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迷走神经和肽对肝外胆道运动的控制。猫的实验研究。

The vagal nerves and peptides in the control of extrahepatic biliary motility. An experimental study in the cat.

作者信息

Dahlstrand C

机构信息

Department of Surgery I, University of Göteborg.

出版信息

Acta Physiol Scand Suppl. 1990;589:1-52.

PMID:1700577
Abstract

An in vivo model for the simultaneous study of the motility of the gallbladder, sphincter of Oddi and duodenal wall in the anesthetized cat was developed. Changes in gallbladder volume were recorded as well as changes in the outflow from the sphincter of Oddi and from a vein graft inserted through the duodenal wall during perfusion at constant pressure. The distribution of three peptide hormones (substance P-SP, vasoactive intestinal peptide-VIP and cholecystokinin-CCK) within the feline extrahepatic biliary tree was studied immunocytochemically. Nerve terminals with SP-like immunoreactivity (LI) were distributed to the smooth muscle layers and also to acetylcholinesterase-positive ganglions cells in the intrinsic plexa. SP-LI was further demonstrated in cell bodies of the intrinsic plexa as well as in vagal axons. VIP-LI had a similar distribution. An especially rich VIP-ergic innervation was observed within the circular muscle layer of the sphincter of Oddi. SP-LI or VIP-LI did not occur in mucosal endocrine cells. On the other hand, CCK-LI was not demonstrated in nerves but occurred regularly in endocrine cells of the duodenal mucosa. Regional administration of SP elicited dose-dependent contractile motor effects on the biliary tree, which were not dependent on muscarinic or nicotinic cholinoceptors, but were inhibited by infusion of an antagonistic SP analogue indicating a direct effect on the smooth muscle cell. Efferent electrical vagal nerve stimulation elicited contractile motor responses, which were blocked by either atropine or infusion of the SP-analogue, indicating activation of a postganglionic cholinergic neuron via intrinsic or extrinsic SP neurons. These observation correlate well with the presence of SP nerve terminals on acetylcholinesterase-positive ganglion cells of the intrinsic plexa and SP axons within the vagus. An afferent mechanism cannot be excluded; antidromic activation of SP-containing axon collaterals from vagal afferents might act on intrinsic cholinergic neurons. The cellbodies of such afferents may be present in intrinsic plexa or within the sensory vagal nodose ganglion. VIP elicited relaxatory motor responses from the extrahepatic biliary tree, not influenced by blockade of cholinoceptors or beta-adrenoceptors. Stimulation of beta-adrenoceptors, or selective stimulation of beta 2-adrenoceptors caused dose-dependent relaxatory motor responses, which were antagonized by specific blockade. Stimulation of beta-adrenoceptors following selective blockade of beta 2-adrenoceptors resulted in relaxation, most probably mediated by beta 1-adrenoceptors.(ABSTRACT TRUNCATED AT 400 WORDS)

摘要

建立了一种用于同时研究麻醉猫胆囊、Oddi括约肌和十二指肠壁运动的体内模型。记录了胆囊体积的变化以及在恒压灌注期间Oddi括约肌和通过十二指肠壁插入的静脉移植物流出量的变化。采用免疫细胞化学方法研究了三种肽类激素(P物质-SP、血管活性肠肽-VIP和胆囊收缩素-CCK)在猫肝外胆道树中的分布。具有SP样免疫反应性(LI)的神经末梢分布于平滑肌层以及内在神经丛中乙酰胆碱酯酶阳性的神经节细胞。SP-LI还在内在神经丛的细胞体以及迷走神经轴突中得到证实。VIP-LI有类似的分布。在Oddi括约肌的环形肌层内观察到特别丰富的VIP能神经支配。SP-LI或VIP-LI未出现在黏膜内分泌细胞中。另一方面,CCK-LI未在神经中得到证实,但在十二指肠黏膜的内分泌细胞中经常出现。局部给予SP会对胆道树产生剂量依赖性的收缩运动效应,这不依赖于毒蕈碱或烟碱胆碱受体,但可被注入一种拮抗SP类似物所抑制,表明对平滑肌细胞有直接作用。传出性迷走神经电刺激引发收缩运动反应,该反应可被阿托品或注入SP类似物阻断,表明通过内在或外在的SP神经元激活了节后胆碱能神经元。这些观察结果与内在神经丛中乙酰胆碱酯酶阳性神经节细胞上存在SP神经末梢以及迷走神经内的SP轴突密切相关。不能排除传入机制;迷走神经传入纤维中含SP轴突侧支的逆向激活可能作用于内在胆碱能神经元。此类传入纤维的细胞体可能存在于内在神经丛或感觉迷走神经节内。VIP引起肝外胆道树的舒张运动反应,不受胆碱受体或β肾上腺素能受体阻断的影响。刺激β肾上腺素能受体或选择性刺激β2肾上腺素能受体会引起剂量依赖性的舒张运动反应,可被特异性阻断所拮抗。在选择性阻断β2肾上腺素能受体后刺激β肾上腺素能受体导致舒张,最可能由β1肾上腺素能受体介导。(摘要截选至400字)

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