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阿托品抵抗性膀胱兴奋:通过释放嘌呤核苷酸的神经进行传递的可能性。

Atropine resistant excitation of the urinary bladder: the possibility of transmission via nerves releasing a purine nucleotide.

作者信息

Burnstock G, Dumsday B, Smythe A

出版信息

Br J Pharmacol. 1972 Mar;44(3):451-61. doi: 10.1111/j.1476-5381.1972.tb07283.x.

Abstract
  1. The possibility that a purine nucleotide is involved in excitatory transmission to the urinary bladder has been tested. All the purine compounds tested which contained a pyrophosphate bond produced contraction, adenosine triphosphate (ATP) being the most potent. Adenosine and adenosine monophosphate caused relaxation.2. The response to ATP closely mimicked the nerve-mediated contraction, both being characterized by a rapid contraction which was not maintained. A lack of sensitivity to ATP was noted in some preparations of the rat urinary bladder.3. Both nerve-mediated contractions and contractions caused by ATP were blocked by quinidine, while the response to acetylcholine persisted.4. Nerve-mediated responses were depressed during tachyphylaxis produced by high concentrations of ATP. Tachyphylaxis did not occur when low concentrations were used. Possible explanations for these results are discussed.5. The results are consistent with the hypothesis that non-cholinergic excitatory nerves to the guinea-pig bladder release a purine nucleotide, but do not provide critical evidence for it.
摘要
  1. 嘌呤核苷酸是否参与向膀胱的兴奋性传递这一可能性已得到检验。所测试的所有含焦磷酸键的嘌呤化合物均能引起收缩,其中三磷酸腺苷(ATP)作用最强。腺苷和一磷酸腺苷则引起舒张。

  2. 对ATP的反应与神经介导的收缩极为相似,二者均表现为快速收缩且不能持续。在大鼠膀胱的某些制备标本中观察到对ATP不敏感。

  3. 神经介导的收缩和由ATP引起的收缩均被奎尼丁阻断,而对乙酰胆碱的反应仍存在。

  4. 在高浓度ATP引起的快速耐受过程中,神经介导的反应受到抑制。使用低浓度ATP时则不发生快速耐受。文中讨论了这些结果的可能解释。

  5. 这些结果与豚鼠膀胱非胆碱能兴奋性神经释放嘌呤核苷酸这一假说相符,但并未为此提供关键证据。

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