Conte B, Maggi C A, Meli A
Pharmacology Department, Menarini Sud, Pomezia, Rome, Italy.
Naunyn Schmiedebergs Arch Pharmacol. 1989 Jan-Feb;339(1-2):178-83. doi: 10.1007/BF00165141.
(1) The effect of perineal pinching and distension of a balloon inserted into the colon on motility of the urinary bladder has been investigated in adult urethane-anesthetized rats pretreated with capsaicin (50 mg/kg s.c.) or its vehicle 4 days before the experiments. (2) At bladder volumes which were sufficient to elicit reflex micturition, perineal pinching or colonic distension transiently inhibited the ongoing bladder voiding contraction. The somato-vesical inhibitory response was markedly reduced or even abolished by division of pudendal nerves. Neither the somato-vesical nor the colovesical inhibitory response were modified by desensitization with systemically administered capsaicin. (3) Intraurethral administration of capsaicin produced a transient inhibition of the reflexly-activated bladder contractions. A second administration of the drug was less effective, indicating desensitization. Intravenously administered capsaicin had a similar inhibitory effect on bladder motility. (4) The vesico-inhibitory response produced by intraurethral administration of capsaicin was not affected by phentolamine, propranolol, guanethidine, picrotoxin or naloxone, while it was greatly reduced or even abolished by bilateral section of the pudendal nerves. (5) These findings provide evidence that capsaicin-sensitive chemoreceptors in the rat urethra are involved in generating a vesico-inhibitory response via pudendal nerves. On the other hand, no evidence was found for the participation of capsaicin-sensitive nerves in the generation of the somato- or colo-vesical inhibitory response.
(1)在实验前4天用辣椒素(50mg/kg皮下注射)或其赋形剂预处理的成年乌拉坦麻醉大鼠中,研究了会阴挤压和向结肠内插入球囊扩张对膀胱运动的影响。(2)在足以引发反射性排尿的膀胱容量下,会阴挤压或结肠扩张会短暂抑制正在进行的膀胱排尿收缩。阴部神经切断后,躯体-膀胱抑制反应明显减弱甚至消失。全身给予辣椒素脱敏对躯体-膀胱和结肠-膀胱抑制反应均无影响。(3)尿道内给予辣椒素会短暂抑制反射激活的膀胱收缩。再次给予该药物效果较差,表明出现了脱敏。静脉注射辣椒素对膀胱运动也有类似的抑制作用。(4)尿道内给予辣椒素产生的膀胱抑制反应不受酚妥拉明、普萘洛尔、胍乙啶、印防己毒素或纳洛酮的影响,而双侧阴部神经切断后该反应会大大减弱甚至消失。(5)这些发现提供了证据,表明大鼠尿道中对辣椒素敏感的化学感受器通过阴部神经参与产生膀胱抑制反应。另一方面,未发现对辣椒素敏感的神经参与躯体或结肠-膀胱抑制反应的产生。