Bieger D, Triggle C
Br J Pharmacol. 1985 Jan;84(1):93-106.
Electrical stimulation applied to vagal oesophageal branches of the isolated curarized oesophagus, or via field electrodes to the isolated tunica muscularis mucosae (TMM), increased longitudinal tension and intraluminal pressure in a frequency-dependent manner. Differences between cervical and distal TMM segments were noted in frequency-response relationships, as well as in the pulse-width dependence of contractions to field stimulation. Vagally- and field-stimulated contractions were eliminated by tetrodotoxin or hyoscine, indicating their mediation by cholinergic neurones. The field-stimulated postganglionic responses were resistant to hexamethonium or (+)-tubocurarine and weakly inhibited by morphine. Vagally- and field-stimulated TMM contractions were mimicked by muscarinic agonists, augmented by acetylcholinesterase inhibitors, and inhibited more effectively by beta-than by alpha 1-or alpha 2-adrenoceptor agonists. 5-Hydroxytryptamine (5-HT) exerted excitatory and/or inhibitory effects: TMM in situ responded with a hexamethonium-resistant, ketanserin-sensitive transient increase in tension comparable to that produced by field stimulation. In the isolated TMM, moderate excitatory responses were limited to the distal portion with inhibition predominating in the remaining proximal portion. 5-HT-induced inhibitory effects on field-stimulated tension responses were paralleled by relaxant effects on muscarinic agonist-induced tonic contractile responses, both of which were resistant to 5-HT-receptor antagonists including ketanserin, lysergic acid diethylamide (LSD), methysergide or methergoline. Field stimulation at a low frequency and pulse durations greater than 1.0 ms produced a relaxation response in preparations exposed to tetrodotoxin or hyoscine, provided that active muscle tonus was present. The relaxation in response to field stimulation was insensitive to antagonists of 5-HT, catecholamines, histamine, or indomethacin, suggesting a non-neurogenic origin. Histochemical examination of the isolated TMM preparation for cholinesterases revealed the presence of an extensive submucosal ganglionic plexus. It is concluded that: (i) intrinsic cholinergic neurones of the submucosal plexus form the final common pathway for extrinsic vagal and local (myenteric) projections to the TMM; (ii) the neural basis, if any, of non-cholinergic non-adrenergic inhibitory mechanisms remains to be established; (iii) the TMM may assist in generating propulsive oesophageal motility.
对分离的经箭毒处理的食管的迷走神经食管分支施加电刺激,或通过场电极对分离的黏膜肌层(TMM)施加电刺激,可使纵向张力和腔内压力以频率依赖的方式增加。在频率 - 反应关系以及收缩对场刺激的脉宽依赖性方面,观察到颈段和远端TMM节段之间存在差异。河豚毒素或东莨菪碱可消除迷走神经和场刺激引起的收缩,表明它们由胆碱能神经元介导。场刺激的节后反应对六甲铵或(+) - 筒箭毒碱有抗性,且被吗啡微弱抑制。毒蕈碱激动剂可模拟迷走神经和场刺激引起的TMM收缩,乙酰胆碱酯酶抑制剂可增强这种收缩,β - 肾上腺素受体激动剂比α1 - 或α2 - 肾上腺素受体激动剂更有效地抑制这种收缩。5 - 羟色胺(5 - HT)发挥兴奋和/或抑制作用:原位TMM出现与场刺激产生的张力短暂增加相当的、对六甲铵有抗性、对酮色林敏感的反应。在分离的TMM中,适度的兴奋反应仅限于远端部分,而在其余近端部分抑制作用占主导。5 - HT对场刺激张力反应的抑制作用与对毒蕈碱激动剂诱导的强直性收缩反应的松弛作用平行,两者均对包括酮色林、麦角酰二乙胺(LSD)、甲基麦角新碱或美西麦角在内的5 - HT受体拮抗剂有抗性。在存在活跃肌肉张力的情况下,低频和脉宽大于1.0 ms的场刺激可使暴露于河豚毒素或东莨菪碱的标本产生松弛反应。对场刺激的松弛反应对5 - HT、儿茶酚胺、组胺或吲哚美辛的拮抗剂不敏感,提示其起源非神经源性。对分离的TMM标本进行胆碱酯酶的组织化学检查发现存在广泛的黏膜下神经节丛。结论如下:(i)黏膜下丛的内在胆碱能神经元构成了迷走神经外源性和局部(肌间)投射至TMM的最终共同通路;(ii)非胆碱能非肾上腺素能抑制机制的神经基础(若存在)仍有待确定;(iii)TMM可能有助于产生推进性食管运动。