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支配大鼠膀胱的盆神经传入纤维的机械敏感特性。

Mechanosensitive properties of pelvic nerve afferent fibers innervating the urinary bladder of the rat.

作者信息

Sengupta J N, Gebhart G F

机构信息

University of Iowa, College of Medicine, Department of Pharmacology, Iowa City 52242.

出版信息

J Neurophysiol. 1994 Nov;72(5):2420-30. doi: 10.1152/jn.1994.72.5.2420.

Abstract
  1. Single-unit activity was recorded from S1 dorsal root afferent fibers in pentobarbital-anesthetized rats. In 25 experiments, 245 afferent fibers were identified by electrical stimulation of the pelvic nerve. Fifty-two percent were C fibers (conduction velocity: 1.70 +/- 0.04 m/s; mean +/- SE) and 48% were A delta-fibers (conduction velocity: 11.07 +/- 0.95 m/s). 2. Of 245 pelvic nerve afferent fibers, 92 (38%) responded to noxious urinary bladder distension (UBD; 80 mmHg); 57 of these fibers were C fibers and 35 were A delta-fibers. Forty-four fibers responded to colorectal distension (CRD; 80 mmHg); 32 were C fibers and 12 were A delta-fibers. A total of 39 fibers were identified in the anal mucosa; 3 were C fibers and 36 were A delta-fibers. Seventy fibers (28%) in these experiments were unresponsive to either UBD or CRD or to probing of the anal mucosa; 32 were unmyelinated C fibers and 38 were A delta-fibers. 3. Reproducibility of responses to repeated UBD (80 mmHg, 20 s; 8 trials at 4-min intervals) was tested in 10 fibers. In nine fibers, responses to repeated distension did not change; one fiber exhibited a progressive decrease in response magnitude after the third trial. 4. Of the 92 afferent fibers that responded to UBD, 45 were further characterized for responses to graded intensities of UBD. Forty fibers had some resting activity (1.7 +/- 0.3 impulses/s) and five fibers exhibited no ongoing activity. The response to UBD adapted slowly during the 20-s period of phasic UBD or during slow isotonic filling of the bladder. 5. The stimulus-response function (SRF) of fibers (n = 45) to graded UBD was monotonic < or = 80 mmHg. Thresholds for responses were determined after extrapolation of the least-squares linear regression line to the ordinate, and varied between 0 and 45 mmHg. The frequency distribution profile of thresholds revealed two populations of pelvic nerve afferent fibers in the urinary bladder: a larger group (n = 36) of low-threshold (LT) fibers (5.7 +/- 1.0 mmHg) and a smaller group (n = 9) of high-threshold (HT) fibers (34 +/- 2.5 mmHg). 6. Responses of four LT fibers to graded UBD were tested before and 30 min after instillation of 0.5 ml of 0.5% acetic acid (pH 3) into the bladder. The mean threshold for response of these fibers before instillation of acetic acid (9.4 +/- 3.1 mmHg) more than doubled (to 22.3 +/- 6.7 mmHg) after instillation of acetic acid.(ABSTRACT TRUNCATED AT 400 WORDS)
摘要
  1. 在戊巴比妥麻醉的大鼠中,记录了S1背根传入纤维的单单位活动。在25项实验中,通过电刺激盆神经鉴定出245条传入纤维。其中52%为C纤维(传导速度:1.70±0.04 m/s;平均值±标准误),48%为Aδ纤维(传导速度:11.07±0.95 m/s)。2. 在245条盆神经传入纤维中,92条(38%)对有害的膀胱扩张(UBD;80 mmHg)有反应;其中57条纤维为C纤维,35条为Aδ纤维。44条纤维对结肠扩张(CRD;80 mmHg)有反应;32条为C纤维,12条为Aδ纤维。在肛门黏膜中总共鉴定出39条纤维;3条为C纤维,36条为Aδ纤维。在这些实验中,70条纤维(28%)对UBD、CRD或肛门黏膜探查均无反应;32条为无髓鞘C纤维,38条为Aδ纤维。3. 在10条纤维中测试了对重复UBD(80 mmHg,20 s;每隔4分钟进行8次试验)的反应再现性。在9条纤维中,对重复扩张的反应没有变化;1条纤维在第三次试验后反应幅度逐渐降低。4. 在对UBD有反应的92条传入纤维中,45条进一步进行了对不同强度UBD反应的特征分析。40条纤维有一些静息活动(1.7±0.3次冲动/秒),5条纤维没有持续活动。在20秒的阶段性UBD期间或膀胱缓慢等渗充盈期间,对UBD的反应适应缓慢。5. 纤维(n = 45)对不同强度UBD的刺激-反应函数(SRF)在≤80 mmHg时呈单调变化。通过将最小二乘线性回归线外推到纵坐标来确定反应阈值,阈值在0至45 mmHg之间变化。阈值的频率分布曲线显示膀胱中盆神经传入纤维有两类:较大的一组(n = 36)为低阈值(LT)纤维(5.7±1.0 mmHg),较小的一组(n = 9)为高阈值(HT)纤维(34±2.5 mmHg)。6. 在向膀胱内注入0.

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