Régis Aline Cristina, Rojas-Moscoso Julio Alejandro, Gonçalves Frances Lilian Lanhellas, Schmidt Augusto Frederico, Mónica Fabíola Zakia, Antunes Edson, Sbragia Lourenço
Department of Surgery, School of Medical Sciences, State University of Campinas-UNICAMP, Campinas, SP, Brazil.
Pediatr Surg Int. 2011 Sep;27(9):1015-9. doi: 10.1007/s00383-011-2923-3. Epub 2011 May 18.
Babies with gastroschisis (G) have high morbidity rate and long hospital stay due to bowel hypomotility caused by chronic exposure of the bowel to the amniotic fluid. Our aim was to evaluate the reactivity of isolated ileum in fetal rats selected for experimental gastroschisis.
G was surgically created at 18.5 days of gestation (term = 22 days). Concentration-dependent curve to the muscarinic agonist methacholine (1-30 μM) and contractions induced by electrical field stimulation (EFS, 1-16 Hz, 50 V, 1 ms) were carried out in isolated ileum of groups control (C), sham (S) and gastroschisis (G) (n = 30). Protein expression for M(3) was assessed by western blot analysis.
The frequency and amplitude of spontaneous contractions were decreased in G (p < 0.001). Methacholine produced concentration-dependent contractions being the maximal response values higher in G (p < 0.01). EFS-induced frequency-dependent contractions showed 1.8 times higher in G as well as an increase of M(3) expression.
The frequency and the amplitude of rhythmic contractions were reduced along with an increase in the contraction induced by mucarinic agonist and by EFS in G. These results suggest the occurrence of an adaptative supersensitivity to cholinergic response via increases in the protein expression for M(3) receptor.
患有腹裂(G)的婴儿由于肠道长期暴露于羊水中导致肠道动力不足,发病率高且住院时间长。我们的目的是评估为实验性腹裂选择的胎鼠离体回肠的反应性。
在妊娠18.5天(足月为22天)时通过手术制造腹裂。在对照组(C)、假手术组(S)和腹裂组(G)(n = 30)的离体回肠中进行对毒蕈碱激动剂乙酰甲胆碱(1 - 30 μM)的浓度依赖性曲线和电场刺激(EFS,1 - 16 Hz,50 V,1 ms)诱导的收缩实验。通过蛋白质印迹分析评估M(3)的蛋白质表达。
G组的自发收缩频率和幅度降低(p < 0.001)。乙酰甲胆碱产生浓度依赖性收缩,G组的最大反应值更高(p < 0.01)。EFS诱导的频率依赖性收缩在G组中高1.8倍,并且M(3)表达增加。
G组中节律性收缩的频率和幅度降低,同时毒蕈碱激动剂和EFS诱导的收缩增加。这些结果表明通过M(3)受体蛋白质表达的增加,对胆碱能反应发生了适应性超敏反应。