Mattiasson A, Andersson K E, Andersson P O, Larsson B, Sjögren C, Uvelius B
Department of Urology, University Hospital, Lund, Sweden.
J Urol. 1990 Jan;143(1):155-60. doi: 10.1016/s0022-5347(17)39901-9.
In the present study, nerve mediated functions in the circular and longitudinal muscle layers of the female rabbit urethra were characterized. Based on light microscopic findings, the interest was focused on the proximal third of the organ. A microsurgical dissection technique was developed, allowing separation of the two muscle layers. The following studies were carried out: functional in vitro investigations including exogenous application of drugs and electrical field stimulation, investigations of the release of 3H-noradrenaline (NA), and autoradiography for visualization of muscarinic receptors. The results can be summarized as follows: the adrenergic nervous influence, which was mediated mainly via alpha 1-adrenoceptors, dominated the contractile response of the circular layer and contributed significantly to the contraction of the longitudinal layer. A previously described fast, non-adrenergic, non-cholinergic response was found in the circular muscle layer. This response should probably be ascribed to striated muscle with a different innervation and/or structure than skeletal muscle in general. Muscarinic cholinoceptors were abundant in the outer parts of the urethral wall and decreased in density in luminal direction. A significant cholinergic contractile component was demonstrated in the longitudinal muscle. A non-adrenergic, non-cholinergic nerve-mediated relaxant response was found in both layers, although more pronounced in the circular one. Vasoactive intestinal polypeptide completely relaxed both circular and longitudinal preparations contracted by noradrenaline. A possible basis for an interaction between adrenergic and cholinergic nerve endings was demonstrated in the circular muscle layer. Stimulation of muscarinic receptors on the adrenergic nerve endings markedly reduced the release of 3H-NA. The present results support the findings in previous studies on circularly and longitudinally oriented full-thickness preparations of the female urethra and further underline the differences in structure, innervation and receptor functions between the different muscle layers of the urethral wall.
在本研究中,对雌性兔尿道环形和纵行肌层的神经介导功能进行了表征。基于光学显微镜观察结果,研究重点聚焦于该器官的近端三分之一部分。开发了一种显微外科解剖技术,可将两层肌肉分离。进行了以下研究:体外功能研究,包括药物的外源性应用和电场刺激、3H-去甲肾上腺素(NA)释放的研究以及用于可视化毒蕈碱受体的放射自显影。结果可总结如下:主要通过α1-肾上腺素能受体介导的肾上腺素能神经影响主导了环形层的收缩反应,并对纵行层的收缩有显著贡献。在环形肌层中发现了一种先前描述的快速、非肾上腺素能、非胆碱能反应。这种反应可能应归因于与一般骨骼肌具有不同神经支配和/或结构的横纹肌。毒蕈碱胆碱能受体在尿道壁外层丰富,在管腔方向密度降低。在纵行肌中证实了显著的胆碱能收缩成分。在两层中均发现了非肾上腺素能、非胆碱能神经介导的舒张反应,尽管在环形层中更明显。血管活性肠肽使由去甲肾上腺素收缩的环形和纵行制剂完全舒张。在环形肌层中证明了肾上腺素能和胆碱能神经末梢之间相互作用的可能基础。刺激肾上腺素能神经末梢上的毒蕈碱受体可显著减少3H-NA的释放。目前的结果支持了先前关于雌性尿道环形和纵行全层制剂研究的发现,并进一步强调了尿道壁不同肌肉层在结构、神经支配和受体功能方面的差异。