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由于奥尔巴赫神经丛中非胆碱能神经元兴奋导致的阿托品抵抗性纵肌痉挛。

Atropine-resistant longitudinal muscle spasms due to excitation of non-cholinergic neurones in Auerbach's plexus.

作者信息

Ambache N, Freeman M A

出版信息

J Physiol. 1968 Dec;199(3):705-27. doi: 10.1113/jphysiol.1968.sp008674.

DOI:10.1113/jphysiol.1968.sp008674
PMID:5714581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1365366/
Abstract
  1. In accordance with the dual histology of Auerbach's plexus (Dogiel, 1899; Hill, 1927) two types of neurone can be shown to be humorally active in plexus-containing preparations of longitudinal muscle from guinea-pig ileum, taken at measured distances up to 95 cm above the ileocaecal valve, when such preparations are stimulated electrically under different conditions.2. The rapid twitch, lasting 3-8 sec, which is elicited by single shocks of 0.1 or 0.2 msec pulse width, and the effect of 5-15 ng doses of acetylcholine which matched this twitch, were both extinguished equally effectively and completely by atropine sulphate (0.4-1 x 10(-8) g/ml.) or by hyoscine hydrobromide. This twitch-response is therefore caused by an excitation of cholinergic motor neurones of normal susceptibility to atropine. These are believed to be the Dogiel (1899) Type II cells of Auerbach's plexus, as suggested by Hill (1927).3. After extinction of the twitch by the invariably effective atropineblock, a second type of muscle response was revealed by tetanic stimulation with 1 sec trains of 50 pulses of the same voltage and of pulse width preferably 0.2 msec. The tetanic responses consisted of spasms of longer delay and duration (20-60 sec). These spasms could be matched by doses of acetylcholine of the order of 200 ng. However, if the atropine concentration was now raised to 10(-7), or even 10(-6) g/ml., the effect of 200-1000 ng of acetylcholine was abolished, but the tetanic spasms persisted without decrease in amplitude. In other experiments the height of the spasms remained constant as the concentration of atropine sulphate was raised from 10(-8) to 10(-6) g/ml. and was only slightly decreased by 10(-5) g/ml. Hence, these tetanic contractions are not due to a surmounting of the atropine-block by the increased release of acetylcholine following the 50 pulses.4. The tetanic spasms originate from excitation of non-cholinergic neurones, perhaps the associative Dogiel Type I cells of Auerbach's plexus (Hill, 1927), since the spasms were abolished reversibly by tetrodotoxin 2 x 10(-7) g/ml. and were absent from plexus-free, nicotine-insensitive preparations of the longitudinal muscle, both before and after atropinization.5. The tetanic spasms were not reduced by ganglion-block with paralysing doses of nicotine, with (+)-tubocurarine or with hexamethonium.6. The tetanic spasms are not mediated by a release of 5-hydroxytryptamine (5-HT) or of histamine, since they persisted in concentrations of methysergide and mepyramine adequate to block matching doses of histamine or 5-HT, or multiples thereof. Catecholamines were also excluded.7. The tetanic spasms are not mediated by a release of a prostaglandin, because they were not reduced by 0.5-2 x 10(-6) g/ml. of patulin (Ambache, 1957), which blocked the contractions evoked by matching doses of prostaglandins PGE(2) or PGF(2alpha); even after this block, PGE(2) still potentiated subsequent tetanic responses.8. The tetanic spasms were reduced or virtually abolished by strychnine in concentrations which did not depress the twitch.
摘要
  1. 根据奥尔巴赫神经丛的双重组织学(多吉尔,1899年;希尔,1927年),当在不同条件下对取自回盲瓣上方达95厘米处、经测量距离的豚鼠回肠含神经丛的纵肌制备物进行电刺激时,可显示出两种类型的神经元具有体液活性。

