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腹主动脉前神经节中的反射通路:结肠-结肠抑制性反射的证据

Reflex pathways in the abdominal prevertebral ganglia: evidence for a colo-colonic inhibitory reflex.

作者信息

Kreulen D L, Szurszewski J H

出版信息

J Physiol. 1979 Oct;295:21-32. doi: 10.1113/jphysiol.1979.sp012952.

Abstract
  1. In vitro experiments were performed on preparations consisting of prevertebral ganglia attached to the entire colon of guinea-pigs. The colon was divided into an orad and a caudad segment and intraluminal pressure was recorded from the terminal end of each segment. Intracellular recordings were simultaneously obtained from neurones in the coeliac plexus. 2. The source of mechanosensory input from the colon paralleled the responses to mesenteric nerve stimulation. That is, section of the mesenteric nerve that contributed the strongest synaptic input to a neurone eliminated most of the mechanosensory input to that neurone. 3. The origin of the mechanosensory input to some neurones could be localized as coming from either the orad or caudad segment of the colon. In the coeliac ganglia 68% of the neurones tested responded primarily to orad distension and 37% to caudad distension. In the superior mesenteric ganglion 57% responded to orad distension and 43% to caudad distension. 4. Repetitive stimulation of the mesenteric nerve trunks arising from the prevertebral ganglia inhibited contractions differentially in the orad and caudad segments. The inferior coeliac nerves inhibited primarily the orad segments of colon and the lumbar colonic nerves inhibited primarily the caudad segments of colon. Stimulation of the superior coeliac nerves did not alter the motility of either segment. 5. When one of the colonic segments was distended, contractions in the other colonic segment were inhibited in 71% of the distensions. This inhibition operated in both directions: either orad inhibiting caudad or vice versa. 6. Cutting the intermesenteric nerve which communicates between the orad and caudad prevertebral ganglia eliminated the inhibitory reflex. 7. These experiments provide evidence for a colo-colonic inhibitory reflex mediated through pathways in the prevertebral ganglia.
摘要
  1. 对由附着于豚鼠整个结肠的椎前神经节组成的标本进行了体外实验。将结肠分为近端段和远端段,并从每段的末端记录腔内压力。同时从腹腔神经丛的神经元进行细胞内记录。2. 来自结肠的机械感觉输入源与对肠系膜神经刺激的反应相似。也就是说,对神经元贡献最强突触输入的肠系膜神经切断后,该神经元的大部分机械感觉输入也被消除。3. 一些神经元的机械感觉输入起源可定位为来自结肠的近端段或远端段。在腹腔神经节中,68% 的受试神经元主要对近端扩张有反应,37% 对远端扩张有反应。在肠系膜上神经节中,57% 对近端扩张有反应,43% 对远端扩张有反应。4. 对源自椎前神经节的肠系膜神经干进行重复刺激,对近端段和远端段的收缩产生不同的抑制作用。腹腔下神经主要抑制结肠的近端段,腰结肠神经主要抑制结肠的远端段。刺激腹腔上神经不会改变任何一段的运动。5. 当结肠的一段扩张时,在71% 的扩张情况下,另一段结肠的收缩会受到抑制。这种抑制作用在两个方向上都起作用:近端抑制远端或反之亦然。6. 切断连接近端和远端椎前神经节的肠系膜间神经,消除了这种抑制反射。7. 这些实验为通过椎前神经节中的通路介导的结肠 - 结肠抑制反射提供了证据。

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