Schloithe A C, Woods C M, Davison J S, Blackshaw L A, Toouli J, Saccone G T P
Department of General and Digestive Surgery, Centre for Neuroscience, Flinders University, Flinders Medical Centre, Bedford Park, and Department Medicine, Royal Adelaide Hospital, S.A., 5042, Australia.
Auton Neurosci. 2006 Jun 30;126-127:292-8. doi: 10.1016/j.autneu.2006.01.020. Epub 2006 Mar 30.
The sensory innervation to the pancreatobiliary system is poorly characterized. Afferent signals from the gastrointestinal tract and biliary tree are transmitted to the central nervous system via the vagus and spinal nerves. We aimed to record afferent discharge in order to characterize the vagal and splanchnic afferent signals from the possum upper gastrointestinal tract, biliary tree and pancreas. In 21 anaesthetised possums nerve fibres were teased from the vagus or splanchnic nerve for multi-unit recording. Mechanical stimuli consisted of balloon distension of the gallbladder and duodenum (2-7 ml) and fluid distension (0-20 mm Hg) of the bile or pancreatic ducts. Approximately 60% of fibres from all nerves displayed spontaneous discharge. Spinal afferent responses to mechanical stimuli were infrequent (n=13). Increased discharge occurred in response to duodenal (12/99 fibres) or gallbladder (7/96 fibres) distension, but not to bile duct (0/73 fibres) or pancreatic duct (0/51 fibres) distension. Vagal afferent responses to distension of the duodenum or stomach (5-30 ml) were more common (n=8). Increased discharge was recorded in response to duodenal (49/134 fibres), or gastric (22/70 fibres) distension. Responses to gallbladder distension were less frequent (6/99 fibres) and as with the spinal afferent no response to bile duct (0/66) or pancreatic duct (0/70) distension were recorded. We conclude that mechanosensitive afferents in the pancreatobiliary system are relatively rare, particularly within the ducts, and/or that they are adapted to monitor stimuli other than luminal distension.
对胰胆系统的感觉神经支配了解甚少。来自胃肠道和胆管树的传入信号通过迷走神经和脊神经传递到中枢神经系统。我们旨在记录传入放电,以表征负鼠上消化道、胆管树和胰腺的迷走神经和内脏传入信号。在21只麻醉的负鼠中,从迷走神经或内脏神经中分离出神经纤维进行多单位记录。机械刺激包括胆囊和十二指肠的球囊扩张(2 - 7毫升)以及胆管或胰管的液体扩张(0 - 20毫米汞柱)。所有神经中约60%的纤维表现出自发放电。脊髓传入神经对机械刺激的反应很少见(n = 13)。十二指肠扩张(12/99纤维)或胆囊扩张(7/96纤维)时放电增加,但胆管扩张(0/73纤维)或胰管扩张(0/51纤维)时未出现。迷走神经传入神经对十二指肠或胃扩张(5 - 30毫升)的反应更常见(n = 8)。十二指肠扩张(49/134纤维)或胃扩张(22/70纤维)时记录到放电增加。对胆囊扩张的反应较少见(6/99纤维),与脊髓传入神经一样,对胆管扩张(0/66)或胰管扩张(0/70)无反应。我们得出结论,胰胆系统中的机械敏感传入神经相对较少,尤其是在导管内,和/或它们适应于监测管腔扩张以外的刺激。