对非妊娠人类子宫神经支配的定性和定量研究。

A Qualitative and Quantitative Study of the Innervation of the Human Non Pregnant Uterus.

作者信息

Di Tommaso Silvia, Cavallotti Carlo, Malvasi Antonio, Vergara Daniele, Rizzello Antonio, De Nuccio Francesco, Tinelli Andrea

机构信息

Division of Medical Genetics, Department of Biomedical Sciences and Human Oncology, Universita di Bari "Aldo Moro", 70124 Bari, Italy.

出版信息

Curr Protein Pept Sci. 2017;18(2):140-148. doi: 10.2174/1389203717666160330105341.

Abstract

Human female reproductive system is closely dependent by hormonal stimulation. Anyway it is now commonly stated that autonomic innervation system regulates, along with hormonal stimulation, the uterine physiology. Cholinergic and adrenergic innervations have a critical role in mediating input to the uterus, but other neurotransmitters and neuropeptides exist that influence uterine physiology, as well. In the present investigation, we analyzed the uterine distribution of a large set of neurotransmitters, focusing on adrenergic, noradredenergic, acetylcholine (AChE) positive, dopaminergic, serotoninergic and peptidergic neurofibers; among these latter, we focused on those releasing prolattine, enkephalines (ENKs), Vasoactive Intestinal Polypeptide (VIP), substance P (SP) and oxytocine. Authors demonstrate the differential localization of these neurofibers in non pregnant uterine fundus, corpus and cervix, sampling myometrial assays of 31 patients submitted to hysterectomy. In fundus uteri, we observed a prevalence of prolactinergic (32.1 ± 1.4 Conventional Unit, C.U.) and adrenergic (36.4 ± 4.5 C.U.) neurofibers; in uterine body VIP positive neurofibers (32.6 ± 4.8 C.U.) and prolactinergic neurofibers (30.3 ± 1.2 C.U.) were the most represented. In uterine cervix, we detected the highest concentration of all the neurofibers analysed, with enkephalinergic neurofibers (94 ± 1.7 C.U.), oxitocinergic neurofibers (72.1 ± 5.1 C.U.), SP positive neurofibers (66.1 ± 4.4 C.U.), acetylcholine positive neurofibers (64.5± 3.6 C.U.), serotoninergic neurofibers (56.4 ± 3.9 C.U.) and VIP positive neurofibers (58.3 ± 5.2 C.U.) being the most expressed. This study demonstrates that uterine cervix harbors a higher concentration of almost all neurotransmitters, compared to the other two uterine anatomic sites. The uterine cervix is largely involved during pregnancy and labor, and the rich neurotransmitters density could contribute to confer to the cervix a proper potential plasticity, necessary for pregnancy and labour.

摘要

人类女性生殖系统紧密依赖激素刺激。无论如何,现在普遍认为自主神经系统与激素刺激一起调节子宫生理。胆碱能和肾上腺素能神经支配在介导子宫的输入方面起着关键作用,但也存在其他影响子宫生理的神经递质和神经肽。在本研究中,我们分析了大量神经递质在子宫内的分布,重点关注肾上腺素能、去甲肾上腺素能、乙酰胆碱(AChE)阳性、多巴胺能、5-羟色胺能和肽能神经纤维;在后者中,我们重点关注那些释放催乳素、脑啡肽(ENK)、血管活性肠多肽(VIP)、P物质(SP)和催产素的神经纤维。作者通过对31例行子宫切除术患者的子宫肌层样本进行分析,展示了这些神经纤维在非妊娠子宫底、子宫体和子宫颈中的不同定位。在子宫底,我们观察到催乳素能神经纤维(32.1±1.4传统单位,C.U.)和肾上腺素能神经纤维(36.4±4.5 C.U.)占优势;在子宫体,VIP阳性神经纤维(32.6±4.8 C.U.)和催乳素能神经纤维(30.3±1.2 C.U.)最为常见。在子宫颈,我们检测到所有分析的神经纤维浓度最高,其中脑啡肽能神经纤维(94±1.7 C.U.)、催产素能神经纤维(72.1±5.1 C.U.)、SP阳性神经纤维(66.1±4.4 C.U.)、乙酰胆碱阳性神经纤维(64.5±3.6 C.U.)、5-羟色胺能神经纤维(56.4±3.9 C.U.)和VIP阳性神经纤维(58.3±5.2 C.U.)表达最为明显。这项研究表明,与子宫的其他两个解剖部位相比,子宫颈几乎含有所有神经递质中的更高浓度。子宫颈在妊娠和分娩期间大量参与,丰富的神经递质密度可能有助于赋予子宫颈适当的潜在可塑性,这对妊娠和分娩是必要的。

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