Discipline of Human Physiology, Flinders University, Adelaide, SA, Australia.
Departments of Gastroenterology and Surgery, Flinders Medical Centre, Bedford Park, SA, Australia.
Neurogastroenterol Motil. 2017 Oct;29(10):1-13. doi: 10.1111/nmo.13092. Epub 2017 Apr 26.
BACKGROUND: The contents of the guinea pig distal colon consist of multiple pellets that move anally in a coordinated manner. This row of pellets results in continued distention of the colon. In this study, we have investigated quantitatively the features of the neurally dependent colonic motor patterns that are evoked by constant distension of the full length of guinea-pig colon. METHODS: Constant distension was applied to the excised guinea-pig by high-resolution manometry catheters or by a series of hooks. KEY RESULTS: Constant distension elicited regular Cyclic Motor Complexes (CMCs) that originated at multiple different sites along the colon and propagated in an oral or anal direction extending distances of 18.3±10.3 cm. CMCs were blocked by tetrodotoxin (TTX; 0.6 μ mol L ), hexamethonium (100 μ mol L ) or hyoscine (1 μ mol L ). Application of TTX in a localized compartment or cutting the gut circumferentially disrupted the spatial continuity of CMCs. Localized smooth muscle contraction was not required for CMC propagation. Shortening the length of the preparations or disruption of circumferential pathways reduced the integrity and continuity of CMCs. CONCLUSIONS & INFERENCES: CMCs are a distinctive neurally dependent cyclic motor pattern, that emerge with distension over long lengths of the distal colon. They do not require changes in muscle tension or contractility to entrain the neural activity underlying CMC propagation. CMCs are likely to play an important role interacting with the neuromechanical processes that time the propulsion of multiple natural pellets and may be particularly relevant in conditions of impaction or obstruction, where long segments of colon are simultaneously distended.
背景:豚鼠远端结肠的内容物由多个在肛门方向协调移动的颗粒组成。这排颗粒导致结肠持续扩张。在这项研究中,我们定量研究了通过持续扩张整个豚鼠结肠引起的依赖神经的结肠运动模式的特征。
方法:通过高分辨率测压导管或一系列钩子向离体豚鼠施加持续扩张。
主要结果:持续扩张诱发了规则的周期性运动复合波(CMCs),它们起源于结肠的多个不同部位,并沿口腔或肛门方向传播,延伸距离为 18.3±10.3 厘米。CMCs 被河豚毒素(TTX;0.6 μmol L)、六烃季铵(100 μmol L)或氢溴酸东莨菪碱(1 μmol L)阻断。TTX 在局部隔室中的应用或肠道的圆周切割破坏了 CMC 的空间连续性。CMCs 传播不需要局部平滑肌收缩。缩短制剂的长度或破坏圆周途径会降低 CMC 的完整性和连续性。
结论和推论:CMCs 是一种独特的依赖神经的周期性运动模式,在远端结肠的长段扩张时出现。它们不需要改变肌肉张力或收缩性来引发 CMC 传播下的神经活动。CMCs 可能在与时间推进多个自然颗粒的神经机械过程相互作用中发挥重要作用,并且在同时扩张长段结肠的嵌塞或阻塞等情况下可能特别相关。
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