Department of Physiology and Biomedical Engineering and Enteric NeuroScience Program, Mayo Clinic College of Medicine, 200 First St. SW, Rochester, MN 55905, USA.
Am J Physiol Gastrointest Liver Physiol. 2012 Nov 1;303(9):G1067-75. doi: 10.1152/ajpgi.00226.2012. Epub 2012 Sep 6.
Postganglionic sympathetic neurons in the prevertebral ganglia (PVG) provide ongoing inhibitory tone to the gastrointestinal tract and receive innervation from mechanosensory intestinofugal afferent neurons primarily located in the colon and rectum. This study tests the hypothesis that colitis alters the excitability of PVG neurons. Intracellular recording techniques were used to evaluate changes in the electrical properties of inferior mesenteric ganglion (IMG) neurons in the trinitrobenzene sulfonic acid (TNBS) and acetic acid models of guinea pig colitis. Visceromotor IMG neurons were hyperexcitable 12 and 24 h, but not 6 h, post-TNBS during "acute" inflammation. Hyperexcitability persisted at 6 days post-TNBS during "chronic" inflammation, as well as at 56 days post-TNBS when colitis had resolved. In contrast, there was only a modest decrease in the current required to elicit an action potential at 24 h after acetic acid administration. Vasomotor neurons from inflamed preparations exhibited normal excitability. The excitatory effects of XE-991, a blocker of the channel that contributes to the M-type potassium current, and heteropodatoxin-2, a blocker of the channel that contributes to the A-type potassium current, were unchanged in TNBS-inflamed preparations, suggesting that these currents did not contribute to hyperexcitability. Riluzole, an inhibitor of persistent sodium currents, caused tonic visceromotor neurons to accommodate to sustained current pulses, regardless of the inflammatory state of the preparation, and restored a normal rheobase in neurons from TNBS-inflamed preparations but did not alter the rheobase of control preparations, suggesting that enhanced activity of voltage-gated sodium channels may contribute to colitis-induced hyperexcitability. Collectively, these data indicate that enhanced sympathetic drive as a result of hyperexcitable visceromotor neurons may contribute to small bowel dysfunction during colitis.
节前椎旁神经节(PVG)中的节后交感神经元为胃肠道提供持续的抑制性张力,并接受主要位于结肠和直肠的机械感觉肠传出传入神经元的支配。本研究检验了这样一种假说,即结肠炎改变了 PVG 神经元的兴奋性。本研究使用细胞内记录技术评估了三硝基苯磺酸(TNBS)和乙酸诱导的豚鼠结肠炎模型中肠系膜下神经节(IMG)神经元电生理特性的变化。内脏感觉 IMG 神经元在 TNBS 后 12 和 24 小时,而非 6 小时时表现出超兴奋性,此时处于“急性”炎症期。超兴奋性在 TNBS 后 6 天的“慢性”炎症期持续存在,而在 TNBS 后 56 天结肠炎消退时也持续存在。相比之下,在乙酸给药后 24 小时,仅有少量降低诱发动作电位所需的电流。来自炎症部位的血管运动神经元表现出正常的兴奋性。XE-991(一种对 M 型钾电流有贡献的通道阻滞剂)和 Heteropodatoxin-2(一种对 A 型钾电流有贡献的通道阻滞剂)的兴奋作用在 TNBS 炎症部位没有改变,这表明这些电流没有导致超兴奋性。利鲁唑(一种持续钠电流抑制剂)使持续性内脏感觉神经元适应持续电流脉冲,无论制剂的炎症状态如何,并在 TNBS 炎症部位的神经元中恢复正常的阈强度,但并未改变对照制剂的阈强度,这表明电压门控钠通道活性增强可能导致结肠炎引起的超兴奋性。综上所述,这些数据表明,由于内脏感觉神经元超兴奋性导致的交感神经驱动增强可能导致结肠炎期间小肠功能障碍。