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豚鼠中脑桥交感抑制区介导的盆腔传入神经对直肠运动和腰段结肠传出放电的反射性控制。

Pelvic afferent reflex control of rectal motility and lumbar colonic efferent discharge mediated by the pontine sympatho-inhibitory region in guinea pigs.

作者信息

Takaki M, Neya T, Nakayama S

出版信息

Pflugers Arch. 1985 Feb;403(2):164-9. doi: 10.1007/BF00584095.

Abstract

Rectal motility and the efferent discharge of lumbar colonic nerves (LCED) have previously been shown to be affected by reflex activity activated by rectal stimulation. The sensory limb of this reflex is represented by afferent fibers in pelvic nerves. The present study revealed that this reflex is modulated by supraspinal sympatho-inhibitory regions. Pelvic afferent stimulation led to rectal contraction through the withdrawal of a tonic inhibitory influence of lumbar colonic nerves. The supraspinal region responsible for this antagonism of the rectal-inhibitory colonic nerve activity was localized to the pons. Neither the intravenous administration of atropine nor that of guanethidine (and Eisai compound 865-123, another adrenergic neuron blocking agent) effected the ability of pelvic afferent stimulation to inhibit tonic discharge of lumbar colonic efferent nerves; nevertheless, both agents eliminated the mechanical response of the rectum to stimulation of pelvic afferents. These observations suggest that lumbar sympathetic nerves may tonically inhibit the release of acetylcholine from excitatory neurons in the rectal myenteric plexus. We conclude that descending fibers from the pons are activated as a result of pelvic afferent nerve stimulation. These descending pontine fibers in turn inhibit the firing of sympathetic lumbar colonic nerves. Removal of this tonic restraint leads to rectal contraction.

摘要

直肠运动性和腰段结肠神经的传出放电(LCED)先前已被证明会受到直肠刺激激活的反射活动的影响。该反射的感觉支由盆神经中的传入纤维代表。本研究表明,该反射受脊髓上交感抑制区域的调节。盆神经传入刺激通过消除腰段结肠神经的紧张性抑制影响导致直肠收缩。负责这种直肠抑制性结肠神经活动拮抗作用的脊髓上区域定位于脑桥。静脉注射阿托品或胍乙啶(以及另一种肾上腺素能神经元阻断剂艾塞化合物865 - 123)均不影响盆神经传入刺激抑制腰段结肠传出神经紧张性放电的能力;然而,两种药物都消除了直肠对盆神经传入刺激的机械反应。这些观察结果表明,腰段交感神经可能会紧张性地抑制直肠肌间神经丛中兴奋性神经元释放乙酰胆碱。我们得出结论,由于盆神经传入神经刺激,脑桥的下行纤维被激活。这些下行脑桥纤维反过来抑制腰段结肠交感神经的放电。这种紧张性抑制的解除导致直肠收缩。

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