Gidda J S, Goyal R K
J Clin Invest. 1983 May;71(5):1095-103. doi: 10.1172/jci110859.
Studies were performed in anesthetized opossums to investigate the influence of successive vagal stimuli on esophageal contractions. Mechanical activity was recorded manometrically 5 cm above the lower esophageal sphincter. Contractions in the esophagus were evoked by electrical stimuli of 2.5 mA, and 1-ms pulse duration applied to the cervical vagi, at various train durations and frequencies. Paired or multiple stimuli of 1-s train length were also tested at different interstimulus intervals (ISI). Paired stimuli at an ISI of less than or equal to 3 s and at a frequency of less than or equal to 10 Hz showed refractoriness, i.e., the contractions to the first stimulus inhibited the contraction to the second stimulus. A frequency of 50 Hz showed initial inhibition, i.e., the second stimulus inhibited the contraction to the first stimulus. Repetitive stimuli applied at a rate of 8/min (ISI 6.5 s) evoked contractions to each stimulus. At 15/min, every second or third contraction was inhibited. With stimuli applied at 30/min, contractions occurred only in response to the first and/or the last stimulus; depending upon the frequency of vagal stimulation. The intervening stimuli did not evoke any contractions. A long train stimulus produced an initial, a terminal, or both contractions depending on the stimulation value. These studies show that (a) vagal efferent stimulation causes initial inhibition and refractoriness in the esophageal smooth muscle; (b) the degree of initial inhibition increases with increasing frequency of stimulation; (c) the occurrence of contractions only at the onset and the end of a long train stimulus may be due to the influence of initial inhibition and refractoriness.
在麻醉的负鼠身上进行了研究,以探讨连续迷走神经刺激对食管收缩的影响。在食管下括约肌上方5厘米处通过压力测量记录机械活动。通过施加于颈迷走神经的2.5毫安、1毫秒脉冲持续时间的电刺激,在不同的串刺激持续时间和频率下诱发食管收缩。还在不同的刺激间隔(ISI)下测试了1秒串刺激长度的成对或多个刺激。ISI小于或等于3秒且频率小于或等于10赫兹的成对刺激显示出不应期,即对第一个刺激的收缩抑制了对第二个刺激的收缩。50赫兹的频率显示出初始抑制,即第二个刺激抑制了对第一个刺激的收缩。以8次/分钟(ISI 6.5秒)的速率施加的重复刺激诱发了对每个刺激的收缩。在15次/分钟时,每隔一次或第三次收缩被抑制。以30次/分钟施加刺激时,收缩仅发生在对第一个和/或最后一个刺激的反应中;这取决于迷走神经刺激的频率。中间的刺激没有诱发任何收缩。根据刺激值,长串刺激会产生初始收缩、终末收缩或两者皆有。这些研究表明:(a)迷走神经传出刺激会在食管平滑肌中引起初始抑制和不应期;(b)初始抑制的程度随着刺激频率的增加而增加;(c)仅在长串刺激开始和结束时出现收缩可能是由于初始抑制和不应期的影响。