You Il Young, Lee Seungho, Kim Ki Bae, Lee Hee Seung, Jang Jong Soon, Yeon Myeongho, Han Joung-Ho, Yoon Soon Man, Chae Hee Bok, Park Seon Mee, Youn Sei Jin
Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.
Korean J Gastroenterol. 2015 May;65(5):283-90. doi: 10.4166/kjg.2015.65.5.283.
BACKGROUND/AIMS: Urocortin 1, a corticotropin-releasing factor related peptide, increases colonic motility under stressful conditions. We investigated the effect of urocortin 1 on colonic motility using an experimental model with isolated rat colon in which the blood flow and intestinal nerves were preserved. Furthermore, we assessed whether this effect was mediated by adrenergic or cholinergic nerves.
Colonic motility was measured in the proximal and distal parts of resected rat colon. The colon resected from the peritoneum was stabilized, and then urocortin 1 (13.8, 138, 277, and 1,388 pM) was administered via a blood vessel. Motility index was measured in the last 5 min of the 15 min administration of urocortin 1 and expressed as percentage change from baseline. Subsequently, the change in motility was measured by perfusing urocortin 1 in colons pretreated with phentolamine, propranolol, hexamethonium, atropine, or tetrodotoxin.
At concentrations of 13.8, 138, 277, and 1,388 pM, urocortin 1 increased the motility of proximal colon (20.4 ± 7.2%,48.4 ± 20.9%, 67.0 ± 25.8%, and 64.2 ± 20.9%, respectively) and the motility of distal colon (3.3 ± 3.3%, 7.8 ± 7.8%, 71.1 ± 28.6%,and 87.4 ± 32.5%, respectively). The motility induced by urocortin 1 was significantly decreased by atropine to 2.4 ± 2.4% in proximal colon and 3.4 ± 3.4% in distal colon (p < 0.05). However, tetrodotoxin, propranolol, phentolamine, and hexamethonium did not inhibit motility.
Urocortin 1 increased colonic motility and it is considered that this effect was directly mediated by local muscarinic cholinergic receptors.
背景/目的:尿皮质素1是一种促肾上腺皮质激素释放因子相关肽,在应激条件下可增强结肠动力。我们使用保留了血流和肠神经的大鼠离体结肠实验模型,研究了尿皮质素1对结肠动力的影响。此外,我们评估了这种作用是否由肾上腺素能神经或胆碱能神经介导。
在切除的大鼠结肠的近端和远端测量结肠动力。将从腹膜切除的结肠固定,然后通过血管给予尿皮质素1(13.8、138、277和1388 pM)。在给予尿皮质素1的15分钟的最后5分钟测量动力指数,并表示为相对于基线的百分比变化。随后,通过在预先用酚妥拉明、普萘洛尔、六甲铵、阿托品或河豚毒素处理的结肠中灌注尿皮质素1来测量动力变化。
在浓度为13.8、138、277和1388 pM时,尿皮质素1增加了近端结肠的动力(分别为20.4±7.2%、48.4±20.9%、67.0±25.8%和64.2±20.9%)以及远端结肠的动力(分别为3.3±3.3%、7.8±7.8%、71.1±28.6%和87.4±32.5%)。阿托品使尿皮质素1诱导的动力在近端结肠显著降低至2.4±2.4%,在远端结肠降低至3.4±3.4%(p<0.05)。然而,河豚毒素、普萘洛尔、酚妥拉明和六甲铵并未抑制动力。
尿皮质素1增加结肠动力,并且认为这种作用是由局部毒蕈碱胆碱能受体直接介导的。