Edin R
Acta Physiol Scand Suppl. 1980;485:1-30.
In acute experiments in anesthetized cats (n = 75), with ligated adrenals the influence on the pyloric sphincter of afferent and efferent electrical stimulation of the cervical vagi was studied with a flow recording technique. Gastric motility was recorded simultaneously with a volume recording technique. Efferent stimulation using high threshold parameters (8 V; 5 ms; 8 Hz) resulted in a prompt gastric contraction and a delayed pyloric contraction (23 +/- 17 s). In one third of the cats biphasic pyloric motor response, consisting of a short period of increased flow preceding a longlasting cessation of the flow, was observed. When the transpyloric flow was reduced by splanchnic nerve stimulation or noradrenalin infusion, efferent vagal nerve stimulation induced an increased flow supporting the assumption of relaxatory fibres to the pylorus within the vagus as well. Unilateral afferent stimulation resulted in a decreased flow within 5 +/- 3 s and a prompt gastric relaxation, which were both abolished at transection of the intact contralateral vagus indicating vago-vagal reflexes. After atropine (0.2 mg/kg i.v. b.w.) efferent stimulation resulted in a gastric relaxation, while the biphasic pyloric motor response was even more pronounced with a long (60 s) latency of the contractile phase. Addition of guanethidine (2 mg/kg i.v. b.w.) did not affect these responses. After hexamethonium (25 mg i.v. + 50 mg +/- 10 mg i.a./h) the stimulation procedure resulted in a gastric relaxation, while the pyloric contraction was blocked. The relaxatory phase required the addition of atropine for blockade, indicating separate transmission mechanisms for the two components of the pyloric motor response at such stimulation. Hexamethonium effectively antagonized the pyloric contraction at afferent stimulation. Immunohistochemical studies revealed a rich enkephalinergic innervation of the pylorus and the presence of enkephalin-like material within vagal axons. VIP-like material was demonstrated within the same tissues with a similar distribution. The hypothesis of a transmission via non-classical receptors was corroborated in experiments, where the pyloric contraction at vagal efferent stimulation was blocked dose-dependently by the opiate receptor antagonist, naloxone i.a. Furthermore, micromolar doses i.a. of enkephalins mimicked the vagal motor effects, i.e. pyloric contraction and gastric relaxation, which were reversed by equimolar doses of naloxone in favour of a pyloric enkephalinergic contraction. Intraarterial injection of nanomolar doses of this VIP resulted in both a gastric and pyloric relaxation. Specimens of the human vagus from the thoracic and abdominal levels were investigated with immunohistochemistry. Substance P and enkephalin containing fibres and a low number of VIP fibres were seen at all levels indicating the presence of an axonal transport of these peptides in the human vagus.
在对75只麻醉猫进行的急性实验中,通过结扎肾上腺,采用流量记录技术研究了颈迷走神经传入和传出电刺激对幽门括约肌的影响。同时采用容积记录技术记录胃动力。使用高阈值参数(8伏;5毫秒;8赫兹)的传出刺激导致胃迅速收缩,幽门收缩延迟(23±17秒)。在三分之一的猫中观察到双相幽门运动反应,包括在长时间流量停止之前短时间的流量增加。当通过内脏神经刺激或去甲肾上腺素输注使经幽门流量减少时,传出迷走神经刺激会导致流量增加,这也支持了迷走神经中存在幽门舒张纤维的假设。单侧传入刺激在5±3秒内导致流量减少和胃迅速舒张,在完整对侧迷走神经横断时这两种情况均消失,表明存在迷走-迷走反射。静脉注射阿托品(0.2毫克/千克体重)后,传出刺激导致胃舒张,而双相幽门运动反应更加明显,收缩期潜伏期延长(60秒)。加入胍乙啶(2毫克/千克体重静脉注射)不影响这些反应。注射六甲铵(25毫克静脉注射+50毫克±10毫克腹腔内注射/小时)后,刺激程序导致胃舒张,而幽门收缩被阻断。舒张期需要加入阿托品才能被阻断,这表明在这种刺激下幽门运动反应的两个组成部分有不同的传递机制。六甲铵有效拮抗传入刺激时的幽门收缩。免疫组织化学研究显示幽门有丰富的脑啡肽能神经支配,迷走神经轴突内存在脑啡肽样物质。在相同组织中也证实了有类似分布的血管活性肠肽样物质。在实验中证实了通过非经典受体传递的假说,在这些实验中,迷走神经传出刺激时的幽门收缩被阿片受体拮抗剂纳洛酮腹腔内注射剂量依赖性阻断。此外,腹腔内注射微摩尔剂量的脑啡肽模拟了迷走神经运动效应,即幽门收缩和胃舒张,等摩尔剂量的纳洛酮可逆转这些效应,支持幽门脑啡肽能收缩。动脉内注射纳摩尔剂量的这种血管活性肠肽导致胃和幽门均舒张。对取自胸段和腹段的人迷走神经标本进行了免疫组织化学研究。在所有节段均可见到含P物质和脑啡肽的纤维以及少量血管活性肠肽纤维,表明这些肽在人迷走神经中存在轴突运输。