Parkman H P, Reynolds J C, Ogorek C P, Kreider M S
Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia 19104.
Am J Physiol. 1993 Mar;264(3 Pt 1):G522-7. doi: 10.1152/ajpgi.1993.264.3.G522.
The functional role of thyrotropin-releasing hormone (TRH) at the lower esophageal sphincter (LES) was examined in the cat. The specific aims of this study were to determine: 1) the relative distribution of TRH throughout the feline gastrointestinal tract and 2) the effect of TRH on LES basal pressures and its response to exogenously induced contractions. TRH concentrations were determined by radioimmunoassay in tissue extracts from 12 sites. The mean concentration of TRH at the manometrically determined LES was 240 +/- 85 pg/g wet wt tissue, and the maximal concentration was just distal to the LES (659 +/- 189 pg/g wet wt). TRH concentration was higher in the mucosa than the underlying muscle layer of the fundus, antrum, duodenum, and ileum. In physiological studies, TRH given selectively via the left gastric artery had no effect on basal LES or esophageal pressures. TRH (2.8 x 10(-8) mol/kg) decreased the LES response to the D50 of substance P by 47.2% (34.8 +/- 3.1 to 18.4 +/- 2.9 mmHg, P < 0.01). In the presence of tetrodotoxin, TRH gave a similar inhibition of substance P-induced contractions (53.5%). TRH also decreased bombesin-induced contractions by 47.5% (29.6 +/- 6.0 to 15.8 +/- 3.9 mmHg, P < 0.025). TRH, however, had no effect on bethanechol-induced contractions. We conclude that 1) TRH is present throughout the gastrointestinal tract, with highest concentrations in the region distal to the LES; 2) TRH has no effect on basal LES tone; and 3) TRH inhibits the LES response to endogenously released and exogenous substance P but not the LES response to bethanechol.(ABSTRACT TRUNCATED AT 250 WORDS)
在猫身上研究了促甲状腺激素释放激素(TRH)在下食管括约肌(LES)的功能作用。本研究的具体目的是确定:1)TRH在猫胃肠道中的相对分布;2)TRH对LES基础压力的影响及其对外源性诱发收缩的反应。通过放射免疫分析法测定了12个部位组织提取物中的TRH浓度。在测压确定的LES处,TRH的平均浓度为240±85 pg/g湿重组织,最高浓度就在LES远端(659±189 pg/g湿重)。在胃底、胃窦、十二指肠和回肠,TRH在黏膜中的浓度高于其下方的肌层。在生理学研究中,经左胃动脉选择性给予TRH对LES基础压力或食管压力无影响。TRH(2.8×10⁻⁸ mol/kg)使LES对P物质D50的反应降低了47.2%(从34.8±3.1降至18.4±2.9 mmHg,P<0.01)。在存在河豚毒素的情况下,TRH对P物质诱发的收缩有类似的抑制作用(53.5%)。TRH还使蛙皮素诱发的收缩降低了47.5%(从29.6±6.0降至15.8±3.9 mmHg,P<0.025)。然而,TRH对氨甲酰甲胆碱诱发的收缩无影响。我们得出结论:1)TRH存在于整个胃肠道,在LES远端区域浓度最高;2)TRH对LES基础张力无影响;3)TRH抑制LES对内源性释放和外源性P物质的反应,但不抑制LES对氨甲酰甲胆碱的反应。(摘要截短至250字)