Institute of Biomedicine, Anatomy, Biomedicum Helsinki, University of Helsinki, Helsinki, Finland.
J Physiol. 2013 Apr 15;591(8):2175-88. doi: 10.1113/jphysiol.2012.246801. Epub 2013 Jan 21.
Efferent signals from the vagus nerve are thought to mediate both basal and meal-induced gastric acid secretion, and provide trophic support of the mucosa. However, the underlying mechanisms are incompletely understood. Neurturin, signalling via glial cell line-derived neurotrophic factor (GDNF)-family receptor α2 (GFRα2), is essential for parasympathetic innervation of many target tissues but its role in gastric innervation is unknown. Here we show that most nerve fibres in wild-type mouse gastric mucosa, including all positive for gastrin-releasing peptide, are cholinergic. GFRα2-deficient (KO) mice lacked virtually all cholinergic nerve fibres and associated glial cells in the gastric (oxyntic and pyloric) mucosa but not in the smooth muscle, consistent with the selective expression of neurturin mRNA in the gastric mucosa. 2-Deoxyglucose and hexamethonium failed to affect acid secretion in the GFRα2-KO mice indicating the lack of functional innervation in gastric mucosa. Interestingly, basal and maximal histamine-induced acid secretion did not differ between wild-type and GFRα2-KO mice. Moreover, circulating gastrin levels in both fasted and fed animals, thickness of gastric mucosa, and density of parietal and different endocrine cells were similar. Carbachol-stimulated acid secretion was higher in GFRα2-KO mice, while atropine reduced basal secretion similarly in both genotypes. We conclude that cholinergic innervation of gastric mucosa depends on neurturin-GFRα2 signalling but is dispensable for gastrin secretion and for basal and maximal acid output. Basal acid secretion in the KO mice appears to be, at least partly, facilitated by constitutive activity of muscarinic receptors.
迷走神经传出信号被认为介导基础和餐诱导胃酸分泌,并提供黏膜的营养支持。然而,其潜在机制尚不完全清楚。神经胶质细胞源性神经营养因子(GDNF)家族受体α2(GFRα2)通过信号转导的神经营养因子(neurturin)对于许多靶组织的副交感神经支配是必不可少的,但它在胃支配中的作用尚不清楚。在这里,我们发现野生型小鼠胃黏膜中的大多数神经纤维,包括所有胃泌素释放肽阳性的神经纤维,都是胆碱能的。GFRα2 缺陷(KO)小鼠胃黏膜(胃和幽门)中几乎没有所有胆碱能神经纤维和相关神经胶质细胞,但在平滑肌中没有,这与胃黏膜中选择性表达神经营养因子的 mRNA 一致。2-脱氧葡萄糖和六烃季铵不能影响 GFRα2-KO 小鼠的胃酸分泌,表明胃黏膜中没有功能性神经支配。有趣的是,野生型和 GFRα2-KO 小鼠之间的基础和最大组胺诱导的胃酸分泌没有差异。此外,空腹和进食动物的循环胃泌素水平、胃黏膜厚度以及壁细胞和不同内分泌细胞的密度相似。在 GFRα2-KO 小鼠中,卡巴胆碱刺激的胃酸分泌较高,而阿托品在两种基因型中对基础分泌的抑制作用相似。我们的结论是,胃黏膜的胆碱能支配依赖于神经胶质细胞源性神经营养因子-GFRα2 信号,但对于胃泌素分泌和基础和最大胃酸输出是可有可无的。在 KO 小鼠中,基础胃酸分泌似乎至少部分地通过毒蕈碱受体的组成型活性得到促进。