Reddy S N, Daniel E E
Department of Biomedical Sciences, McMaster University Medical Centre, Hamilton, Ontario, Canada.
Am J Physiol. 1990 Jan;258(1 Pt 1):G24-31. doi: 10.1152/ajpgi.1990.258.1.G24.
The mechanism of the inhibition of proximal duodenal motor activity by carbachol-induced antral contractions or by field stimulation was studied in anesthetized dogs that had strain gauges sutured 5 and 10 cm from the pylorus on the antrum and duodenum. The duodenum was excited by vagal stimulation or distal duodenal field stimulation. Duodenal inhibition was studied 1) during a control period and after the pylorus was transected followed by administration of phentolamine, 2) during control and after phentolamine followed by pyloric transection, 3) during control and after prazosin followed by yohimbine, and 4) during control and after yohimbine. Duodenal inhibition was greater when the antral stimulation or duodenal contractions were near the pylorus. Pyloric transection did not significantly reduce this inhibition; phentolamine then abolished it. Prazosin did not abolish inhibition but yohimbine did. In conclusion, antroduodenal inhibition under our experimental conditions was mediated primarily by sympathetic nerves modulating the activity of duodenal cholinergic nerves, which possess alpha 2-adrenoceptors, and to a less extent by intrinsic nerves crossing the pylorus.
在麻醉犬身上研究了卡巴胆碱诱导的胃窦收缩或场刺激对十二指肠近端运动活性的抑制机制,这些犬在胃窦和十二指肠距幽门5厘米和10厘米处缝合了应变片。十二指肠通过迷走神经刺激或十二指肠远端场刺激来兴奋。在以下情况下研究十二指肠抑制作用:1)在对照期以及幽门横断并给予酚妥拉明后;2)在对照期以及给予酚妥拉明后再进行幽门横断;3)在对照期以及给予哌唑嗪后再给予育亨宾;4)在对照期以及给予育亨宾后。当胃窦刺激或十二指肠收缩靠近幽门时,十二指肠抑制作用更强。幽门横断并未显著降低这种抑制作用;酚妥拉明随后消除了这种抑制作用。哌唑嗪并未消除抑制作用,但育亨宾消除了抑制作用。总之,在我们的实验条件下,胃十二指肠抑制主要由交感神经介导,交感神经调节具有α2肾上腺素能受体的十二指肠胆碱能神经的活性,并且在较小程度上由穿过幽门的内在神经介导。