Department of Human Physiology, School of Nursing and Midwifery, Flinders University, Bedford Park, SA, Australia.
Neurogastroenterol Motil. 2011 Jan;23(1):88-95, e9. doi: 10.1111/j.1365-2982.2010.01593.x. Epub 2010 Aug 27.
Mechanoreceptors to the internal anal sphincter (IAS) contribute to continence and normal defecation, yet relatively little is known about their function or morphology. We investigated the function and structure of mechanoreceptors to the guinea pig IAS.
Extracellular recordings from rectal nerve branches to the IAS in vitro, combined with anterograde labeling of recorded nerve trunks, were used to characterize extrinsic afferent nerve endings activated by circumferential distension.
Slowly adapting, stretch-sensitive afferents were recorded in rectal nerves to the IAS. Ten of 11 were silent under basal conditions and responded to circumferential stretch in a saturating linear manner. Rectal nerve afferents responded to compression with von Frey hairs with low thresholds (0.3-0.5 mN) and 3.4 ± 0.5 discrete, elongated mechanosensitive fields of innervation aligned parallel to circular muscle bundles (length = 62 ± 16 mm, n = 10). Anterogradely labeled rectal nerve axons typically passed through sparse irregular myenteric ganglia adjacent to the IAS, before ending in extensive varicose arrays within the circular muscle and, to a lesser extent, the longitudinal muscle overlying the IAS. Few (8%) IAS myenteric ganglia contained intraganglionic laminar endings. In eight preparations, mechanotransduction sites were mapped in combination with successful anterograde fills. Mechanotransduction sites were strongly associated with extensive fine varicose arrays within the circular muscle (P < 0.05), and not with any other neural structures.
CONCLUSIONS & INFERENCES: Mechanotransduction sites for low-threshold, slowly adapting mechanoreceptors innervating the IAS are likely to correspond to extensive fine varicose arrays within the circular muscle.
内肛门括约肌(IAS)的机械感受器有助于控制排便和正常排便,但对其功能或形态知之甚少。我们研究了豚鼠 IAS 机械感受器的功能和结构。
在体外,通过记录直肠神经分支到 IAS 的细胞外记录,结合记录神经干的顺行标记,用于描述通过圆周膨胀激活的外感受传入神经末梢。
在直肠神经中记录到对 IAS 的慢适应、伸展敏感的传入神经。11 个中的 10 个在基础条件下是沉默的,并且以饱和线性方式对圆周伸展做出反应。直肠神经传入神经对弗雷毛发的压缩反应具有低阈值(0.3-0.5 mN)和 3.4 ± 0.5 离散的、拉长的机械敏感神经支配场,与环形肌束平行排列(长度= 62 ± 16mm,n= 10)。顺行标记的直肠神经轴突通常穿过 IAS 附近稀疏的不规则肌间神经节,然后在 IAS 上方的环形肌和纵向肌中结束广泛的曲张丛(范围较小)。很少(8%)IAS 肌间神经节包含神经节内层状终末。在八个制剂中,将机械转导位点与成功的顺行填充相结合进行映射。机械转导位点与环形肌内广泛的精细曲张丛密切相关(P < 0.05),与任何其他神经结构无关。
支配 IAS 的低阈值、慢适应机械感受器的机械转导位点可能与环形肌内广泛的精细曲张丛相对应。