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犬幽门括约肌压力的外在和内在神经控制

Extrinsic and intrinsic neural control of pyloric sphincter pressure in the dog.

作者信息

Allescher H D, Daniel E E, Dent J, Fox J E, Kostolanska F

机构信息

Department of Neurosciences, McMaster University, Hamilton, Ontario, Canada.

出版信息

J Physiol. 1988 Jul;401:17-38. doi: 10.1113/jphysiol.1988.sp017149.

Abstract
  1. In chloralose-urethane-anaesthetized dogs a manometric assembly was inserted via a gastrostomy to monitor pyloric pressure with a sleeve sensor. Antral and duodenal contractions were monitored with both manometric side holes and serosal strain gauges. 2. Subserosal silver wire electrodes were placed in the antrum 5 cm orad and the duodenum 3 cm aborad to the pylorus to facilitate field stimulation of intramural nerves. 3. The pylorus exerted spontaneous tone (10.8 +/- 4.8 mmHg) with phasic contractions occurring at a rate varying from 1-5 min-1 and, at times, with a superimposed higher frequency up to 15 min-1. Atropine (30 micrograms kg-1 I.V. and 10 micrograms I.A.) reduced and tetrodotoxin (50-100 micrograms I.A.) enhanced the phasic activity significantly. 4. Bilateral cervical vagal section had no consistent influence on pyloric motility. 5. Stimulation of the distal ends of the cervical vagal nerves at low frequencies (0.2-0.5 Hz, 1-3 ms, 20 V) induced phasic pyloric contractions, which were abolished by atropine or hexamethonium (10 mg kg-1 I.V. and 1 mg I.A.). Higher frequencies (greater than 0.7 Hz) of stimulation inhibited both phasic and tonic contractions and this inhibition was unaffected by atropine, hexamethonium, phentolamine (1.5 mg kg-1 I.V. and 100 micrograms I.A.) or propranolol (1 mg kg-1 I.V. and 100 micrograms I.A.). All neural responses were blocked by tetrodotoxin (50-100 micrograms I.A.). 6. Duodenal field stimulation (0.2-5 Hz, 0.5 ms, 40 V) induced strong phasic and tonic contractions in the pylorus. This excitation was blocked by atropine, hexamethonium, tetrodotoxin (50-100 micrograms I.A.) or duodenal transection orad to the stimulating electrodes. 7. Antral field stimulation (0.5-1 Hz, 0.5 ms, 40 V) completely abolished phasic activity in the pylorus and reduced tonic activity, regardless of whether the contractile activity was spontaneous or induced by neural stimulation. This inhibitory action was unaffected by atropine, hexamethonium or propranolol but was blocked by tetrodotoxin and antral transection aborad to the stimulating electrodes. Phentolamine attenuated the inhibitory effect of antral field stimulation on pyloric motility. 8. It is concluded that the distal canine pylorus exhibits myogenic tone and phasic activity which is modulated by extrinsic and intrinsic nerve pathways. Vagal nerves contain fibres, activated by different stimulus parameters which can either excite or inhibit pyloric activity. Activation of antral nerves inhibits pyloric activity, with both non-adrenergic, non-cholinergic and phentolamine-sensitive pathways contributing to this inhibitory response.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在水合氯醛 - 乌拉坦麻醉的犬中,通过胃造口插入压力测量装置,用套管传感器监测幽门压力。用压力测量侧孔和浆膜应变仪监测胃窦和十二指肠的收缩。2. 在幽门上方5 cm的胃窦和幽门下方3 cm的十二指肠处放置浆膜下银丝电极,以利于对壁内神经进行场刺激。3. 幽门具有自发张力(10.8±4.8 mmHg),相性收缩频率为1 - 5次/分钟,有时还会叠加高达15次/分钟的更高频率。静脉注射阿托品(30微克/千克)和腹腔注射阿托品(10微克)可降低相性活动,腹腔注射河豚毒素(50 - 100微克)可显著增强相性活动。4. 双侧颈迷走神经切断对幽门运动没有一致的影响。5. 低频(0.2 - 0.5 Hz,1 - 3 ms,20 V)刺激颈迷走神经远端可诱发幽门相性收缩,阿托品或六甲铵(静脉注射10毫克/千克和腹腔注射1毫克)可消除这种收缩。更高频率(大于0.7 Hz)的刺激可抑制相性和紧张性收缩,且这种抑制不受阿托品、六甲铵、酚妥拉明(静脉注射1.5毫克/千克和腹腔注射100微克)或普萘洛尔(静脉注射1毫克/千克和腹腔注射100微克)的影响。所有神经反应均被河豚毒素(腹腔注射50 - 100微克)阻断。6. 十二指肠场刺激(0.2 - 5 Hz,0.5 ms,40 V)可诱发幽门强烈的相性和紧张性收缩。这种兴奋可被阿托品、六甲铵、河豚毒素(腹腔注射50 - 100微克)或在刺激电极上方切断十二指肠所阻断。7. 胃窦场刺激(0.5 - 1 Hz,0.5 ms,40 V)可完全消除幽门的相性活动并降低紧张性活动,无论收缩活动是自发的还是由神经刺激诱发的。这种抑制作用不受阿托品、六甲铵或普萘洛尔的影响,但被河豚毒素和在刺激电极下方切断胃窦所阻断。酚妥拉明可减弱胃窦场刺激对幽门运动的抑制作用。8. 结论是,犬远端幽门表现出肌源性张力和相性活动,其受外在和内在神经通路调节。迷走神经含有不同刺激参数激活的纤维,这些纤维可兴奋或抑制幽门活动。胃窦神经的激活抑制幽门活动,非肾上腺素能、非胆碱能和酚妥拉明敏感通路均参与这种抑制反应。(摘要截断于400字)

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