀胱扩张以及给予谷氨酸能或5-羟色胺能受体激动剂或拮抗剂后反射的变化。这些反射包括一个早期反应(ER,潜伏期为18至22毫秒)和一个晚期、长时间(潜伏期>100毫秒)反应(LR),LR由间隔为20至160毫秒的爆发性活动组成。在少数实验中,还识别出潜伏期为中等(40至70毫秒)的反射。膀胱空虚时,在大多数实验中可检测到ER,但检测不到LR。膀胱扩张时,LR明显增强。在T8-T9水平进行脊髓横断后,ER仍然存在,但LR消失。N-甲基-D-天冬氨酸受体拮抗剂MK-801(0.3毫克/千克静脉注射)使ER和LR分别显著降低75%和35%,但α-氨基-5-甲基异恶唑-4-丙酸受体拮抗剂LY-215490(3毫克/千克静脉注射)仅使ER和LR分别降低18%和14%。5-羟色胺(5-HT1A)受体激动剂8-羟基-2-(二正丙基氨基)四氢萘(1毫克/千克静脉注射)增强了EUS的自发活动以及盆神经-EUS反射。5-HT1A拮抗剂WAY-100635(0.1至1毫克/千克静脉注射)可逆转8-羟基-2-(二正丙基氨基)四氢萘的作用,并抑制EUS活动和盆神经-EUS反射。这些结果表明,谷氨酸能和5-羟色胺能机制在大鼠膀胱-括约肌协调的反射通路中起重要作用。