Yokotani K
Department of Pharmacology, Kochi Medical School, Japan.
Nihon Yakurigaku Zasshi. 1987 Nov;90(5):259-66. doi: 10.1254/fpj.90.259.
The inhibitory mechanism of the gastric acid secretion by the sympatho-adrenomedullary system was examined by electrical stimulation of the greater splanchnic nerves of urethane-anesthetized rats with gastric fistula. Stimulation of the greater splanchnic nerve or adrenal branch of the splanchnic nerve reduced both vagally stimulated acid secretion and mucosal blood flow (MBF). On the other hand, after cutting the adrenal branch, selective stimulation of the postganglionic splanchnic nerve (SP) reduced the vagally stimulated acid secretion without affecting MBF. These direct inhibitions by SP nerve stimulation were also observed in the bethanechol- and pentagastrin-induced acid secretion, but not in the histamine-induced acid secretion. SP-induced inhibition on the vagally stimulated acid secretion was abolished by phentolamine and yohimbine. On the other hand, SP-induced inhibitions on the bethanechol- and pentagastrin-induced acid secretion were abolished by phentolamine and prazosin. From these observations, gastric sympathetic nerves directly inhibit the gastric acid secretion by activation of adrenergic alpha-1 and -2 adrenoceptors, alpha-2 adrenoceptors on the parasympathetic neurons in the gastric wall, and alpha-1 adrenoceptors on the structures near the parietal cells.
通过对有胃瘘的氨基甲酸乙酯麻醉大鼠的内脏大神经进行电刺激,研究了交感 - 肾上腺髓质系统对胃酸分泌的抑制机制。刺激内脏大神经或其肾上腺分支可降低迷走神经刺激引起的胃酸分泌和黏膜血流量(MBF)。另一方面,切断肾上腺分支后,选择性刺激节后内脏神经(SP)可降低迷走神经刺激引起的胃酸分泌,而不影响MBF。在氨甲酰甲胆碱和五肽胃泌素诱导的胃酸分泌中也观察到了SP神经刺激的这些直接抑制作用,但在组胺诱导的胃酸分泌中未观察到。酚妥拉明和育亨宾可消除SP对迷走神经刺激引起的胃酸分泌的抑制作用。另一方面,酚妥拉明和哌唑嗪可消除SP对氨甲酰甲胆碱和五肽胃泌素诱导的胃酸分泌的抑制作用。从这些观察结果来看,胃交感神经通过激活肾上腺素能α-1和α-2肾上腺素受体、胃壁副交感神经元上的α-2肾上腺素受体以及壁细胞附近结构上的α-1肾上腺素受体,直接抑制胃酸分泌。