Li Qingfu, Peng Jie
Department of Gastroenterology, Xiangya Hospital, Central South University, Changsha 410008, China.
Gland Surg. 2014 Nov;3(4):284-92. doi: 10.3978/j.issn.2227-684X.2013.10.08.
Sensory nerves are a kind of nerve that conduct afferent impulses from the periphery receptors to the central nervous system (CNS) and are able to release neuromediators from the activated peripheral endings. Sensory nerves are particularly important for microcirculatory response, and stimulation of pancreatic sensory nerves releases a variety of neuropeptides such as substance P (SP), calcitonin gene-related peptide (CGRP), etc., leading to neurogenic inflammation characterized as the local vasodilatation and plasma extravasation. Deactivation of sensory nerves often leads to the disturbances of pancreatic microcirculation. Pancreatitis is a common digestive disease that can lead to severe complications and even death if it goes untreated. Experimental studies in animals and tissue analysis in patients with pancreatitis have shown significant changes in sensory nerves supplying the pancreatic gland. Thus making clear the whole mechanism of pancreatitis is essential to treat and cure it. Sensory nerves may have a close correlation with the development of pancreatitis, and knowing more about the role of sensory nerve in pancreatitis is important for the treatment for pancreatitis. This review is aimed to summarize the relationship between sensory nerves and pancreatitis.
感觉神经是一种将传入冲动从外周感受器传导至中枢神经系统(CNS),并能够从激活的外周神经末梢释放神经介质的神经。感觉神经对微循环反应尤为重要,刺激胰腺感觉神经会释放多种神经肽,如P物质(SP)、降钙素基因相关肽(CGRP)等,导致以局部血管扩张和血浆外渗为特征的神经源性炎症。感觉神经失活常导致胰腺微循环紊乱。胰腺炎是一种常见的消化系统疾病,如果不治疗,可能会导致严重并发症甚至死亡。动物实验研究和胰腺炎患者的组织分析表明,供应胰腺的感觉神经有显著变化。因此,明确胰腺炎的整个机制对于治疗和治愈胰腺炎至关重要。感觉神经可能与胰腺炎的发展密切相关,更多地了解感觉神经在胰腺炎中的作用对于胰腺炎的治疗很重要。这篇综述旨在总结感觉神经与胰腺炎之间的关系。