Costa M, Furness J B
Br J Pharmacol. 1979 Feb;65(2):237-48. doi: 10.1111/j.1476-5381.1979.tb07824.x.
1 The sites of action of 5-hydroxytryptamine (5-HT) were examined in isolated segments of guinea-pig intestine. Mechanical records were taken from the longitudinal muscle of the ileum and proximal colon and from the circular muscle of the ileum and distal colon.2 In order to examine direct actions of 5-HT, nerve-mediated responses were blocked with tetrodotoxin (0.2 mug/ml). There was a gradient in the responsiveness of the longitudinal muscle of the ileum; in the proximal ileum it was usually unresponsive, whereas in the distal ileum about 30% of the amplitude of contraction was caused by a direct effect on the muscle. In the circular muscle from all parts of the ileum, direct effects on the muscle were weak or absent. In the distal colon, the circular muscle was almost always unresponsive to direct effects of 5-HT even when concentrations of 5-HT as great as 100 mug/ml were used. All direct actions of 5-HT on intestinal muscle were blocked by methysergide (1 mug/ml), which itself did not affect nerve-mediated responses.3 Excitatory cholinergic nerves and excitatory and inhibitory nerves which released unidentified substances were all stimulated by 5-HT. The contractions mediated through cholinergic nerves were blocked by hyoscine (0.6 mug/ml).4 Tachyphylaxis to the action of 5-HT occurred both for effects mediated through nerves and for direct effects on the muscle. Responses returned promptly after 5-HT was washed from the organ bath.5 While 5-HT blocked its own action on neural receptors, it did not antagonize the stimulation of nicotinic receptors on cholinergic neurones by 1-1 dimethyl-4-phenylpiperazinium iodide (DMPP). Moreover, pentolinium markedly reduced contractions caused by DMPP without significantly affecting responses to 5-HT. In contrast, (+)-tubocurarine, another nicotinic receptor antagonist, was effective in reducing contractions caused by 5-HT.6 Phenyldiguanide, which has been reported to antagonize the stimulant action of 5-HT on cholinergic neurones in the mouse small intestine, did not cause any significant reduction in the action of 5-HT on cholinergic neurones in the guinea-pig ileum unless a concentration of 1 mg/ml was used. However, contractions elicited by carbachol and DMPP were antagonized to a similar extent by phenyldiguanide at this concentration. Antagonism of the action of 5-HT at neural receptors by bromolysergic acid and by tryptamine was found but it was not specific, these drugs causing comparable decreases in responses to 5-HT, carbachol and DMPP.7 The present results, which show that 5-HT has little or no direct effect on the circular muscle of the ileum and colon, imply that, if 5-HT is a transmitter in enteric reflexes, it must be released from interneurones.
研究了5-羟色胺(5-HT)在豚鼠离体肠段中的作用位点。对回肠和近端结肠的纵行肌以及回肠和远端结肠的环行肌进行了机械记录。
为了研究5-HT的直接作用,用河豚毒素(0.2微克/毫升)阻断神经介导的反应。回肠纵行肌的反应性存在梯度;在近端回肠通常无反应,而在远端回肠,约30%的收缩幅度是由对肌肉的直接作用引起的。在回肠各部位的环行肌中,对肌肉的直接作用较弱或不存在。在远端结肠,即使使用高达100微克/毫升的5-HT浓度,环行肌对5-HT的直接作用几乎总是无反应。5-HT对肠肌的所有直接作用均被甲基麦角新碱(1微克/毫升)阻断,而甲基麦角新碱本身并不影响神经介导的反应。
5-HT刺激了兴奋性胆碱能神经以及释放不明物质的兴奋性和抑制性神经。通过胆碱能神经介导的收缩被东莨菪碱(0.6微克/毫升)阻断。
5-HT对神经介导的作用和对肌肉的直接作用均出现快速耐受性。5-HT从器官浴中冲洗掉后,反应迅速恢复。
虽然5-HT阻断了其自身对神经受体的作用,但它并不拮抗碘化1-1-二甲基-4-苯基哌嗪(DMPP)对胆碱能神经元烟碱样受体的刺激。此外,潘托铵显著降低了DMPP引起的收缩,而对5-HT的反应无明显影响。相反,另一种烟碱样受体拮抗剂(+)-筒箭毒碱可有效降低5-HT引起的收缩。
据报道,苯基双胍可拮抗5-HT对小鼠小肠胆碱能神经元的刺激作用,但在豚鼠回肠中,除非使用1毫克/毫升的浓度,否则苯基双胍对5-HT对胆碱能神经元的作用无显著降低。然而,在此浓度下,苯基双胍对卡巴胆碱和DMPP引起的收缩有相似程度的拮抗作用。发现溴麦角隐亭和色胺可拮抗5-HT在神经受体上的作用,但不具有特异性,这些药物使对5-HT、卡巴胆碱和DMPP的反应出现类似程度的降低。
目前的结果表明,5-HT对回肠和结肠的环行肌几乎没有直接作用,这意味着,如果5-HT是肠反射中的一种递质,它必定是从中间神经元释放的。