Wong Kelvin K L, Tang Lauren C Y, Zhou Jerry, Ho Vincent
a School of Medicine, Western Sydney University , Campbelltown , NSW , Australia.
Organogenesis. 2017 Apr 3;13(2):39-62. doi: 10.1080/15476278.2017.1295904. Epub 2017 Feb 23.
Anticholinergic drugs are well-known to cause adverse effects, such as constipation, but their effects on baseline contractile activity in the gut driven by slow waves is not well established. In a video-based gastrointestinal motility monitoring (GIMM) system, a mouse's small intestine was placed in Krebs solution and recorded using a high definition camera. Untreated controls were recorded for each specimen, then treated with a therapeutic concentration of the drug, and finally, treated with a supratherapeutic dose of the drug. Next, the video clips showing gastrointestinal motility were processed, giving us the segmentation motions of the intestine, which were then converted via Fast Fourier Transform (FFT) into their respective frequency spectrums. These contraction quantifications were analyzed from the video recordings under standardised conditions to evaluate the effect of drugs. Six experimental trials were included with benztropine and promethazine treatments. Only the supratherapeutic dose of benztropine was shown to significantly decrease the amplitude of contractions; at therapeutic doses of both drugs, neither frequency nor amplitude was significantly affected. We have demonstrated that intestinal slow waves can be analyzed based on the colonic frequency or amplitude at a supratherapeutic dose of the anticholinergic medications. More research is required on the effects of anticholinergic drugs on these slow waves to ascertain the true role of ICC in neurologic control of gastrointestinal motility.
抗胆碱能药物会引起诸如便秘等不良反应,这是众所周知的,但它们对由慢波驱动的肠道基线收缩活动的影响尚未明确。在基于视频的胃肠动力监测(GIMM)系统中,将小鼠的小肠置于 Krebs 溶液中,并用高清摄像机进行记录。对每个标本先记录未经处理的对照情况,然后用治疗浓度的药物进行处理,最后用超治疗剂量的药物进行处理。接下来,对显示胃肠动力的视频片段进行处理,得到肠道的分段运动,然后通过快速傅里叶变换(FFT)将其转换为各自的频谱。在标准化条件下从视频记录中分析这些收缩量化指标,以评估药物的效果。纳入了六项使用苯海索和异丙嗪治疗的实验性试验。仅超治疗剂量的苯海索显示出显著降低收缩幅度;在两种药物的治疗剂量下,频率和幅度均未受到显著影响。我们已经证明,在抗胆碱能药物的超治疗剂量下,可以根据结肠频率或幅度来分析肠道慢波。关于抗胆碱能药物对这些慢波的影响,还需要更多研究来确定肠肌间神经丛在胃肠动力神经控制中的真正作用。