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肉毒杆菌毒素对大鼠神经肌肉传递的影响。

Effects of botulinum toxin on neuromuscular transmission in the rat.

作者信息

Cull-Candy S G, Lundh H, Thesleff S

出版信息

J Physiol. 1976 Aug;260(1):177-203. doi: 10.1113/jphysiol.1976.sp011510.

Abstract
  1. Botulinum toxin (BoTx) type A partially blocks spontaneous transmitter release from nerve terminals in the rat. Minature end-plate potentials (m.e.p.p.s) are present at all end-plates, initially with a low frequency but increasing with time after posoning. Their amplitude distribution is at first skew with a predominace of very small m.e.p.p.s but, after a few days, larger than normal m.e.p.p.s appear. 2. Tetanic nerve stimulation, Black Widow Spider Venom, the Caionophore A 23187 or mechanical damage to nerve terminals increases the frequency of m.e.p.p.s and alters the amplitude distribution of m.e.p.p.s towards a normal Gaussian one; the m.e.p.p. size approaches that seen at normal end-plates. This was seen at any time after poisoning. 3. Nerve stimulation gives rise to end-plate potentials (e.p.p.s) of low amplitude and high failure rate. Statistical analysis indicates that evoked release is quantal in nature and follows Poisson statistics, quantum size being initially very small, but after a few days approaching normal size. Short-term tetanic nerve stimulation reversibly increases the quantum content of e.p.p.s and during early stages of paralysis long-term (2 hr) stimulation causes an apparently permanent increase in quantum size. 4. Raising the extracellular Ca concentration from 2 to 16 mM increases the frequency of m.e.p.p.s in normal muscle but not in BoTx poisoned ones. K-free medium or ouabain, which are believed to raise the intracellular Ca concentration in nerve terminals, similarly increases m.e.p.p. frequency in normal but not in poisoned muscles. When the Ca-ionophore A 23187 is used together with high extracellular Ca (greater than 4 mM) massive release of transmitter occurs from poisoned terminals. 5. The extracellular Ca concentration which causes a certain level of transmitter release in reponse to nerve impulses is considerably higher at BoTx poisoned end-plates than at normal ones. The slope value for Ca dependence of transmitter release is about 1-5 compared with about 3 at normal end-plates. 6. Tetraethylammonium (TEA) greatly increases the amount of transmitter released by nerve impulses and restores neuromuscular transmission during all stages of poisoning, although it has not effect on spontaneous transmitter release. In the presence of TEA the power relation between Ca concentration and quantum content at the BoTx poisoned end-plate is similar to that seen at normal end-plates. 7. It is suggested that in BoTx poisoning the mechanism for transmitter release has a reduced sensitivity to Ca, and the level for activation by intracellular Ca is elevated. Once the intracellular concentration of Ca is raised to this level, by tetanic nerve stimulation, mechanical injury to nerve terminals, the Ca-ionophore or the prolongation of the nerve action potential with TEA, augmented transmitter release occurs, similar to that which occurs in normal nerve terminals at a lower level of Ca.
摘要
  1. A型肉毒杆菌毒素(BoTx)可部分阻断大鼠神经末梢的自发递质释放。所有终板均存在微小终板电位(m.e.p.p.s),最初频率较低,但中毒后随时间增加。其幅度分布起初呈偏态,以非常小的m.e.p.p.s为主,但几天后,出现大于正常的m.e.p.p.s。2. 强直神经刺激、黑寡妇蜘蛛毒液、离子载体A 2318 K或对神经末梢的机械损伤会增加m.e.p.p.s频率,并使其幅度分布向正常高斯分布改变;m.e.p.p.大小接近正常终板所见。中毒后任何时间均可见此现象。3. 神经刺激会产生低幅度和高失败率的终板电位(e.p.p.s)。统计分析表明,诱发释放本质上是量子性的,遵循泊松统计,量子大小最初非常小,但几天后接近正常大小。短期强直神经刺激可逆性增加e.p.p.s的量子含量,在麻痹早期,长期(2小时)刺激会导致量子大小明显永久性增加。4. 将细胞外钙浓度从2 mM提高到16 mM会增加正常肌肉中m.e.p.p.s的频率,但对BoTx中毒的肌肉无此作用。无钾培养基或哇巴因据信可提高神经末梢内的钙浓度,同样会增加正常肌肉而非中毒肌肉中m.e.p.p.的频率。当离子载体A 23187与高细胞外钙(大于4 mM)一起使用时,中毒的神经末梢会大量释放递质。5. 在BoTx中毒的终板处,为响应神经冲动而引起一定水平递质释放所需的细胞外钙浓度比正常终板处高得多。递质释放对钙的依赖性的斜率值约为1 - 5,而正常终板处约为3。6. 四乙铵(TEA)可大大增加神经冲动释放的递质量,并在中毒的各个阶段恢复神经肌肉传递,尽管它对自发递质释放无影响。在TEA存在的情况下,BoTx中毒终板处钙浓度与量子含量之间的幂关系与正常终板处相似。7. 有人提出,在BoTx中毒时,递质释放机制对钙的敏感性降低,细胞内钙激活水平升高。一旦通过强直神经刺激、对神经末梢的机械损伤、离子载体或用TEA延长神经动作电位使细胞内钙浓度升高到该水平,就会发生递质释放增加,类似于正常神经末梢在较低钙水平时发生的情况。

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