Department of Gastroenterology, Affiliated Hospital of Xuzhou Medical College, 99 West Huaihai Road, Xuzhou, 221002 Jiangsu, China.
Neurosci Lett. 2012 Feb 16;509(2):125-9. doi: 10.1016/j.neulet.2011.12.057. Epub 2012 Jan 5.
Cerebellum, primarily believed as a subcortical somatic motor center, is increasingly considered to be implicated in visceral activities. However, little is known about its regulation on gastrointestinal organs. In this research, we investigated the aggravated effect of microinjection of gamma-aminobutyric acid receptor subtype B (GABA(B)R) agonist, Baclofen into cerebellar fastigial nucleus (FN) on stress gastric mucosal damage (SGMD) and its possible regulatory mechanism. The gastric mucosal damage index was chosen to indicate the severity of gastric mucosal injure. Immunohistochemistry and transferase-mediated dUTP-biotin nick-endlabeling (TUNEL) methods were used to detect the variations of lateral hypothalamic area (LHA) and gastric mucosa. It had been demonstrated that FN participates in regulation of SGMD via its GABA(B)R and GABA neural pathway, which passes through the decussation of superior cerebellar peduncle and projects to the GABA receptors in LHA. Meanwhile, celiac sympathetic nerve involves in this process via mediating neural discharge, which results in the decrease of gastric mucosal blood flow. Additionally, apoptosis, proliferation and oxidation in gastric mucosa, and gastric acid contribute in the mechanism. It could be expected that these results might suggest insights to the cerebellar and hypothalamic function, and the treatment of gastrointestinal diseases.
小脑主要被认为是皮质下躯体运动中枢,但其与内脏活动的关系也逐渐受到关注。然而,小脑对胃肠道的调控作用仍知之甚少。本研究旨在探讨小脑绒球小结叶核(FN)内注射γ-氨基丁酸 B 型受体(GABA(B)R)激动剂——巴氯芬对心理应激性胃黏膜损伤(SGMD)的加重作用及其可能的调控机制。胃黏膜损伤指数用于评估胃黏膜损伤的严重程度。免疫组织化学和原位末端标记法(TUNEL)检测外侧下丘脑区(LHA)和胃黏膜的变化。结果表明,FN 通过其 GABA(B)R 和 GABA 能神经通路参与 SGMD 的调控,该通路通过小脑上脚交叉投射到 LHA 的 GABA 受体。同时,腹腔交感神经通过介导神经放电参与这一过程,导致胃黏膜血流减少。此外,胃黏膜的凋亡、增殖和氧化以及胃酸也参与了这一机制。这些结果可能为小脑和下丘脑的功能以及胃肠道疾病的治疗提供新的思路。