Chan Y S, Ko J K, Cho C H
Department of Physiology, Faculty of Medicine, University of Hong Kong, Hong Kong.
Dig Dis Sci. 1995 Nov;40(11):2312-6. doi: 10.1007/BF02063230.
Experimental evidence indicates that the autonomic nervous system, especially the cholinergic pathway modulates the mucosal defensive mechanism and affects mucosal damage in the stomach. The present study investigated the role of the dorsal motor nucleus of vagus (DMV) in gastric function and its influences on ethanol-induced mucosal damage in pentobarbitone-anesthetized rats. Electrolytic lesion of the DMV as compared with sham operation and lesions of other brain areas, eg, nucleus reticular gigantocellularis and cuneate nucleus, reduced the basal gastric mucosal blood flow (GMBF) and also the blood flow after ethanol administration. The same operation did not affect the acid secretion either in the basal state or during the ethanol treatment period. Lesions at the caudal half of the DMV produced a bigger depression of GMBF when compared with lesion at the rostral half. In the sham-operated rats, ethanol induced severe hemorrhagic lesions in the gastric glandular mucosa, and this was significantly potentiated by lesions at the DMV, especially in the caudal half. The present findings indicate that acute DMV damage at the caudal half markedly affects the GMBF but not the acid secretion. The action on GMBF may contribute to the aggravation of ethanol-induced gastric damage in rats. These data reinforce the idea that the central vagal pathway, especially the caudal half of the DMV, plays a significant role in the modulation of GMBF, which in turn affects the integrity of gastric mucosal barrier.
实验证据表明,自主神经系统,尤其是胆碱能通路,调节黏膜防御机制并影响胃黏膜损伤。本研究调查了迷走神经背运动核(DMV)在胃功能中的作用及其对戊巴比妥麻醉大鼠乙醇诱导的黏膜损伤的影响。与假手术及其他脑区(如巨细胞网状核和楔束核)损伤相比,DMV的电解损伤降低了基础胃黏膜血流量(GMBF)以及乙醇给药后的血流量。相同手术在基础状态或乙醇治疗期间均不影响胃酸分泌。与DMV头端半侧损伤相比,DMV尾端半侧损伤对GMBF的抑制作用更大。在假手术大鼠中,乙醇诱导胃腺黏膜出现严重出血性损伤,而DMV损伤(尤其是尾端半侧损伤)显著加剧了这种损伤。目前的研究结果表明,DMV尾端半侧的急性损伤显著影响GMBF,但不影响胃酸分泌。对GMBF的作用可能导致大鼠乙醇诱导的胃损伤加重。这些数据强化了这样一种观点,即中枢迷走神经通路,尤其是DMV尾端半侧,在调节GMBF中起重要作用,进而影响胃黏膜屏障的完整性。