Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkocho-dori, Chuo-ku, Niigata, Japan.
Dysphagia. 2012 Jun;27(2):271-6. doi: 10.1007/s00455-011-9363-z. Epub 2011 Aug 24.
The swallowing reflex is centrally programmed by the lower brain stem, the so-called swallowing central pattern generator (CPG), and once the reflex is initiated, many muscles in the oral, pharyngeal, laryngeal, and esophageal regions are systematically activated. The mylohyoid (MH) muscle has been considered to be a "leading muscle" according to previous studies, but the functional role of the digastric (DIG) muscle in the swallowing reflex remains unclear. In the present study, therefore, the activities of single units of MH and DIG neurons were recorded extracellularly, and the functional involvement of these neurons in the swallowing reflex was investigated. The experiments were carried out on eight adult male Japanese white rabbits anesthetized with urethane. To identify DIG and MH neurons, the peripheral nerve (either DIG or MH) was stimulated to evoke action potentials of single motoneurons. Motoneurons were identified as such if they either (1) responded to antidromic nerve stimulation of DIG or MH in an all-or-none manner at threshold intensities and (2) followed stimulation frequencies of up to 0.5 kHz. As a result, all 11 MH neurons recorded were synchronously activated during the swallowing reflex, while there was no activity in any of the 7 DIG neurons recorded during the swallowing reflex. All neurons were anatomically localized ventromedially at the level of the caudal portion of the trigeminal motor nucleus, and there were no differences between the MH and DIG neuron sites. The present results strongly suggest that at least in the rabbit, DIG motoneurons are not tightly controlled by the swallowing CPG and, hence, the DIG muscle is less involved in the swallowing reflex.
吞咽反射是由下脑干(所谓的吞咽中枢模式发生器 [CPG])中枢编程的,一旦反射开始,口腔、咽、喉和食管区域的许多肌肉会被系统地激活。根据之前的研究,咬肌 (MH) 肌肉被认为是一种“主导肌肉”,但咀嚼肌 (DIG) 肌肉在吞咽反射中的功能作用尚不清楚。因此,在本研究中,我们通过记录 MH 和 DIG 神经元的单个单位的活动,来研究这些神经元在吞咽反射中的功能参与。实验在 8 只成年雄性日本白兔上进行,这些白兔用氨基甲酸乙酯麻醉。为了识别 DIG 和 MH 神经元,我们刺激外周神经(DIG 或 MH)以诱发出单个运动神经元的动作电位。如果神经元具有以下特征,则被识别为运动神经元:(1)以全或无的方式在阈值强度下对 DIG 或 MH 的逆行神经刺激做出反应,以及(2)可以跟随高达 0.5 kHz 的刺激频率。结果,在吞咽反射期间,记录到的 11 个 MH 神经元全部同步激活,而在吞咽反射期间记录到的 7 个 DIG 神经元中没有任何活动。所有神经元在解剖学上都位于三叉神经运动核的尾部水平的腹内侧,MH 和 DIG 神经元的位置没有差异。本研究结果强烈表明,至少在兔子中,DIG 运动神经元不受吞咽 CPG 的严格控制,因此 DIG 肌肉在吞咽反射中的参与程度较低。