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电刺激和化学刺激中缝大核可以抑制传入迷走神经纤维引起的呕吐反射。

Electrical and chemical stimulation of the nucleus raphe magnus inhibits induction of retching by afferent vagal fibers.

机构信息

Department of Clinical Nutrition, University of Kawasaki Medical Welfare, 288 Matsushima, Kurashiki, Okayama Prefecture 701-0193, Japan.

出版信息

Auton Neurosci. 2010 Jan 15;152(1-2):35-40. doi: 10.1016/j.autneu.2009.08.022. Epub 2009 Sep 24.

Abstract

Like pain sensation, vomiting is induced by C afferent fibers of the vagus nerve. Therefore, it can be assumed to be suppressed by the descending inhibitory system (DIS) of pain. In this study we examined this possibility in immobilized decerebrated dogs. Fictive retching was induced by the stimulation of abdominal afferent vagal fibers (stim-abdVAs) and identified by activity patterns of efferent discharges of the phrenic and abdominal muscle nerves. The induction of retching was suppressed by weak stimulation (20microA, 20Hz, 0.5ms duration) of the pontine area corresponding to the nucleus raphe magnus (NRM). Stronger suppressions were produced by stimulation of the rostral part of the NRM at the pontine level where the abducen nucleus exists. Pontamine sky blue, an excitatory neurotoxin, which was microinjected into the NRM area in 5 dogs, completely suppressed the induction of retching during the injection period. The NRM area at the level of the abducen nucleus was commonly stained by the dye in the 5 dogs. These results suggest that the DIS of pain suppresses the induction of retching by afferent vagal fibers.

摘要

与痛觉一样,呕吐也是由迷走神经的传入纤维引起的。因此,可以假设它受到疼痛下行抑制系统 (DIS) 的抑制。在这项研究中,我们在固定的去大脑犬中检查了这种可能性。通过刺激腹部传入迷走神经纤维(stim-abdVAs)来诱发模拟呕吐,并通过膈神经和腹肌神经传出放电活动模式来识别。刺激桥脑相应的中缝大核(NRM)区(20microA、20Hz、0.5ms 时程)的弱刺激可抑制呕吐的诱发。更强的抑制作用是通过刺激存在展神经核的桥脑 NRM 前部产生的。在 5 只狗中,将刺激性神经毒素蓬塔明天蓝微注射到 NRM 区,可在注射期间完全抑制呕吐的诱发。在这 5 只狗中,5 只狗的共同染色显示,展神经核水平的 NRM 区。这些结果表明,疼痛的 DIS 通过传入迷走神经纤维抑制呕吐的诱发。

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