Shimoda H, Uchida Y, Murakami S, Noguchi T, Yokoyama S, Nakayama I, Takeyama M
Second Department of Surgery, Oita Medical University, Japan.
Surg Today. 1995;25(5):409-15. doi: 10.1007/BF00311817.
The fine structural alteration in the gastric nerve fibers containing gastrin-releasing peptide (GRP) was studied in relation to the dynamics of gastrin-producing cells (G-cells) after truncal vagotomy in a rat model. The circulating gastrin levels were markedly elevated from the 1st day after vagotomy and the number of G-cells with positive immunoreaction for G17 and G34(1-15) was significantly increased in the vagotomized group. On the 3rd day after vagotomy, the G-cells showed conspicuous ultrastructural changes characterized by hypertrophy of the Golgi complexes and increased numbers of secretory granules. The GRP-positive nerve fibers formed a fine network in the gastric wall and were densely distributed in the oxyntic mucosa close to the blood vessels and showing varicosities composed of either small clear or GRP-positive large vesicles containing an electron-dense core. In the oxyntic mucosa of the vagotomized rats, axonal swelling of the nerves occurred on the 3rd day, and a depletion of GRP immunoreactivity was evidenced by a markedly decreased number of large-cored vesicles on the 7th day, when the serum GRP levels were also found to be markedly elevated. These findings indicate that the alteration in gastric nerve fibers containing GRP after truncal vagotomy may be related to hypergastrinemia and antral G-cell hyperplasia in the rat gastric mucosa.
在大鼠模型中,研究了含胃泌素释放肽(GRP)的胃神经纤维的超微结构改变与胃泌素产生细胞(G细胞)动态变化之间的关系。迷走神经切断术后第1天,循环胃泌素水平显著升高,迷走神经切断组中对G17和G34(1-15)免疫反应阳性的G细胞数量显著增加。迷走神经切断术后第3天,G细胞出现明显的超微结构变化,其特征为高尔基体复合体肥大和分泌颗粒数量增加。GRP阳性神经纤维在胃壁形成精细网络,密集分布于靠近血管的胃黏膜,呈现由小而清亮或含电子致密核心的GRP阳性大囊泡组成的膨体。在迷走神经切断大鼠的胃黏膜中,术后第3天神经轴突肿胀,第7天血清GRP水平也显著升高时,大核心囊泡数量明显减少,证明GRP免疫反应性降低。这些发现表明,迷走神经切断术后含GRP的胃神经纤维改变可能与大鼠胃黏膜高胃泌素血症和胃窦G细胞增生有关。