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澳大利亚帚尾袋貂体内十二指肠与奥迪括约肌之间的壁内神经通路。

Intramural neural pathways between the duodenum and sphincter of Oddi in the Australian brush-tailed possum in vivo.

作者信息

Saccone G T, Harvey J R, Baker R A, Toouli J

机构信息

Department of Surgery, Flinders Medical Centre, Bedford Park, Australia.

出版信息

J Physiol. 1994 Dec 1;481 ( Pt 2)(Pt 2):447-56. doi: 10.1113/jphysiol.1994.sp020453.

Abstract
  1. Balloon distension of the duodenum 2 cm oral or anal to the sphincter of Oddi-duodenal junction elevated the amplitude of spontaneous sphincter of Oddi phasic contractions by 37.7 +/- 8.5 or 120.1 +/- 79.8%, respectively (mean +/- S.E.M., both n = 6, P < 0.05, Wilcoxon test). To further investigate this response, this study aimed to determine if: (i) electrical field stimulation (EFS) of the duodenum influences sphincter of Oddi activity; (ii) intramural nerves mediate the response; and (iii) nicotinic and/or muscarinic receptors are involved. 2. Electrical field stimulation (70 V, 0.5 ms; 5-60 Hz, 10-20 s) of the duodenal anterior serosal surface 2-4 cm oral or anal to the sphincter of Oddi-duodenal junction, produced excitatory responses in the sphincter of Oddi in anaesthetized Australian brush-tailed possums (n = 45). 3. These responses were frequency dependent, maximal at 30 Hz (n = 4) and abolished by tetrodotoxin (9 micrograms kg-1 I.A.; n = 6), or by crushing the duodenum (n = 3). Hexamethonium bromide (30 mg kg-1 I.V.) did not significantly alter the response to duodenal EFS either oral (n = 6) or anal (n = 8) to the sphincter of Oddi-duodenal junction. Atropine sulphate (30 micrograms kg-1 I.V.) reduced the response to duodenal EFS oral and anal to the sphincter of Oddi-duodenal junction to 11.2 +/- 5.8 (n = 6) and 45.0 +/- 26.8% (n = 8), respectively (both P < 0.05). 4. Bilateral cervical vagotomy and guanethidine infusion (10 mg kg-1 over 15 min I.V.) did not significantly alter the responses to duodenal EFS (n = 7). 5. Excitatory intramural neural pathways between the sphincter of Oddi and the segment of duodenum 4 cm oral and anal to the sphincter of Oddi-duodenal junction have been demonstrated. These postganglionic pathways may involve muscarinic receptors.
摘要
  1. 在十二指肠乳头十二指肠交界处上方或下方2厘米处对十二指肠进行球囊扩张,分别使Oddi括约肌自发性相性收缩幅度提高了37.7±8.5%或120.1±79.8%(均值±标准误,n均为6,P<0.05,Wilcoxon检验)。为进一步研究这种反应,本研究旨在确定:(i) 十二指肠的电场刺激(EFS)是否影响Oddi括约肌活动;(ii) 壁内神经是否介导该反应;以及(iii) 是否涉及烟碱样和/或毒蕈碱样受体。2. 在十二指肠乳头十二指肠交界处上方或下方2 - 4厘米处的十二指肠前浆膜表面进行电场刺激(70V,0.5ms;5 - 60Hz,10 - 20s),在麻醉的澳大利亚刷尾负鼠(n = 45)的Oddi括约肌中产生兴奋反应。3. 这些反应呈频率依赖性,在30Hz时最大(n = 4),并被河豚毒素(9微克/千克腹腔注射;n = 6)或通过挤压十二指肠(n = 3)所消除。溴化六甲铵(30毫克/千克静脉注射)对十二指肠乳头十二指肠交界处上方(n = 6)或下方(n = 8)的十二指肠EFS反应均无显著改变。硫酸阿托品(30微克/千克静脉注射)使十二指肠乳头十二指肠交界处上方和下方的十二指肠EFS反应分别降至11.2±5.8%(n = 6)和45.0±26.8%(n = 8)(均P<0.05)。4. 双侧颈迷走神经切断术和胍乙啶输注(10毫克/千克,15分钟内静脉注射)对十二指肠EFS反应无显著改变(n = 7)。5. Oddi括约肌与十二指肠乳头十二指肠交界处上方和下方4厘米处的十二指肠段之间的兴奋性壁内神经通路已得到证实。这些节后通路可能涉及毒蕈碱样受体。

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本文引用的文献

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Projections of nerve cells from the duodenum to the sphincter of Oddi and gallbladder of the Australian possum.
Gastroenterology. 1993 Jan;104(1):130-6. doi: 10.1016/0016-5085(93)90844-3.
5
Altered sphincter of Oddi Phasic Activity following truncal vagotomy.
J Surg Res. 1982 Jun;32(6):598-607. doi: 10.1016/0022-4804(82)90144-5.
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Electrophysiology of the enteric nervous system.肠神经系统的电生理学
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