Center for Pain Research, Department of Anesthesiology, University of Pittsburgh, Pennsylvania 15213, USA.
Am J Physiol Gastrointest Liver Physiol. 2010 Mar;298(3):G402-9. doi: 10.1152/ajpgi.00487.2009. Epub 2010 Jan 14.
Information about colorectal distension (i.e., colorectal dilation by increased intraluminal pressure) is primarily encoded by stretch-sensitive colorectal afferents in the pelvic nerve (PN). Despite anatomic differences between rectum and distal colon, little is known about the functional roles of colonic vs. rectal afferents in the PN pathway or the quantitative nature of mechanosensory encoding. We utilized an in vitro mouse colorectum-PN preparation to investigate pressure-encoding characteristics of colorectal afferents. The colorectum with PN attached was dissected, opened longitudinally, and pinned flat in a Sylgard-lined chamber. Action potentials of afferent fibers evoked by circumferential stretch (servo-controlled force actuator) were recorded from the PN. Stretch-sensitive fibers were categorized into the following four groups: colonic muscular, colonic muscular/mucosal, rectal muscular, and rectal muscular/mucosal. Seventy-nine stretch-sensitive PN afferents evenly distributed into the above four groups were studied. Rectal muscular afferents had significantly greater stretch-responses than the other three groups. Virtually all rectal afferents (98%) had low thresholds for response and encoded stimulus intensity into the noxious range without obvious saturation. Most colonic afferents (72%) also had low thresholds (<14 mmHg), but a significant proportion (28%) had high thresholds (>18 mmHg) for response. These high-threshold colonic afferents were sensitized to stretch by inflammatory soup; response threshold was significantly reduced (from 23 to 12 mmHg), and response magnitude significantly increased. These results suggest that the encoding of mechanosensory information differs between colonic and rectal stretch-sensitive PN afferents. Rectal afferents have a wide response range to stretch, whereas high-threshold colonic afferents likely contribute to visceral nociception.
直肠扩张(即腔内压力增加导致的直肠扩张)的信息主要由盆神经(PN)中的伸展敏感的直肠传入纤维编码。尽管直肠和远端结肠在解剖学上存在差异,但对于 PN 通路中结肠与直肠传入纤维的功能作用以及机械感觉编码的定量性质知之甚少。我们利用体外小鼠直肠-PN 制备来研究直肠传入纤维的压力编码特征。将附有 PN 的直肠解剖,纵向切开,并用 Sylgard 衬里的腔室压平。通过圆周伸展(伺服控制力致动器)从 PN 记录传入纤维的动作电位。将伸展敏感纤维分为以下四组:结肠肌,结肠肌/黏膜,直肠肌和直肠肌/黏膜。研究了均匀分布在上述四组中的 79 个伸展敏感的 PN 传入纤维。直肠肌传入纤维的伸展反应明显大于其他三组。几乎所有的直肠传入纤维(98%)都具有低反应阈值,并将刺激强度编码到痛觉范围内,没有明显的饱和。大多数结肠传入纤维(72%)也具有低阈值(<14mmHg),但相当一部分(28%)具有高阈值(>18mmHg)。这些高阈值结肠传入纤维对炎性汤的伸展敏感;反应阈值显著降低(从 23mmHg 降低到 12mmHg),反应幅度显著增加。这些结果表明,机械感觉信息的编码在直肠和结肠伸展敏感的 PN 传入纤维之间存在差异。直肠传入纤维对伸展具有广泛的反应范围,而高阈值结肠传入纤维可能有助于内脏疼痛。