Deloof S, Rousseau J P
J Physiol. 1985 Oct;367:13-25. doi: 10.1113/jphysiol.1985.sp015811.
The respective roles of the extrinsic innervation (vagal and splanchnic) and of the myenteric plexus in the control of gastric motility were investigated in rabbits by quantifying the effect of cutting the extrinsic nerves on the electrical response of the antrum and pylorus to inflation of the antrum. In intact animals the frequency of bursts during distension was significantly increased above the frequency during the 30 min preceding inflations. The interval from the end of step inflation to the first burst recorded after inflation was significantly longer than the mean interval between bursts in the 30 min preceding inflation, whereas no such difference was observed following ramp inflation. Both atropine and hexamethonium abolished the responses to distension. The basal rhythm of bursts recorded on the antrum and pylorus was markedly reduced during the first 3 days after vagotomy: the mean values of the frequency in response to distension were significantly less than those in intact animals, whereas the first interval after inflation was significantly increased. Thereafter no such differences were encountered. The only change after section of the splanchnic nerves was a significant reduction in the first interval after inflation, resulting in rapid restoration of the initial rhythm at the end of inflation. In vagotomized animals with cut splanchnic nerves, the basal electrical activity of the antrum was not affected but the responses to step inflations were much greater; the frequency of bursts during distension and the first interval after inflation were both significantly increased. Section of the vagal afferent fibres changed neither the frequency of the basal rhythm nor the responses to distension. These results indicate that the tonic excitatory effect mediated by vagal efferents on the basal rhythm of the antrum is of central origin and independent of visceral inputs. Local mechanisms within the peripheral plexus of neurones could be responsible for the enhanced responses to step inflations, which would normally be adjusted by the central mechanisms through the extrinsic innervation. Possible effects of changes in the sensitivity of the post-ganglionic neurones are discussed.
通过量化切断外周神经对胃窦和幽门充气时电反应的影响,研究了家兔中外周神经支配(迷走神经和内脏神经)和肌间神经丛在胃动力控制中的各自作用。在完整动物中,扩张期间爆发的频率显著高于扩张前30分钟的频率。从阶梯式扩张结束到扩张后记录到的第一次爆发的间隔明显长于扩张前30分钟内爆发之间的平均间隔,而在斜坡式扩张后未观察到这种差异。阿托品和六甲铵均消除了对扩张的反应。迷走神经切断术后的头3天内,胃窦和幽门记录到的爆发的基础节律明显降低:对扩张反应的频率平均值显著低于完整动物,而扩张后的第一个间隔明显增加。此后未发现此类差异。切断内脏神经后唯一的变化是扩张后的第一个间隔显著缩短,导致扩张结束时初始节律迅速恢复。在迷走神经切断且内脏神经切断的动物中,胃窦的基础电活动未受影响,但对阶梯式扩张的反应更大;扩张期间爆发的频率和扩张后的第一个间隔均显著增加。切断迷走神经传入纤维既未改变基础节律的频率,也未改变对扩张的反应。这些结果表明,迷走神经传出纤维介导的对胃窦基础节律的紧张性兴奋作用起源于中枢,且独立于内脏传入。神经细胞外周神经丛内的局部机制可能是对阶梯式扩张反应增强的原因,而这种反应通常会通过外周神经支配由中枢机制进行调节。文中讨论了节后神经元敏感性变化的可能影响。