van der Keylen Piet, Garreis Fabian, Steigleder Ruth, Sommer Daniel, Neuhuber Winfried L, Wörl Jürgen
Institute of Anatomy I, Friedrich-Alexander University Erlangen-Nürnberg, Krankenhausstrasse 9, 91054, Erlangen, Germany.
Institute of Anatomy II, Friedrich-Alexander University Erlangen-Nürnberg, Universitätsstrasse 19, 91054, Erlangen, Germany.
Histochem Cell Biol. 2016 May;145(5):573-85. doi: 10.1007/s00418-015-1403-6. Epub 2016 Jan 21.
Enteric co-innervation is a peculiar innervation pattern of striated esophageal musculature. Both anatomical and functional data on enteric co-innervation related to various transmitters have been collected in different species, although its function remains enigmatic. However, it is unclear whether catecholaminergic components are involved in such a co-innervation. Thus, we examined to identify catecholaminergic neuronal elements and clarify their relationship to other innervation components in the esophagus, using immunohistochemistry with antibodies against tyrosine hydroxylase (TH), vesicular acetylcholine transporter (VAChT), choline acetyltransferase (ChAT) and protein gene product 9.5 (PGP 9.5), α-bungarotoxin (α-BT) and PCR with primers for amplification of cDNA encoding TH and dopamine-β-hydroxylase (DBH). TH-positive nerve fibers were abundant throughout the myenteric plexus and localized on about 14% of α-BT-labelled motor endplates differing from VAChT-positive vagal nerve terminals. TH-positive perikarya represented a subpopulation of only about 2.8% of all PGP 9.5-positive myenteric neurons. Analysis of mRNA showed both TH and DBH transcripts in the mouse esophagus. As ChAT-positive neurons in the compact formation of the nucleus ambiguus were negative for TH, the TH-positive nerve varicosities on motor endplates are presumably of enteric origin, although a sympathetic origin cannot be excluded. In the medulla oblongata, the cholinergic ambiguus neurons were densely supplied with TH-positive varicosities. Thus, catecholamines may modulate vagal motor innervation of esophageal-striated muscles not only at the peripheral level via enteric co-innervation but also at the central level via projections to the nucleus ambiguus. As Parkinson's disease, with a loss of central dopaminergic neurons, also affects the enteric nervous system and dysphagia is prevalent in patients with this disease, investigation of intrinsic catecholamines in the esophagus may be worthwhile to understand such a symptom.
肠共同神经支配是横纹肌食管肌层一种独特的神经支配模式。尽管其功能仍不明确,但已在不同物种中收集到了与各种递质相关的肠共同神经支配的解剖学和功能数据。然而,尚不清楚儿茶酚胺能成分是否参与这种共同神经支配。因此,我们使用针对酪氨酸羟化酶(TH)、囊泡乙酰胆碱转运体(VAChT)、胆碱乙酰转移酶(ChAT)和蛋白基因产物9.5(PGP 9.5)的抗体进行免疫组织化学,以及用针对编码TH和多巴胺-β-羟化酶(DBH)的cDNA扩增引物进行PCR,来检测并确定儿茶酚胺能神经元成分,并阐明它们与食管中其他神经支配成分的关系。TH阳性神经纤维在整个肌间神经丛中丰富分布,并定位在约14%的α-银环蛇毒素(α-BT)标记的运动终板上,这与VAChT阳性的迷走神经末梢不同。TH阳性神经元胞体仅占所有PGP 9.5阳性肌间神经元的约2.8%。mRNA分析显示小鼠食管中有TH和DBH转录本。由于疑核紧密结构中的ChAT阳性神经元TH呈阴性,运动终板上的TH阳性神经膨体大概起源于肠,但也不能排除交感神经起源。在延髓中,胆碱能疑核神经元密集分布有TH阳性膨体。因此,儿茶酚胺可能不仅通过肠共同神经支配在外周水平调节食管横纹肌的迷走运动神经支配,还通过投射到疑核在中枢水平进行调节。由于帕金森病伴有中枢多巴胺能神经元缺失,也会影响肠神经系统,且吞咽困难在该病患者中很常见,因此研究食管中的内源性儿茶酚胺对于理解这种症状可能是有价值的。