Livingston E H, Holzer P
Surgical Service, VAMC West Los Angeles, California 90073.
Dig Dis Sci. 1993 Jul;38(7):1190-4. doi: 10.1007/BF01296066.
It is not known how the signal to increase gastric mucosal blood flow is passed from the gastric parietal cell layer to the resistance vessels in the submucosa. We tested the hypothesis that mucosal hyperemia accompanying stimulated gastric acid secretion is mediated by capsaicin-sensitive sensory nerves. Rats were denervated by systemic capsaicin treatment (125 mg/kg, subcutaneously, 10-14 days prior to experimentation). Acid secretion was stimulated by intravenous pentagastrin (4, 12, and 36 micrograms/kg/hr) and was measured by a continuous perfusion method. Mucosal blood flow was measured by the hydrogen gas clearance method. Sensory denervation did not affect basal blood pressure, gastric acid secretion, or mucosal blood flow. In control rats, increases in gastric mucosal blood flow and acid secretion were dose-related. With denervation, not only was there no inhibition of the blood flow response to acid secretion, but the dose-dependent rise in acid secretion was accompanied by increased mucosal blood flow that was out of proportion to the acid secretory response. The capsaicin-sensitive afferent fibers do not transmit the signal to increase gastric mucosal blood flow in response to stimulated acid secretion. It appears that sensory nerves modulate but do not mediate the mucosal hyperemic response to acid secretion.
目前尚不清楚增加胃黏膜血流量的信号是如何从胃壁细胞层传递至黏膜下层的阻力血管的。我们检验了这样一个假说,即伴随刺激胃酸分泌的黏膜充血是由辣椒素敏感的感觉神经介导的。通过全身辣椒素处理(125毫克/千克,皮下注射,实验前10 - 14天)使大鼠去神经支配。通过静脉注射五肽胃泌素(4、12和36微克/千克/小时)刺激胃酸分泌,并采用连续灌注法进行测量。采用氢气清除法测量黏膜血流量。感觉神经去支配并不影响基础血压、胃酸分泌或黏膜血流量。在对照大鼠中,胃黏膜血流量和胃酸分泌的增加呈剂量相关。去神经支配后,不仅对胃酸分泌的血流反应没有受到抑制,而且胃酸分泌的剂量依赖性升高伴随着黏膜血流量的增加,且这种增加与胃酸分泌反应不成比例。辣椒素敏感的传入纤维不会传递因刺激胃酸分泌而增加胃黏膜血流量的信号。看来感觉神经调节但不介导对胃酸分泌的黏膜充血反应。