Collman P I, Tremblay L, Diamant N E
Department of Medicine, University of Toronto, Ontario, Canada.
Gastroenterology. 1993 May;104(5):1430-8. doi: 10.1016/0016-5085(93)90352-d.
Little is known of the central efferent neurons innervating the smooth muscle esophagus. The aim of this study was to define the location of the efferent neural pathways of the brain stem swallowing mechanism in the cat, particularly those supplying the esophageal body smooth muscle.
Fluorescent, retrogradely transported tracers were injected into the cervical striated muscle and thoracic smooth muscle segments of the esophagus and also the lower esophageal sphincter.
Striated muscle efferents were found in the rostral nucleus ambiguus, but approximately 8% were located in the dorsal motor vagal nucleus. Smooth muscle efferents were present in the dorsal motor vagal nucleus in two groups, one rostral and one caudal to the obex. An additional group was found in nucleus retroambiguus. Approximately 8% of the total smooth muscle efferents were present in rostral nucleus ambiguus and were lateral to the striated muscle efferents. The lower esophageal sphincter efferents had a similar distribution to the smooth muscle efferents, but the rostral concentration of cells in the dorsal motor vagal nucleus was shifted caudally.
Esophageal body smooth muscle motoneurons are arranged with a similar distribution to those innervating the lower esophageal sphincter but with some topographic variation.
关于支配食管平滑肌的中枢传出神经元,人们了解甚少。本研究的目的是确定猫脑干吞咽机制传出神经通路的位置,尤其是那些支配食管体平滑肌的通路。
将荧光逆行运输示踪剂注入食管的颈段横纹肌和胸段平滑肌以及食管下括约肌。
在延髓头端疑核中发现了横纹肌传出纤维,但约8%位于迷走神经背核。平滑肌传出纤维在迷走神经背核中分为两组,一组在闩的头端,另一组在闩的尾端。在疑核后核中还发现了另一组。平滑肌传出纤维总数的约8%存在于延髓头端疑核中,且位于横纹肌传出纤维的外侧。食管下括约肌传出纤维的分布与平滑肌传出纤维相似,但迷走神经背核中细胞的头端集中区域向尾端移位。
食管体平滑肌运动神经元的分布与支配食管下括约肌的运动神经元相似,但存在一些局部差异。