  2. 由脉宽0.1或0.2毫秒的单次电击引发的持续3 - 8秒的快速抽搐,以及5 - 15纳克剂量的乙酰胆碱产生的与该抽搐相匹配的效应,均能被硫酸阿托品(0.4 - 1×10⁻⁸克/毫升)或氢溴酸东莨菪碱同样有效且完全地消除。因此,这种抽搐反应是由对阿托品正常敏感的胆碱能运动神经元的兴奋引起的。如希尔(1927年)所指出的,这些神经元被认为是奥尔巴赫神经丛的多吉尔(1899年)II型细胞。

  3. 在由始终有效的阿托品阻断使抽搐消失后,用1秒内50个相同电压且脉宽优选为0.2毫秒的串刺激进行强直刺激,揭示出第二种类型的肌肉反应。强直反应由延迟和持续时间更长(20 - 60秒)的痉挛组成。这些痉挛可被约200纳克剂量的乙酰胆碱所匹配。然而,如果此时将阿托品浓度提高到10⁻⁷甚至10⁻⁶克/毫升,200 - 1000纳克乙酰胆碱的效应就会被消除,但强直痉挛持续存在且幅度未减小。在其他实验中,随着硫酸阿托品浓度从10⁻⁸提高到10⁻⁶克/毫升,痉挛高度保持不变,仅在10⁻⁵克/毫升时略有降低。因此,这些强直收缩并非由于50次脉冲后乙酰胆碱释放增加而克服了阿托品阻断所致。

  4. 强直痉挛源于非胆碱能神经元(可能是奥尔巴赫神经丛的联络性多吉尔I型细胞,希尔,1927年)的兴奋,因为痉挛可被2×10⁻⁷克/毫升的河豚毒素可逆地消除,并且在阿托品化前后,无神经丛、对尼古丁不敏感的纵肌制备物中均未出现强直痉挛。

  5. 用麻痹剂量的尼古丁、(+) - 筒箭毒碱或六甲铵进行神经节阻断,并未使强直痉挛减轻。

  6. 强直痉挛不是由5 - 羟色胺(5 - HT)或组胺的释放介导的,因为在足以阻断相应剂量组胺或5 - HT或其倍数的麦角新碱和吡苄明浓度下,强直痉挛仍持续存在。儿茶酚胺也被排除在外。

  7. 强直痉挛不是由前列腺素的释放介导的,因为0.5 - 2×10⁻⁶克/毫升的展青霉素(安巴切,1957年)并未使其减轻,展青霉素可阻断相应剂量前列腺素PGE₂或PGF₂α引起的收缩;即使在这种阻断之后,PGE₂仍能增强随后的强直反应。

  8. 士的宁在不抑制抽搐的浓度下可使强直痉挛减轻或几乎消除。

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The release of histamine by isolated smooth muscles.离体平滑肌释放组胺。
J Physiol. 1939 Jul 14;96(2):139-45. doi: 10.1113/jphysiol.1939.sp003764.
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Reactions of denervated voluntary muscle, and their bearing on the mode of action of parasympathetic and related nerves.失神经支配的随意肌反应及其与副交感神经及相关神经作用方式的关系。
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Reversal of nicotine action on the intestine by atropine.阿托品对尼古丁肠道作用的逆转。
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Neuronal cholecystokinin, gastrin-releasing peptide, neurotensin, and beta-endorphin in the intestine of the guinea pig. Distribution and possible motor functions.豚鼠肠道中的神经元胆囊收缩素、胃泌素释放肽、神经降压素和β-内啡肽。分布及可能的运动功能。
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The nature of non-cholinergic, non-adrenergic transmission in longitudinal and circular muscles of the guinea-pig ileum.豚鼠回肠纵肌和环肌中非胆碱能、非肾上腺素能传递的性质。
J Physiol. 1982 Nov;332:375-91. doi: 10.1113/jphysiol.1982.sp014419.
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Evidence for non-cholinergic, non-adrenergic transmission in the guinea-pig ileum.豚鼠回肠中存在非胆碱能、非肾上腺素能传递的证据。
J Physiol. 1982 Sep;330:95-110. doi: 10.1113/jphysiol.1982.sp014331.
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The effect of adrenaline on the guinea-pig intestine.肾上腺素对豚鼠肠道的作用。
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