Andrews P L, Lawes I N
J Physiol. 1985 Sep;366:1-16. doi: 10.1113/jphysiol.1985.sp015781.
To determine the relation between resting intragastric pressure and neuronally evoked motility responses, the stomach of the anaesthetized ferret was inflated with two volumes within the physiological range. Vagal evoked contractions decreased as the resting pressure was increased. The decrease affected responses to high, but not low, intensity stimulation of the vagus. Vagal evoked relaxation of the stomach increased as a linear function of resting pressure. Atropine lowered the resting pressure in vagotomized ferrets but did not alter the relation between vagal evoked relaxation and resting pressure. Intra-arterial acetylcholine evoked a contraction followed by a relaxation. The contraction was reduced at higher resting pressures but the relaxation increased. Hexamethonium had no effect on the contraction but substantially reduced the relaxation. Stimulation of the greater splanchnic nerve evoked two responses. The first, direct relaxation of the stomach (independent of cholinergic activity), bore the same relation to resting pressure as vagal evoked relaxation. The second, inhibition of vagal evoked contraction, had no relation to resting pressure. The degree of reduction in the amplitude of vagal evoked contraction by an immediately preceding vagal stimulation decreased at higher resting pressures. This was the opposite of vagal evoked relaxation. The capacity of stimulation of one cervical vagus to evoke a response as large as that from stimulation of two cervical vagi was shown to depend on the use of near-maximal levels of stimulation. At low levels of stimulation the responses to two vagi were additive, and at the lowest levels there was facilitation. It was concluded that the effect of resting pressure on the amplitude of evoked contractions was mediated mainly by smooth muscle, although modulation of the quantities of transmitter released from nerves could play a minor part. The practical implications of manipulating resting pressure by changes in volume were discussed. In particular, the manipulation of resting pressure as a method of differentiating the mechanisms of central nervous influence on gastric motility was compared to surgical and pharmacological nerve block.
为了确定静息胃内压与神经诱发的运动反应之间的关系,在生理范围内用两个容积给麻醉的雪貂胃充气。随着静息压力的升高,迷走神经诱发的收缩减弱。这种减弱影响了对高强度而非低强度迷走神经刺激的反应。迷走神经诱发的胃舒张随着静息压力呈线性增加。阿托品降低了迷走神经切断的雪貂的静息压力,但没有改变迷走神经诱发的舒张与静息压力之间的关系。动脉内注射乙酰胆碱诱发收缩,随后是舒张。收缩在较高静息压力下减弱,但舒张增强。六甲铵对收缩没有影响,但大大降低了舒张。刺激内脏大神经诱发两种反应。第一种,胃的直接舒张(与胆碱能活性无关),与静息压力的关系与迷走神经诱发的舒张相同。第二种,抑制迷走神经诱发的收缩,与静息压力无关。在较高静息压力下,紧接在前的迷走神经刺激对迷走神经诱发收缩幅度的降低程度减小。这与迷走神经诱发的舒张相反。已表明,刺激一侧颈迷走神经诱发的反应大小与刺激两侧颈迷走神经相同,这取决于使用接近最大水平的刺激。在低水平刺激时,对两条迷走神经的反应是相加的,而在最低水平时有易化作用。得出的结论是,静息压力对诱发收缩幅度的影响主要由平滑肌介导,尽管神经释放递质数量的调节可能起次要作用。讨论了通过改变容积来操纵静息压力的实际意义。特别是,将通过操纵静息压力来区分中枢神经对胃运动影响机制的方法与手术和药理学神经阻滞进行了比较。