Farncombe Family Digestive Health Research Institute, McMaster University, Hamilton, Ontario, Canada.
Neurogastroenterol Motil. 2019 May;31(5):e13567. doi: 10.1111/nmo.13567. Epub 2019 Feb 13.
Excessive sympathetic inhibition may be a cause of colon motor dysfunction. Our aim was to better understand the mechanisms of sympathetic inhibition on colonic motor patterns using the rabbit colon, hypothesizing that noradrenaline selectively inhibits propulsive motor patterns.
Changes in motor patterns of the rabbit colon were studied ex vivo using noradrenaline and adrenoceptor antagonists and analyzed using spatiotemporal diameter maps.
Noradrenaline abolished propulsive contractions: it abolished the long-distance contractions (LDCs) from a baseline frequency of 0.8 ± 0.3 and the clusters of fast propagating contractions (FPCs) at a frequency of 14.4 ± 2.8 cpm. Both motor patterns recovered after addition of the α -adrenoceptor antagonist yohimbine to a frequency of 0.5 ± 0.2 and 9.9 ± 3.3 cpm, respectively. The β-adrenoceptor antagonist propranolol did not prevent the loss of propulsive motor patterns with noradrenaline. Noradrenaline did not inhibit haustral boundary contractions and increased the frequency of the myogenic ripples from 8.3 ± 1.4 to 10.5 ± 1.3 cpm which was not affected by yohimbine, propranolol nor the α -adrenoceptor blocker prazosin.
Noradrenergic inhibition of propulsive motor patterns is mediated by the α -adrenoceptor to inhibit the neurogenic LDCs and the neurogenic clustering of FPCs. The neurogenic haustral boundary contractions are not affected, suggesting that α receptors are on selective neural circuits. The excitatory effect of noradrenaline on ripples may be due to the activation of adrenoceptors on interstitial cells of Cajal, but action on α receptors was excluded. No role for the β-adrenoceptor was found.
过度的交感抑制可能是结肠运动功能障碍的一个原因。我们的目的是使用兔结肠更好地了解交感抑制对结肠运动模式的机制,假设去甲肾上腺素选择性抑制推进性运动模式。
使用去甲肾上腺素和肾上腺素能受体拮抗剂在兔结肠的离体标本上研究运动模式的变化,并使用时空直径图进行分析。
去甲肾上腺素消除了推进性收缩:它消除了长距离收缩(LDCs),基线频率为 0.8 ± 0.3,快速传播收缩簇(FPCs)的频率为 14.4 ± 2.8 cpm。在添加 α-肾上腺素能受体拮抗剂育亨宾后,两种运动模式的频率分别恢复到 0.5 ± 0.2 和 9.9 ± 3.3 cpm。β-肾上腺素能受体拮抗剂普萘洛尔不能防止去甲肾上腺素丧失推进性运动模式。去甲肾上腺素不会抑制横带边界收缩,并增加肌源性波纹的频率从 8.3 ± 1.4 至 10.5 ± 1.3 cpm,这不受育亨宾、普萘洛尔或 α-肾上腺素能受体阻滞剂哌唑嗪的影响。
去甲肾上腺素对推进性运动模式的抑制是通过 α-肾上腺素能受体介导的,抑制神经源性 LDCs 和神经源性 FPC 簇的形成。神经源性横带边界收缩不受影响,这表明 α 受体位于选择性神经回路中。去甲肾上腺素对波纹的兴奋作用可能是由于激活了 Cajal 间质细胞上的肾上腺素能受体,但排除了对 α 受体的作用。没有发现 β-肾上腺素能受体的作用。