远端胃慢波和相位收缩的神经调节:数学模型。

Neural regulation of slow waves and phasic contractions in the distal stomach: a mathematical model.

机构信息

Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.

Florey Institute of Neuroscience and Mental Health, Parkville, VIC, Australia.

出版信息

J Neural Eng. 2024 Jan 4;20(6):066040. doi: 10.1088/1741-2552/ad1610.

Abstract

Neural regulation of gastric motility occurs partly through the regulation of gastric bioelectrical slow waves (SWs) and phasic contractions. The interaction of the tissues and organs involved in this regulatory process is complex. We sought to infer the relative importance of cellular mechanisms in inhibitory neural regulation of the stomach by enteric neurons and the interaction of inhibitory and excitatory electrical field stimulation.A novel mathematical model of gastric motility regulation by enteric neurons was developed and scenarios were simulated to determine the mechanisms through which enteric neural influence is exerted. This model was coupled to revised and extended electrophysiological models of gastric SWs and smooth muscle cells (SMCs).The mathematical model predicted that regulation of contractile apparatus sensitivity to intracellular calcium in the SMC was the major inhibition mechanism of active tension development, and that the effect on SW amplitude depended on the inhibition of non-specific cation currents more than the inhibition of calcium-activated chloride current (k= 0.77 vs k= 0.33). The model predicted that the interaction between inhibitory and excitatory neural regulation, when applied with simultaneous and equal intensity, resulted in an inhibition of contraction amplitude almost equivalent to that of inhibitory stimulation (79% vs 77% decrease), while the effect on frequency was overall excitatory, though less than excitatory stimulation alone (66% vs 47% increase).The mathematical model predicts the effects of inhibitory and excitatory enteric neural stimulation on gastric motility function, as well as the effects when inhibitory and excitatory enteric neural stimulation interact. Incorporation of the model into organ-level simulations will provide insights regarding pathological mechanisms that underpin gastric functional disorders, and allow fortesting of the effects of clinical neuromodulation protocols for the treatment of these disorders.

摘要

胃动力的神经调节部分通过胃生物电慢波(SW)和相位收缩的调节来实现。涉及该调节过程的组织和器官的相互作用非常复杂。我们试图通过肠神经元对胃的抑制性神经调节以及抑制性和兴奋性电刺激的相互作用,推断细胞机制在其中的相对重要性。我们开发了一种新的肠神经元调节胃动力的数学模型,并模拟了场景,以确定肠神经元影响发挥作用的机制。该模型与胃 SW 和平滑肌细胞(SMC)的修订和扩展的电生理学模型耦合。该数学模型预测,调节平滑肌细胞内钙离子对收缩装置的敏感性是主动张力发展的主要抑制机制,而对 SW 幅度的影响取决于对非特异性阳离子电流的抑制作用,而不是对钙激活氯离子电流的抑制作用(k=0.77 对 k=0.33)。该模型预测,当以相同强度同时施加抑制性和兴奋性神经调节的相互作用时,收缩幅度的抑制几乎与抑制性刺激相同(79%对 77%的减少),而对频率的影响总体上是兴奋性的,尽管不及单独的兴奋性刺激(66%对 47%的增加)。该数学模型预测了抑制性和兴奋性肠神经元刺激对胃动力功能的影响,以及当抑制性和兴奋性肠神经元刺激相互作用时的影响。将该模型纳入器官水平的模拟将提供有关胃功能障碍病理机制的见解,并允许测试用于治疗这些障碍的临床神经调节方案的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4199/10765034/78605f8ea197/jnead1610f1_lr.jpg

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