Xu Bin, Qiao Xian, Yu Xiaoyun, Liu Jingsong
Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
J Huazhong Univ Sci Technolog Med Sci. 2009 Dec;29(6):701-4. doi: 10.1007/s11596-009-0605-3. Epub 2009 Dec 29.
This study investigated whether the curative effect of short-pulse gastric electrical stimulation (GES) on the vasopressin-induced dyspeptic symptoms was mediated by central opioid peptide-producing neurons. Five female beagle dogs implanted with 1 pair of electrodes in gastric serosa were used in a two-experiment study. In experiment one, the brain was scanned by positron emission tomography in 3 dogs with and without short-pulse GES, and the radioactivity in nuclei of solitary tract (NST) and hypothalamus was detected. Experiment two was composed of 4 sessions. In session one, the dogs were injected with vasopressin in the absence of short-pulse GES. With session two, the short-pulse GES was simultaneously given via the electrodes with the injection of vasopressin. In sessions three and four, naloxone and naloxone methiodide was administered respectively in the presence of short-pulse GES. Motion sickness-like symptoms were scored and compared among the different sessions. The results showed that the short-pulse GES significantly increased the radioactivity in NST and hypothalamic nuclei (P<0.05, vs control). The short-pulse GES could ameliorate the vasopressin-induced motion sickness-like symptoms in dogs. Naloxone, but not naloxone methiodide could attenuate the curative effects of short-pulse GES. It is concluded that NST and hypothalamic nuclei may participate in the mediation of the curative effects of short-pulse GES on dyspepsia-like symptoms. Central opioid peptide-containing neurons presumably mediate the therapeutic effect on dyspeptic symptoms of short-pulse GES.
本研究调查了短脉冲胃电刺激(GES)对血管加压素诱导的消化不良症状的治疗效果是否由中枢阿片肽生成神经元介导。在一项双实验研究中,使用了5只在胃浆膜植入1对电极的雌性比格犬。实验一,对3只犬在有和无短脉冲GES的情况下进行正电子发射断层扫描脑部,并检测孤束核(NST)和下丘脑的放射性。实验二由4个阶段组成。在第一阶段,在无短脉冲GES的情况下给犬注射血管加压素。在第二阶段,在注射血管加压素的同时通过电极给予短脉冲GES。在第三和第四阶段,在有短脉冲GES的情况下分别给予纳洛酮和甲基碘化纳洛酮。对不同阶段的晕动病样症状进行评分并比较。结果显示,短脉冲GES显著增加了NST和下丘脑核的放射性(P<0.05,与对照组相比)。短脉冲GES可改善血管加压素诱导的犬晕动病样症状。纳洛酮而非甲基碘化纳洛酮可减弱短脉冲GES的治疗效果。结论是,NST和下丘脑核可能参与介导短脉冲GES对消化不良样症状的治疗效果。中枢含阿片肽神经元可能介导了短脉冲GES对消化不良症状的治疗作用。