Yokotani K, Muramatsu I, Fujiwara M
J Pharmacol Exp Ther. 1984 Apr;229(1):305-10.
The inhibitory effects of the splanchnic nerve on the parasympathetically stimulated gastric acid secretion were analyzed using two different types of alpha adrenergic blocking agents (prazosin and yohimbine). When the gastric acid secretion was increased by infusion of bethanechol, a muscarinic parasympathetic stimulant, the inhibitory effect of stimulation of the splanchnic postganglionic (SP) nerve on the gastric acid secretion was abolished by prazosin, but not by yohimbine. On the other hand, when the gastric acid secretion was increased by stimulation of the vagus nerve, the inhibitory effect of stimulation of the SP nerve on the gastric acid secretion was not abolished by prazosin, but was markedly attenuated by yohimbine. Infusion of clonidine had no effect on the bethanechol-induced gastric acid secretion but did inhibit the vagally stimulated gastric acid secretion in a dose-dependent manner. This effect of clonidine on the vagally stimulated gastric acid secretion was selectively abolished by yohimbine. These results suggest that the SP nerve inhibits the bethanechol-induced gastric acid secretion through alpha-1 type adrenoceptors and inhibits the vagally stimulated gastric acid secretion through alpha-2 type adrenoceptors. We propose that alpha-1 type adrenoceptors are located on the structures peripheral to the parasympathetic nerve terminals, whereas alpha-2 type adrenoceptors are located on the vagally stimulated pathways in the gastric wall. The vagally stimulated pathways display paradoxical resistance to the alpha-1 antagonist, prazosin.
使用两种不同类型的α肾上腺素能阻滞剂(哌唑嗪和育亨宾)分析了内脏神经对副交感神经刺激胃酸分泌的抑制作用。当通过注入毒蕈碱型副交感神经兴奋剂氨甲酰甲胆碱增加胃酸分泌时,哌唑嗪可消除内脏神经节后(SP)神经刺激对胃酸分泌的抑制作用,而育亨宾则不能。另一方面,当通过刺激迷走神经增加胃酸分泌时,哌唑嗪不能消除SP神经刺激对胃酸分泌的抑制作用,但育亨宾可使其明显减弱。注入可乐定对氨甲酰甲胆碱诱导的胃酸分泌无影响,但能以剂量依赖的方式抑制迷走神经刺激的胃酸分泌。育亨宾可选择性地消除可乐定对迷走神经刺激胃酸分泌的这种作用。这些结果表明,SP神经通过α-1型肾上腺素能受体抑制氨甲酰甲胆碱诱导的胃酸分泌,并通过α-2型肾上腺素能受体抑制迷走神经刺激的胃酸分泌。我们推测,α-1型肾上腺素能受体位于副交感神经末梢外周的结构上,而α-2型肾上腺素能受体位于胃壁中受迷走神经刺激的通路上。受迷走神经刺激的通路对α-1拮抗剂哌唑嗪表现出反常的抗性。