Okumura T, Okamura K, Shibata Y, Namiki M
Nihon Shokakibyo Gakkai Zasshi. 1989 Aug;86(8):1597-603.
Parasympathetic preganglionic cells innervating the stomach are located in the dorsal motor nucleus of the vagus nerve (DMN) in the medulla. The present experiments were carried out to elucidate that the long-lasting excitation of DMN neurons by kainic acid, a long-acting neuronal excitant, induced gastric ulcers and to identify the input neuronal systems projecting to the DMN by means of horseradish peroxidase (HRP) method in rats. Twenty four hours after kainic acid injection into the DMN, gastric ulcerative lesions were induced in 12 out of 14 rats. The ulcer index in experimental group, 10.2 +/- 6.5 mm, was significantly higher than that in the control group, 0.5 +/- 1.0. Mucus content in gastric mucosa was significantly lower than that of the control group. Fourty four hours after HRP injection into the DMN, HRP labeled cells were distributed from medulla to cortex, especially in medullary reticular formation, interpositis cerebellar nucleus, several hypothalamic nuclei, central amygdala nucleus and insular cortex. These results suggest that long-lasting excitation of DMN neurons facilitate gastric ulcer formation and that a decrease in mucus content in gastric mucosa plays an important role in the process of gastric ulcer formation by kainic acid injection into the DMN. Since the cortex, amygdala and hypothalamus has been shown to be closely associated with emotion and stress, it could be speculated that emotional changes and stress might induce the changes of excitability of DMN neurons via higher order neuronal systems.
支配胃的副交感神经节前细胞位于延髓的迷走神经背核(DMN)。本实验旨在阐明,用长效神经元兴奋剂 kainic 酸对 DMN 神经元进行持久刺激会诱发胃溃疡,并通过辣根过氧化物酶(HRP)法在大鼠中鉴定投射至 DMN 的输入神经元系统。向 DMN 注射 kainic 酸 24 小时后,14 只大鼠中有 12 只诱发了胃溃疡性病变。实验组的溃疡指数为 10.2±6.5mm,显著高于对照组的 0.5±1.0。胃黏膜中的黏液含量显著低于对照组。向 DMN 注射 HRP 44 小时后,HRP 标记的细胞从延髓分布至皮质,尤其在延髓网状结构、小脑间位核、几个下丘脑核、杏仁中央核和岛叶皮质中。这些结果表明,DMN 神经元的持久兴奋促进胃溃疡形成,且向 DMN 注射 kainic 酸导致胃黏膜黏液含量降低在胃溃疡形成过程中起重要作用。由于已证明皮质、杏仁核和下丘脑与情绪和应激密切相关,因此可以推测情绪变化和应激可能通过高级神经元系统诱导 DMN 神经元兴奋性的改变。