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本文引用的文献

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Experimental evidence on the nature of cutaneous hyperalgesia.关于皮肤痛觉过敏本质的实验证据。
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Tension receptors in the stomach and the urinary bladder.胃和膀胱中的张力感受器。
J Physiol. 1955 Jun 28;128(3):593-607. doi: 10.1113/jphysiol.1955.sp005327.
3
Vascular permeability changes and smooth muscle contraction in relation to capsaicin-sensitive substance P afferents in the guinea-pig.豚鼠中与辣椒素敏感的P物质传入神经相关的血管通透性变化和平滑肌收缩
Acta Physiol Scand. 1984 Feb;120(2):217-27. doi: 10.1111/j.1748-1716.1984.tb00127.x.
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Nervous control of urinary bladder in cats. I. The collecting phase.猫膀胱的神经控制。I. 贮尿期。
Acta Physiol Scand. 1968 Jan-Feb;72(1):157-71. doi: 10.1111/j.1748-1716.1968.tb03838.x.
5
Motility of the urinary bladder in cats during filling at physiological rates. I. Intravesical pressure patterns studied by a new method of cystometry.猫膀胱在生理充盈速率下的蠕动。I. 通过一种新的膀胱内压测量方法研究膀胱内压模式。
Acta Physiol Scand. 1974 Mar;90(3):565-77. doi: 10.1111/j.1748-1716.1974.tb05621.x.
6
Functional properties of spinal visceral afferents supplying abdominal and pelvic organs, with special emphasis on visceral nociception.供应腹部和盆腔器官的脊髓内脏传入神经的功能特性,特别强调内脏痛觉感受。
Prog Brain Res. 1986;67:87-114. doi: 10.1016/s0079-6123(08)62758-2.
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Sensory-motor integration in urinary bladder function.膀胱功能中的感觉运动整合
Prog Brain Res. 1986;67:245-53. doi: 10.1016/s0079-6123(08)62766-1.
8
A model for the study of visceral pain states: chronic inflammation of the chronic decerebrate rat urinary bladder by irritant chemicals.一种用于研究内脏痛状态的模型:通过刺激性化学物质诱导慢性去大脑大鼠膀胱慢性炎症。
Pain. 1987 Jan;28(1):109-127. doi: 10.1016/0304-3959(87)91065-7.
9
Plasma extravasation in the rat urinary bladder following mechanical, electrical and chemical stimuli: evidence for a new population of chemosensitive primary sensory afferents.机械、电和化学刺激后大鼠膀胱中的血浆外渗:新的化学敏感初级感觉传入神经群体的证据
Neurosci Lett. 1986 Dec 23;72(3):352-6. doi: 10.1016/0304-3940(86)90540-9.
10
Functional characteristics of lumbar visceral afferent fibres from the urinary bladder and the urethra in the cat.猫膀胱和尿道腰段内脏传入纤维的功能特性
Pflugers Arch. 1986 Nov;407(5):510-8. doi: 10.1007/BF00657509.

猫膀胱的机械刺激和炎症对无髓传入纤维的激活作用。

Activation of unmyelinated afferent fibres by mechanical stimuli and inflammation of the urinary bladder in the cat.

作者信息

Häbler H J, Jänig W, Koltzenburg M

机构信息

Physiologisches Institut, Christian-Albrechts-Universität zu Kiel, FRG.

出版信息

J Physiol. 1990 Jun;425:545-62. doi: 10.1113/jphysiol.1990.sp018117.

