Urogenix, Inc., Durham, NC 27709, USA.
Am J Physiol Regul Integr Comp Physiol. 2010 May;298(5):R1198-208. doi: 10.1152/ajpregu.00599.2009. Epub 2010 Feb 17.
Urine storage is facilitated by somatic (pudendal nerve) and sympathetic [hypogastric nerve (HgN)] reflexes to the urethral rhabdosphincter (URS) and urethral smooth muscle, respectively, initiated by primary afferent fibers in the pelvic nerve (PelN). Inhibition of storage reflexes is required for normal voiding. This study characterizes a urine storage reflex inhibitory network that can be activated by PelN afferent fibers concurrently with the reflexes themselves. Electrical stimulation of PelN produced evoked potentials recorded by URS EMG electrodes (10-ms latency) or HgN electrodes (60-ms latency) in chloralose-anesthetized cats. When a second (i.e., paired) pulse of the same stimulus intensity was applied to the PelN 50-500 ms after the first, the reflexes evoked by the second stimulus were inhibited. The inhibition was maximal at paired-pulse intervals of 50-100 ms and remained after acute spinal transection at T10, confirming that the inhibitory center is located in the spinal cord. The 5-HT(1A) receptor agonist 8-hydroxy-2-(di-n-propylamino)tertralin (8-OH-DPAT; 3-300 mug/kg iv) consistently reduced the paired-pulse inhibition from 20% to 60% of control in spinal-intact animals but had no effect in acute spinal animals (i.e., supraspinal site of action). N-{2-[4-(2-methoxyphenyl)-1-piperazinyl]ethyl}-N-2-pyridinylcyclohexanecarboxamide maleate (300 mug/kg iv) completely reversed 8-OH-DPAT's effects. The PelN-HgN reflex paired-pulse inhibition was not affected by 8-OH-DPAT. These results indicate the presence of a spinal, urine storage reflex, inhibitory center (SUSRIC) that is activated within 50 ms after activation of the reflexes themselves. SUSRIC is inhibited (disfacilitated) by supraspinal 5-HT(1A) receptors.
尿液储存是通过躯体(阴部神经)和交感神经[腹下神经(HgN)]反射来实现的,分别作用于尿道横纹肌(URS)和尿道平滑肌,由阴部神经(PelN)中的初级传入纤维启动。正常排尿需要抑制储存反射。本研究描述了一个尿液储存反射抑制网络,该网络可以通过 PelN 传入纤维与反射本身同时激活。电刺激 PelN 在氯醛糖麻醉的猫中产生 URS EMG 电极(潜伏期 10ms)或 HgN 电极(潜伏期 60ms)记录的诱发电位。当同一刺激强度的第二个(即配对)脉冲在第一个脉冲后 50-500ms 施加到 PelN 时,第二个刺激引发的反射被抑制。在 T10 急性脊髓横切后,抑制作用最大的是配对脉冲间隔为 50-100ms,这证实了抑制中心位于脊髓中。5-HT(1A)受体激动剂 8-羟基-2-(二正丙基氨基)四氢罂粟碱(8-OH-DPAT;3-300μg/kg iv)一致将脊髓完整动物的配对脉冲抑制从对照的 20%降低到 60%,但在急性脊髓动物中没有作用(即,作用于脊髓以上部位)。N-[2-[4-(2-甲氧基苯基)-1-哌嗪基]乙基]-N-2-吡啶基环己烷甲酰胺马来酸盐(300μg/kg iv)完全逆转了 8-OH-DPAT 的作用。PelN-HgN 反射配对脉冲抑制不受 8-OH-DPAT 影响。这些结果表明存在一个脊髓内尿液储存反射抑制中心(SUSRIC),它在反射本身激活后 50ms 内被激活。SUSRIC 被脊髓上 5-HT(1A)受体抑制(去抑制)。