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支配结肠的骶初级传入神经元的感受特性

Receptive properties of sacral primary afferent neurons supplying the colon.

作者信息

Jänig W, Koltzenburg M

机构信息

Physiologisches Institut, Christian-Albrechts-Universität, Kiel, Federal Republic of Germany.

出版信息

J Neurophysiol. 1991 May;65(5):1067-77. doi: 10.1152/jn.1991.65.5.1067.

DOI:10.1152/jn.1991.65.5.1067
PMID:1869905
Abstract
  1. Conscious perception of noxious and innocuous distension of the colon as well as the reflex control of anal continence and defecation largely depend on an intact sacral primary afferent innervation. Here we have studied the functional properties of these visceral primary afferent neurons in the dorsal root S2 in 17 cats. Single fibers projecting into the pelvic nerve were identified electrically and studied with innocuous and noxious mechanical stimulation of colon and anal canal. 2. A total of 59 units responding to one of these stimuli were investigated and they could be separated into two subpopulations of afferents. Thirty-six fibers were reproducibly excited by distension of the colon, but not by mechanical stimulation of the anal canal. They were thin myelinated or unmyelinated fibers with a median conduction velocity of 3.2 m/s. The remaining 23 units had receptive fields in the mucosa of the anal canal and responded readily to an innocuous proximodistal shearing stimulus, but not to distension stimuli applied to the same area. All, but two of these afferents were thin myelinated with a median conduction velocity of 7.7 m/s, which was significantly different from the conduction velocity of afferent neurons responding to distension of the colon. 3. Units responding to distension of the colon had thresholds in the innocuous range of the intracolonic pressure. Receptors that were activated only by noxious intraluminal pressure were absent. On the basis of their response to supramaximal isotonic distension, colonic afferents could be subclassified as phasic (n = 17) or tonic (n = 19) units. Phasic afferents were only transiently excited during filling or emptying of the colon, whereas tonic afferents discharged throughout the distension. The two populations had also significantly different median conduction velocities of 8.0 (n = 16) and 1.7 (n = 15) m/s, respectively. 4. Stimulation response functions were evaluated for 12 tonic afferents. All units encoded an increase of intracolonic pressure by the intensity of their discharge frequency. Increases of intracolonic pressure produced significantly higher discharge frequencies from unmyelinated than from thin myelinated afferents. 5. In three animals the percentage of unmyelinated fibers responding to mechanical stimulation of colon and anal canal was determined. Out of 213 electrically identified unmyelinated units projecting into the pelvic nerve, only 11 (5.2%) were excited. Thus, acute innocuous and noxious mechanical stimuli of the large intestine do not appear to be the adequate stimulus for the large majority of unmyelinated pelvic afferents. 6. In conclusion, distension of the colon and mechanical stimulation of the anal canal activates distinct populations of primary afferent neurons.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 对结肠有害和无害扩张的意识感知以及肛门节制和排便的反射控制在很大程度上依赖于完整的骶部初级传入神经支配。在此,我们研究了17只猫的骶2背根中这些内脏初级传入神经元的功能特性。通过电刺激识别投射到盆神经的单根纤维,并用结肠和肛管的无害及有害机械刺激进行研究。2. 总共研究了59个对这些刺激之一有反应的单位,它们可分为两个传入神经亚群。36根纤维在结肠扩张时可重复性地兴奋,但在肛管机械刺激时不兴奋。它们是细有髓或无髓纤维,中位传导速度为3.2米/秒。其余23个单位在肛管黏膜中有感受野,对无害的由近端向远端的剪切刺激有反应,但对施加于同一区域的扩张刺激无反应。除两根外,所有这些传入神经均为细有髓纤维,中位传导速度为7.7米/秒,这与对结肠扩张有反应的传入神经元的传导速度有显著差异。3. 对结肠扩张有反应的单位在结肠内压的无害范围内有阈值。不存在仅由有害腔内压激活的感受器。根据它们对超最大等张扩张的反应,结肠传入神经可分为相位性(n = 17)或紧张性(n = 19)单位。相位性传入神经仅在结肠充盈或排空时短暂兴奋,而紧张性传入神经在整个扩张过程中都有放电。这两个群体的中位传导速度也有显著差异,分别为8.0(n = 16)和1.7(n = 15)米/秒。4. 对12个紧张性传入神经的刺激反应功能进行了评估。所有单位都通过其放电频率的强度编码结肠内压的升高。结肠内压升高时,无髓传入神经产生的放电频率明显高于细有髓传入神经。5. 在三只动物中,确定了对结肠和肛管机械刺激有反应的无髓纤维的百分比。在213个电识别的投射到盆神经的无髓单位中,只有11个(5.2%)被兴奋。因此,大肠的急性无害和有害机械刺激似乎不是大多数无髓盆部传入神经的适宜刺激。6. 总之,结肠扩张和肛管机械刺激激活了不同的初级传入神经元群体。(摘要截短至400字)

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