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猫肛门内括约肌的神经控制

Nervous control of the internal anal sphincter of the cat.

作者信息

Bouvier M, Gonella J

出版信息

J Physiol. 1981 Jan;310:457-69. doi: 10.1113/jphysiol.1981.sp013561.

Abstract
  1. The effects of sympathetic and parasympathetic efferent nerve stimulation on the activity of longitudinal and circular coats of th anal sphincteric area have been studied on acute animals using extracellular electrical recordings. In addition, the effect of intramural sympathetic nerves stimulation has been investigated on anal sphincteric circular muscle, with the sucrose gap technique. 2. Hypogastric nerve stimulation elicited in anal sphincteric circular muscle slow time course depolarization responses (latency 200-400 msec) which were abolished by alpha-adrenergic blockers (dihydroergotamine, phentolamine). 3. Stimulation of the parasympathetic outflow to the internal anal sphincter (second ventral sacral root: VS2) inhibited spontaneous electrical activity of the circular muscle. Pharmacological arguments lead to the conclusion that the inhibition induced by VS2 stimulation is mediated through intramural non-adrenergic non-cholinergic (purinergic) inhibitory neurones. 4. Rectal distension caused an inhibition of the anal sphincteric circular muscle activity which persisted in the presence of atropine, phentolamine and propranolol, indicating that this inhibition was produced by non-adrenergic non-cholinergic intramural neurones. 5. VS2 stimulation produced only an activation of the longitudinal muscle of the sphincteric area, which was abolished by hexamethonium and atropine; in contrast, hypogastric nerve stimulation gave rise to an inhibition which was blocked by propranolol. These results indicate that the longitudinal muscle receives (1) an excitatory innervation from preganglionic parasympathetic nerves connected with intramural cholinergic neurones, and (2) an inhibitory sympathetic innervation from noradrenergic axons running in the hypogastric nerves. No inhibitory no-adrenergic non-cholinergic innervation was observed in the longitudinal muscle in response to VS2 stimulation. 6. The results obtained from simultaneous stimulation of VS2 and hypogastric nerves indicate that in the anal sphincteric circular muscle the release of noradrenaline from sympathetic nerves is modulated by cholinergic receptors located on noradrenergic nerve endings, muscarinic receptors which can abolish the release of noradrenaline, and probably nicotinic receptors which increase the noradrenaline release. The eventual functional significance of the nicotinic receptors is discussed.
摘要
  1. 利用细胞外电记录技术,在急性实验动物上研究了交感神经和副交感神经传出神经刺激对肛门括约肌区域纵行肌层和环行肌层活动的影响。此外,还采用蔗糖间隙技术研究了壁内交感神经刺激对肛门括约肌环行肌的影响。2. 刺激腹下神经可引起肛门括约肌环行肌缓慢的时程去极化反应(潜伏期200 - 400毫秒),α - 肾上腺素能阻滞剂(双氢麦角胺、酚妥拉明)可消除该反应。3. 刺激副交感神经传出纤维至肛门内括约肌(骶神经前根第二腹侧支:VS2)可抑制环行肌的自发电活动。药理学证据表明,VS2刺激所诱导的抑制是通过壁内非肾上腺素能非胆碱能(嘌呤能)抑制性神经元介导的。4. 直肠扩张可抑制肛门括约肌环行肌活动,在阿托品、酚妥拉明和普萘洛尔存在的情况下该抑制作用依然持续,表明这种抑制是由非肾上腺素能非胆碱能壁内神经元产生的。5. VS2刺激仅引起括约肌区域纵行肌的兴奋,六甲铵和阿托品可消除该兴奋;相反,刺激腹下神经可引起抑制,普萘洛尔可阻断该抑制。这些结果表明,纵行肌接受(1)来自与壁内胆碱能神经元相连的节前副交感神经的兴奋性神经支配,以及(2)来自走行于腹下神经中的去甲肾上腺素能轴突的抑制性交感神经支配。未观察到VS2刺激引起纵行肌有抑制性非肾上腺素能非胆碱能神经支配。6. 同时刺激VS2和腹下神经所获得的结果表明,在肛门括约肌环行肌中,交感神经去甲肾上腺素的释放受到位于去甲肾上腺素能神经末梢上的胆碱能受体、可消除去甲肾上腺素释放的毒蕈碱受体以及可能增加去甲肾上腺素释放的烟碱受体的调节。文中讨论了烟碱受体最终的功能意义。

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