Kellum J M, Wu J, Donowitz M
Surgery. 1984 Aug;96(2):139-45.
Previous studies have shown that adrenergic and cholinergic neural pathways mediate duodenal serotonin (5-HT) release from the mucosal surface after a luminal acid stimulus. To examine the overall neural contribution to 5-HT release, we studied the effects of tetrodotoxin (TTX), a nerve-conduction blocker, added to mucosal and/or serosal surfaces of rabbit duodenal mucosa in a modified Ussing chamber at both neutral and acid (pH 5) luminal pH. A specific radioimmunoassay was used to measure 5-HT. TTX (2 X 10(-7) M) increased mucosal 5-HT release significantly at luminal pH 7.4 and 5 when it was added to both mucosal and serosal surfaces (2.7- and 1.9-fold at pH 7.4 and pH 5, respectively; p less than 0.05 for each) or when it was added to the serosal surface only (3.4- and 1.8-fold; p less than 0.02 and p less than 0.01, respectively). TTX added only to the mucosal surface, however, reduced 5-HT release by 48.5% at pH 5 (p less than 0.01) and had no effect at pH 7.4. Since adenosine triphosphate (ATP) and vasoactive intestinal polypeptide are the two proposed mediators of a nonadrenergic, noncholinergic inhibitory neural system, we studied the effects of each on mucosal 5-HT release. While vasoactive intestinal polypeptide had no significant effect at either pH, ATP (10(-7)M) reduced acid-stimulated 5-HT release by approximately 50% (p less than 0.02). We conclude that a nonadrenergic, noncholinergic neural pathway that is inhibitory to mucosal 5-HT release resides primarily on the basal surface of mucosal cells. ATP is the most likely neurotransmitter involved in this response.
以往的研究表明,肾上腺素能和胆碱能神经通路在管腔酸刺激后介导十二指肠5-羟色胺(5-HT)从黏膜表面释放。为了研究神经对5-HT释放的总体作用,我们在改良的尤斯灌流小室中,于中性和酸性(pH 5)管腔pH条件下,研究了神经传导阻滞剂河豚毒素(TTX)添加到兔十二指肠黏膜黏膜面和/或浆膜面后的作用。采用特异性放射免疫分析法测定5-HT。当TTX(2×10⁻⁷M)添加到黏膜面和浆膜面时,在管腔pH 7.4和pH 5条件下均显著增加黏膜5-HT释放(在pH 7.4和pH 5时分别增加2.7倍和1.9倍;每组p均<0.05),或者仅添加到浆膜面时也显著增加(分别增加3.4倍和1.8倍;p分别<0.02和p<0.01)。然而,仅添加到黏膜面的TTX在pH 5时使5-HT释放减少48.5%(p<0.01),而在pH 7.4时无作用。由于三磷酸腺苷(ATP)和血管活性肠肽是所提出的非肾上腺素能、非胆碱能抑制性神经系统的两种介质,我们研究了它们各自对黏膜5-HT释放的作用。虽然血管活性肠肽在两种pH条件下均无显著作用,但ATP(10⁻⁷M)使酸刺激的5-HT释放减少约50%(p<0.02)。我们得出结论,抑制黏膜5-HT释放的非肾上腺素能、非胆碱能神经通路主要位于黏膜细胞的基底表面。ATP是参与该反应的最可能神经递质。