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血管活性肠肽与猫盆腔和腹下神经刺激诱发的阴茎勃起的关系。

Vasoactive intestinal polypeptide in relation to penile erection in the cat evoked by pelvic and hypogastric nerve stimulation.

作者信息

Andersson P O, Björnberg J, Bloom S R, Mellander S

出版信息

J Urol. 1987 Aug;138(2):419-22. doi: 10.1016/s0022-5347(17)43176-4.

Abstract

The hemodynamics of penile erection were elucidated in the anesthetized cat by studying volumetrically determined erectile responses of the penis and penile blood flow during frequency-graded bilateral stimulation of the pelvic and the hypogastric nerves, selectively or in combination. The study also provided information on possible neurotransmitter mechanisms. The results indicated that the erectile response is mediated by both the pelvic and hypogastric nerves, operating synergistically to evoke a seemingly maximum erection. Optimum erectile responses for either nerve system were obtained at 16 Hz and threshold responses at 0.5 to one Hz. In the presence of atropine, the erectile response to selective stimulation of the pelvic and the hypogastric nerves, respectively, were clearly curtailed, suggesting a cholinergic mechanism to be partly responsible for the diversion of blood from the penile "resistance vessels" to the cavernous bodies, possibly accomplished via the opening of vessels with a shunt-like function. However, the magnitude of the erectile response to combined pelvic and hypogastric nerve stimulation seemed to be surprisingly little affected by muscarinic blockade. Selective stimulations of the pelvic and the hypogastric nerves, respectively, were both found to cause about a five-fold increase in VIP output from the penis, coordinated in time with the local blood flow increase during erection. These data suggest a VIP-ergic neurotransmitter mechanism to be involved in penile erection in the cat, possibly controlling the dilation of the penile arterial "resistance vessels."

摘要

通过在麻醉猫身上,选择性地或联合进行频率分级的双侧盆腔神经和腹下神经刺激,研究阴茎体积测定的勃起反应和阴茎血流量,阐明了阴茎勃起的血流动力学。该研究还提供了有关可能的神经递质机制的信息。结果表明,勃起反应由盆腔神经和腹下神经介导,二者协同作用以诱发看似最大程度的勃起。任一神经系统的最佳勃起反应在16赫兹时获得,阈值反应在0.5至1赫兹时出现。在阿托品存在的情况下,对盆腔神经和腹下神经的选择性刺激所引起的勃起反应分别明显减弱,这表明胆碱能机制部分负责血液从阴茎“阻力血管”向海绵体的分流,可能是通过具有分流样功能的血管开放来实现的。然而,盆腔神经和腹下神经联合刺激所引起的勃起反应幅度似乎受毒蕈碱阻断的影响出奇地小。分别对盆腔神经和腹下神经进行选择性刺激均发现会导致阴茎中血管活性肠肽(VIP)输出量增加约五倍,与勃起期间局部血流量增加在时间上相协调。这些数据表明,VIP能神经递质机制参与了猫的阴茎勃起,可能控制阴茎动脉“阻力血管”的扩张。

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