Küper M A, Meile T, Zittel T T, Konigsrainer A, Glatzle J
University Hospital for General, Visceral and Transplant Surgery, Tuebingen, Germany.
Neurogastroenterol Motil. 2007 Dec;19(12):983-9. doi: 10.1111/j.1365-2982.2007.00985.x. Epub 2007 Aug 28.
Neurotrophin 3 (NT3) and its receptors are expressed throughout the gastrointestinal tract, especially in the enteric nervous system. However, little is known about the effects of NT3 on gastrointestinal motility. To investigate the effects of NT3 on gastric or colonic motility under baseline conditions, after subdiaphragmatic vagotomy and in a model of postoperative ileus. Sprague-Dawley rats were equipped with strain gauge transducers on the gastric or colonic wall. Motility was recorded for 30 min, followed by i.v. administration of NT3 and motility-recording for another 60 min. Experiments were performed on three consecutive days and separately in a postoperative ileus model. To evaluate a vagal pathway, experiments were also performed on vagotomized rats. NT3 inhibited gastric motility. This inhibitory effect was reduced by subdiaphragmatic vagotomy. Preoperative treatment with NT3 prolonged the postoperative gastric ileus compared to vehicle treatment. Colonic motility in the intact animal was unchanged by NT3, but was increased postoperatively. NT3 treatment inhibited gastric but not colonic motility. This inhibition of gastric motility seems to be partly mediated by the vagus nerve. NT3 aggravates gastric postoperative ileus but attenuates colonic postoperative ileus, which corresponds to the observed positive effects of NT3 on constipated patients.
神经营养因子3(NT3)及其受体在整个胃肠道均有表达,尤其是在肠神经系统中。然而,关于NT3对胃肠动力的影响却知之甚少。本研究旨在探讨NT3在基线条件下、膈下迷走神经切断术后以及术后肠梗阻模型中对胃或结肠动力的影响。将Sprague-Dawley大鼠的胃壁或结肠壁安装应变片传感器。记录30分钟的动力情况,随后静脉注射NT3并再记录60分钟的动力情况。实验连续进行三天,并分别在术后肠梗阻模型中开展。为评估迷走神经通路,还对迷走神经切断的大鼠进行了实验。NT3抑制胃动力。膈下迷走神经切断术可减弱这种抑制作用。与赋形剂处理相比,术前用NT3处理会延长术后胃麻痹的时间。完整动物的结肠动力不受NT3影响,但术后会增强。NT3处理抑制胃动力,但不影响结肠动力。这种对胃动力的抑制作用似乎部分由迷走神经介导。NT3会加重胃术后肠梗阻,但会减轻结肠术后肠梗阻,这与NT3对便秘患者的观察到的积极作用相符。