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慢性实验性高水平脊髓损伤后,结肠平滑肌胆碱能反应性降低与肠道运动功能障碍有关。

Reduced colonic smooth muscle cholinergic responsiveness is associated with impaired bowel motility after chronic experimental high-level spinal cord injury.

机构信息

International Collaboration on Repair Discoveries, University of British Columbia, Canada.

International Collaboration on Repair Discoveries, University of British Columbia, Canada; Experimental Medicine Program, University of British Columbia, Canada; Department of Physiology and Pharmacology, Hotchkiss Brain Institute, Libin Cardiovascular Institute, Cumming School of Medicine, University of Calgary, Canada.

出版信息

Auton Neurosci. 2019 Jan;216:33-38. doi: 10.1016/j.autneu.2018.08.005. Epub 2018 Sep 1.

DOI:10.1016/j.autneu.2018.08.005
PMID:30196037
Abstract

The mechanisms underlying bowel dysfunction after high-level spinal cord injury (SCI) are poorly understood. However, impaired supraspinal sympathetic and parasympathetic control is likely a major contributing factor. Disruption of the descending autonomic pathways traversing the spinal cord was achieved by a T3 complete spinal cord transection, and colonic function was examined in vivo and ex vivo four weeks post-injury. Total gastrointestinal transit time (TGTT) was reduced and contractility of the proximal and distal colon was impaired due to reduced M receptor sensitivity. These data describe a clinically relevant model of bowel dysfunction after SCI.

摘要

高水平脊髓损伤(SCI)后肠道功能障碍的机制尚不清楚。然而,脊髓上交感神经和副交感神经控制受损可能是主要的促成因素。通过 T3 完全性脊髓横断破坏了穿过脊髓的下行自主神经通路,并在损伤后 4 周进行了体内和体外的结肠功能检查。由于 M 受体敏感性降低,总胃肠传输时间(TGTT)缩短,近端和远端结肠的收缩性受损。这些数据描述了 SCI 后肠道功能障碍的一种具有临床相关性的模型。

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