DOI:10.1113/jphysiol.1990.sp018117
PMID:2213588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1189862/
Abstract
  1. We examined the functional properties of unmyelinated primary afferent neurones innervating the pelvic viscera in twenty-five anaesthetized cats. The axons were isolated from the intact dorsal root and the intact or chronically de-efferented ventral root of the segment S2. All units were electrically identified with electrical stimulation of the pelvic nerve. 2. The responses of the neurones were studied with natural stimulation of the urinary bladder using innocuous and noxious increases of intravesical pressure and at the onset of an acute artificial inflammation induced by intraluminal injection of mustard or turpentine oil. 3. Out of 297 unmyelinated afferent units isolated from the dorsal root, seven were excited by an increase of the intravesical pressure during contractions and distension of the urinary bladder. These units were silent when the bladder was empty and had thresholds of 30-50 mmHg which are presumed to be noxious. Further increases of the intravesical pressure were accurately encoded by the discharge rate of the fibres. Out of sixty-eight unmyelinated afferent units isolated from the ventral root none was activated by these stimuli. 4. Intraluminal injection of mustard oil excited mechanosensitive units at short latency. The discharge was not closely related to changes of the intravesical pressure and the units displayed on-going activity after the irritant had been removed. This observation suggests that the units had also chemosensitive properties and that the receptive endings were located in the bladder wall. 5. In sixteen cats ninety-five afferent fibres that were not activated by noxious mechanical stimuli of the urinary bladder were systematically tested with intraluminal injections of mustard oil. This excited 7/67 dorsal root units and 4/28 ventral root units with short latency. Intraluminal application of turpentine oil, tested on twenty-six afferents in four animals, did not produce a rapid excitation. 6. Following the induction of an inflammation some previously non-mechanosensitive units started to respond to changes of intravesical pressure in the biologically relevant pressure range of the urinary bladder. 7. In conclusion, a small subpopulation (2.4%) of unmyelinated visceral afferents responds to high, presumably noxious, intravesical pressure and intraluminal application of chemical irritants. Acute inflammation excites a larger proportion of afferents (9.5%) that are not activated by acute noxious mechanical stimulation of the normal urinary bladder. In the inflamed bladder some previously non-mechanosensitive units started to respond to increases of intravesical pressure. These novel types of chemosensitive receptors may contribute considerably to the pathogenesis of visceral pain states.
摘要
  1. 我们在25只麻醉猫中研究了支配盆腔脏器的无髓初级传入神经元的功能特性。轴突从完整的背根以及S2节段完整的或慢性去传入的腹根中分离出来。所有单位均通过电刺激盆神经进行电识别。2. 使用无害和有害的膀胱内压升高以及在通过腔内注射芥子油或松节油诱导的急性人工炎症发作时,通过膀胱的自然刺激来研究神经元的反应。3. 从背根分离出的297个无髓传入单位中,有7个在膀胱收缩和扩张期间因膀胱内压升高而兴奋。当膀胱排空时,这些单位无活动,其阈值为30 - 50 mmHg,推测为有害阈值。膀胱内压的进一步升高由纤维的放电频率精确编码。从腹根分离出的68个无髓传入单位中,没有一个被这些刺激激活。4. 腔内注射芥子油能在短潜伏期兴奋机械敏感单位。放电与膀胱内压的变化没有密切关系,并且在去除刺激物后这些单位仍表现出持续活动。这一观察结果表明这些单位也具有化学敏感特性,并且感受末梢位于膀胱壁内。5. 在16只猫中,对95条未被膀胱有害机械刺激激活的传入纤维系统地进行了腔内注射芥子油测试。这以短潜伏期兴奋了7/67个背根单位和4/28个腹根单位。在4只动物的26条传入纤维上测试腔内应用松节油,未产生快速兴奋。6. 在诱导炎症后,一些先前对机械刺激无反应的单位开始在膀胱生物学相关压力范围内对膀胱内压变化作出反应。7. 总之,一小部分(2.4%)无髓内脏传入神经对高的、推测为有害的膀胱内压以及腔内应用化学刺激物有反应。急性炎症会兴奋更大比例(9.5%)在正常膀胱急性有害机械刺激下未被激活的传入神经。在发炎的膀胱中,一些先前对机械刺激无反应的单位开始对膀胱内压升高作出反应。这些新型的化学敏感受体可能在很大程度上促成内脏疼痛状态的发病机制。