Keast J R, Furness J B, Costa M
Gastroenterology. 1984 Apr;86(4):637-44.
Norepinephrine, acetylcholine, and certain peptides are contained in mucosal nerves and have potent effects on transepithelial water and electrolyte fluxes. It is difficult to ascribe roles for these nerves as their sources are unknown. The present studies were undertaken to determine the origins of nerve fibers that are found in the mucosa of the guinea pig small intestine and which contain one of the following substances: vasoactive intestinal peptide, substance P, somatostatin, neuropeptide Y, cholecystokinin, or norepinephrine. Nerve fiber origins were ascertained by making lesions to sever pathways through which the nerves could reach the mucosa. The lesioning operations were homotopic autotransplants of short (2 cm) segments of intestine; myectomies, in which a 5-10-mm length of intestine was stripped of longitudinal muscle and myenteric plexus; and extrinsic denervation, in which nerves reaching the intestine through the mesentery were severed. The results of these studies, considered along with previously published work, led to the upcoming conclusions. Nerve fibers in the mucosa showing immunoreactivity for vasoactive intestinal peptide, somatostatin, cholecystokinin, and neuropeptide Y arise from cell bodies in the overlying submucous plexus. Substance P fibers arise in part from the overlying submucous plexus and in part from the overlying myenteric plexus. Mucosal norepinephrine fibers arise from extrinsic sympathetic ganglia. Enkephalin, gastrin-releasing peptide, and 5-hydroxytryptamine, which are in some enteric nerves, are not found in submucous nerve cells and few, if any, fibers containing these substances supply the mucosa. Thus, the mucosa receives a dense nerve supply, much of which arises locally from submucous ganglia.
去甲肾上腺素、乙酰胆碱和某些肽类存在于黏膜神经中,对跨上皮水和电解质通量有强大作用。由于这些神经的来源不明,很难确定它们的作用。本研究旨在确定豚鼠小肠黏膜中发现的、含有以下物质之一的神经纤维的起源:血管活性肠肽、P物质、生长抑素、神经肽Y、胆囊收缩素或去甲肾上腺素。通过制造损伤以切断神经到达黏膜的通路来确定神经纤维的起源。损伤操作包括:短(2厘米)肠段的同位自体移植;肌切除术,即切除一段5 - 10毫米长的肠段的纵行肌和肌间神经丛;以及外在去神经支配,即切断通过肠系膜到达肠道的神经。这些研究结果与先前发表的工作一起考虑,得出了以下结论。黏膜中对血管活性肠肽、生长抑素、胆囊收缩素和神经肽Y呈免疫反应的神经纤维起源于上方的黏膜下神经丛中的细胞体。P物质纤维部分起源于上方的黏膜下神经丛,部分起源于上方的肌间神经丛。黏膜去甲肾上腺素纤维起源于外在交感神经节。脑啡肽、胃泌素释放肽和5 - 羟色胺存在于一些肠神经中,但在黏膜下神经细胞中未发现,并且几乎没有(如果有的话)含有这些物质的纤维供应黏膜。因此,黏膜接受密集的神经供应,其中大部分局部起源于黏膜下神经节。