Garrett J R, Klinger A H, Parsons P A
Q J Exp Physiol. 1982 Apr;67(2):349-59. doi: 10.1113/expphysiol.1982.sp002642.
Outflow obstruction of the submandibular duct, for a short period during parasympathetic secretion, caused an increase in glandular permeability to horseradish peroxidase. Higher frequencies of parasympathetic nerve stimulation during the obstructive period induced greater increases in the permeability. It is likely that the intraluminal distensions had disrupted some tight junctions and so permitted a greater paracellular leakiness. The damage tended to induce ballooning between striated ductal cells, similar to the appearances observed by Emmelin, Garrett & Gjörstrup (1977 a) when sympathetic secretion was accompanied by myoepithelial contraction against a raised outflow pressure. The present results have been compared with experimental data from other workers and give support to the idea that tight junctions can behave in a sieve-like manner towards the back-diffusion of molecules across them. This work indicates that there is a great need for care in permeability studies. It is possible that some permeability changes observed by other workers may have been the consequences of physical damage between cells. Our findings reinforce the need for morphological assessment of the glands after permeability experiments. In man it is likely that naturally occurring or artificially induced obstructive events may at times create similar permeability changes and these may enable protective substances to pass from the blood to the saliva. This affords possible explanation for such phenomena as the therapeutic value that often accrues from sialography and the efficacy of many different antibiotics in obstructive sialadenitis, despite the fact that most antibiotics do not normally permeate to the saliva.
在副交感神经分泌的短时间内,下颌下腺导管流出道梗阻导致腺体对辣根过氧化物酶的通透性增加。梗阻期间副交感神经刺激频率越高,通透性增加越大。管腔内扩张可能破坏了一些紧密连接,从而使细胞旁渗漏增加。这种损伤倾向于诱导纹状管细胞之间出现气球样变,类似于埃梅林、加勒特和约斯特鲁普(1977年a)在交感神经分泌伴有肌上皮细胞收缩对抗升高的流出压力时所观察到的现象。已将目前的结果与其他研究者的实验数据进行了比较,支持了紧密连接对分子反向扩散可表现出筛状行为的观点。这项工作表明在通透性研究中非常需要谨慎。其他研究者观察到的一些通透性变化可能是细胞间物理损伤的结果。我们的发现强化了在通透性实验后对腺体进行形态学评估的必要性。在人类中,自然发生或人为诱导的梗阻事件有时可能产生类似的通透性变化,这些变化可能使保护性物质从血液进入唾液。这为诸如涎腺造影术常常具有的治疗价值以及许多不同抗生素在梗阻性涎腺炎中的疗效等现象提供了可能的解释,尽管大多数抗生素通常不会渗透到唾液中。