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神经运动复合物沿小鼠小肠和结肠的全长连续传播。

Neural motor complexes propagate continuously along the full length of mouse small intestine and colon.

机构信息

College of Medicine and Public Health and Centre for Neuroscience, Flinders University, Adelaide, South Australia, Australia.

Computer Science, Engineering and Mathematics, Flinders University, Adelaide, South Australia, Australia.

出版信息

Am J Physiol Gastrointest Liver Physiol. 2020 Jan 1;318(1):G99-G108. doi: 10.1152/ajpgi.00185.2019. Epub 2019 Nov 11.

Abstract

Cyclical propagating waves of muscle contraction have been recorded in isolated small intestine or colon, referred to here as motor complexes (MCs). Small intestinal and colonic MCs are neurogenic, occur at similar frequencies, and propagate orally or aborally. Whether they can be coordinated between the different gut regions is unclear. Motor behavior of whole length mouse intestines, from duodenum to terminal rectum, was recorded by intraluminal multisensor catheter. Small intestinal MCs were recorded in 27/30 preparations, and colonic MCs were recorded in all preparations ( = 30) with similar frequencies (0.54 ± 0.03 and 0.58 ± 0.02 counts/min, respectively). MCs propagated across the ileo-colonic junction in 10/30 preparations, forming "full intestine" MCs. The cholinesterase inhibitor physostigmine increased the probability of a full intestine MC but had no significant effect on frequency, speed, or direction. Nitric oxide synthesis blockade by -nitro-l-arginine, after physostigmine, increased MC frequency in small intestine only. Hyoscine-resistant MCs were recorded in the colon but not small intestine ( = 5). All MCs were abolished by hexamethonium ( = 18) or tetrodotoxin ( = 2). The enteric neural mechanism required for motor complexes is present along the full length of both the small and large intestine. In some cases, colonic MCs can be initiated in the distal colon and propagate through the ileo-colonic junction, all the way to duodenum. In conclusion, the ileo-colonic junction provides functional neural continuity for propagating motor activity that originates in the small or large intestine. Intraluminal manometric recordings revealed motor complexes can propagate antegradely or retrogradely across the ileo-colonic junction, spanning the entire small and large intestines. The fundamental enteric neural mechanism(s) underlying cyclic motor complexes exists throughout the length of the small and large intestine.

摘要

在分离的小肠或结肠中记录到肌肉收缩的周期性传播波,这里称为运动复合波(MC)。小肠和结肠的 MC 是神经源性的,以相似的频率发生,并向口腔或肛门方向传播。它们是否可以在不同的肠道区域之间协调尚不清楚。通过腔内多传感器导管记录了整个长度的鼠标肠,从十二指肠到末端直肠。在 27/30 个制剂中记录到小肠 MC,在所有制剂(= 30)中均记录到结肠 MC,频率相似(分别为 0.54±0.03 和 0.58±0.02 计数/分钟)。在 10/30 个制剂中,MC 在回盲肠交界处传播,形成“全肠”MC。胆碱酯酶抑制剂毒扁豆碱增加了全肠 MC 的可能性,但对频率、速度或方向没有显著影响。在毒扁豆碱后,一氧化氮合酶阻断剂 - 硝基 - l - 精氨酸仅增加小肠 MC 的频率。在结肠中记录到氢溴酸东莨菪碱抗性 MC,但在小肠中没有记录到(= 5)。所有 MC 均被六烃季铵(= 18)或河豚毒素(= 2)消除。运动复合波所需的肠神经机制存在于小肠和大肠的全长。在某些情况下,结肠 MC 可以在远端结肠中启动,并通过回盲肠交界处传播,一直传播到十二指肠。总之,回盲肠交界处为起源于小肠或大肠的传播运动活动提供了功能神经连续性。腔内测压记录显示,运动复合波可以沿回盲肠交界处向前或向后传播,跨越整个小肠和大肠。周期性运动复合波的基本肠神经机制存在于小肠和大肠的全长。

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