Kuemmerle J F, Kellum J M
Department of Surgery, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0001.
J Surg Res. 1988 Oct;45(4):357-62. doi: 10.1016/0022-4804(88)90131-x.
We previously reported that motilin induced both motility and endoluminal release of serotonin (5-HT) in canine jejunum. The motility response was blocked by nonspecific tachyphylaxis of 5-HT receptors. In this study, we investigated the effect of a selective neural serotonin receptor (5-HT3) antagonist, ICS 205-930, given into either the artery or the lumen, on motilin-induced motility. Segments of canine jejunum were arterially perfused with Kreb's HCO3 solution containing 15% RBCs in an organ preservation system. Following a 15-min basal period (Basal-1), 500 fM motilin was infused into the artery over 15 min (Motilin-1). After a 30-min rest, the cycle was repeated (Basal-2 and Motilin-2) in the presence and absence (control) of ICS 205-930, which was given as a continuous infusion either into the artery or into the lumen (0.1 to 1.0 microM). From continuous intraluminal pressure tracings, a motility index (MI) was calculated for 5- or 15-min periods from the product of the frequency and the mean amplitude of phasic waves for that period. In control segments, motilin reproducibly induced significant (P less than 0.05) increases in MI over basal levels during both Motilin-1 and Motilin-2. Arterial 0.1 microM ICS 205-930 abolished the motor response to rechallenge with motilin: 145 +/- 28 to 288 +/- 10 mm Hg (Motilin-1) versus 168 +/- 27 to 168 +/- 13 mm Hg (Motilin-2). An infusion of 1 microM ICS 205-930 into the lumen was required to inhibit the response. Thus, motilin-induced motility is mediated by neural 5-HT receptors. Since both arterial and luminal antagonist was effective, it is likely that 5-HT3 receptors on both myenteric plexus neurons and neurons in proximity to mucosal enterochromaffin cells mediate the motor response to motilin.
我们之前报道过,胃动素可诱导犬空肠的运动及肠腔内5-羟色胺(5-HT)的释放。5-HT受体的非特异性快速耐受可阻断该运动反应。在本研究中,我们研究了选择性神经5-羟色胺受体(5-HT3)拮抗剂ICS 205-930经动脉或肠腔给药对胃动素诱导的运动的影响。在器官保存系统中,用含15%红细胞的Kreb's HCO3溶液对犬空肠段进行动脉灌注。在15分钟的基础期(基础期-1)后,在15分钟内将500 fM胃动素注入动脉(胃动素-1)。休息30分钟后,在存在和不存在ICS 205-930(对照)的情况下重复该循环(基础期-2和胃动素-2),ICS 205-930以0.1至1.0 microM的浓度持续注入动脉或肠腔。根据连续的肠腔内压力记录,通过该时间段内相波频率和平均振幅的乘积计算5分钟或15分钟时间段的运动指数(MI)。在对照肠段中,胃动素在胃动素-1和胃动素-2期间均能使MI较基础水平显著(P<0.05)升高。动脉内注射0.1 microM ICS 205-930消除了再次给予胃动素后的运动反应:胃动素-1时为145±28至288±10 mmHg,胃动素-2时为168±27至168±13 mmHg。需要向肠腔内注入1 microM ICS 205-930才能抑制该反应。因此,胃动素诱导的运动是由神经5-HT受体介导的。由于动脉内和肠腔内拮抗剂均有效,肌间神经丛神经元和黏膜肠嗜铬细胞附近的神经元上的5-HT3受体可能介导了对胃动素的运动反应。