Okumura T, Uehara A, Okamura K, Namiki M
Dept. of Internal Medicine (III), Asahikawa Medical College, Hokkaido, Japan.
Scand J Gastroenterol. 1990 Aug;25(8):834-40. doi: 10.3109/00365529008999223.
The present study was conducted to investigate the role of the parasympathetic nervous system innervating the stomach in gastric ulcer formation, with special reference to its neuroanatomic characteristics in rats. First, the effects of electric vagal stimulation on the gastric mucosa were examined. The electric stimulation of the left or right gastric branch of the vagus nerve caused gastric mucosal lesions to develop. Interestingly, however, gastric lesions were found on the anterior wall in the rats that had received electric stimulation to the left gastric branch of the vagus nerve and on the posterior wall in the rats that had received stimulation to the right gastric branch. Next, the cells of origin projecting to the left or right gastric branch of the vagus nerve were identified by means of a horseradish peroxidase retrograde tracer method. The left and right gastric branches were found to be innervated by the left and right dorsal motor nuclei of the vagus nerve in the medulla oblongata, respectively. It has been reported that the left and right dorsal motor nuclei of the vagus nerve separately innervate the anterior or posterior gastric wall. The present results, therefore, suggest that the long-lasting excitation of neurons in the dorsal motor nucleus facilitates the site-specific formation of gastric ulcers through the left or right gastric branch of the vagus nerve.
本研究旨在探讨支配胃的副交感神经系统在胃溃疡形成中的作用,并特别提及大鼠的神经解剖学特征。首先,检测了电刺激迷走神经对胃黏膜的影响。电刺激迷走神经的左或右胃支会导致胃黏膜损伤。然而,有趣的是,接受迷走神经左胃支电刺激的大鼠胃病变出现在前壁,而接受右胃支刺激的大鼠胃病变出现在后壁。接下来,通过辣根过氧化物酶逆行示踪法确定投射到迷走神经左或右胃支的起源细胞。发现迷走神经的左、右胃支分别由延髓中迷走神经的左、右背运动核支配。据报道,迷走神经的左、右背运动核分别支配胃前壁或后壁。因此,目前的结果表明,背运动核中神经元的长期兴奋通过迷走神经的左或右胃支促进胃溃疡的位点特异性形成。