Sjöqvist A, Hallerbäck B, Glise H
Dig Dis Sci. 1985 Aug;30(8):749-54. doi: 10.1007/BF01320489.
Nociceptive stimulation of the peritoneum inhibits colonic motility via a sympathoadrenergic reflex. This sympathetic reflex most probably induces the inhibition indirectly via a presynaptic blockade of cholinergic transmission. To further clarify this reflex, colonic motility was continuously recorded by a volume method in rats exposed to nociceptive abdominal stimulation and intravenous drug administration. Intraabdominally applied HCl inhibited colonic motility, which was unaffected by nonselective beta-adrenoceptor blockade (propranolol). However, the nonselective alpha-adrenoceptor antagonist phentolamine and the selective alpha 2-adrenoceptor antagonist yohimbine restored motility. Spontaneous colonic motility was unaffected by the nonselective beta-adrenoceptor agonist (isoproterenol) and the selective alpha 1-adrenoceptor agonist (L-phenylephrine). On the other hand, a nonselective alpha-agonist (noradrenaline) and a selective alpha 2-adrenoceptor agonist (clonidine) inhibited spontaneous colonic motility. It is suggested that in the rat sympathetic reflex inhibition of colonic motility caused by abdominal nociception is mediated via presynaptic alpha 2-adrenoceptors inhibiting the excitatory cholinergic neurons.
对腹膜的伤害性刺激通过交感肾上腺素能反射抑制结肠运动。这种交感反射很可能通过胆碱能传递的突触前阻滞间接诱导抑制作用。为了进一步阐明这种反射,采用容积法在接受伤害性腹部刺激和静脉内给药的大鼠中连续记录结肠运动。腹腔内注射盐酸可抑制结肠运动,而这种抑制不受非选择性β-肾上腺素能受体阻滞剂(普萘洛尔)的影响。然而,非选择性α-肾上腺素能受体拮抗剂酚妥拉明和选择性α2-肾上腺素能受体拮抗剂育亨宾可恢复结肠运动。自发性结肠运动不受非选择性β-肾上腺素能受体激动剂(异丙肾上腺素)和选择性α1-肾上腺素能受体激动剂(L-去氧肾上腺素)的影响。另一方面,非选择性α激动剂(去甲肾上腺素)和选择性α2-肾上腺素能受体激动剂(可乐定)可抑制自发性结肠运动。提示在大鼠中,腹部伤害性刺激引起的结肠运动交感反射抑制是通过突触前α2-肾上腺素能受体抑制兴奋性胆碱能神经元介导的。