Sand J, Tainio H, Nordback I
Department of Surgery, Tampere University Hospital, Finland.
Dig Dis Sci. 1993 Apr;38(4):694-700. doi: 10.1007/BF01316802.
To better understand the complex structure and function of the sphincter of Oddi (SO), the occurrence and localization of nine neuropeptides, including vasoactive intestinal polypeptide (VIP), bombesin, neuropeptide Y, peptide histidine-isoleucine (PHI), calcitonin gene-related peptide (CGRP), galanin, substance P, serotonin, and somatostatin, were studied by immunohistochemical methods in the pig SO. The SO innervation was compared to gallbladder, common bile duct, and duodenal innervation. Specimens from the SO, gallbladder, common bile duct, and duodenum demonstrated a rich network of nerves, as suggested by light microscopy and confirmed by a myelin marker S-100. SO demonstrated very strong immunoreactivity for VIP, strong immunoreactivity for neuropeptide Y and galanin, moderate immunoreactivity for PHI and CGRP, and borderline immunoreactivity for bombesin and substance P. Serotonin and somatostatin immunoreactivity was also observed, not in the nerves, but in some of the epithelial cells. The gallbladder innervation was virtually identical to the SO innervation, whereas common bile duct and duodenal innervation were slightly different. To our knowledge this is the first time that galanin- and PHI-like immunoreactivities have been observed in the SO. Our observations suggest that these peptides, along with VIP, neuropeptide Y, and CGRP, might play a role in the neural control of biliary motility.
为了更好地理解奥迪括约肌(SO)的复杂结构和功能,采用免疫组织化学方法研究了猪SO中9种神经肽的发生和定位,这些神经肽包括血管活性肠肽(VIP)、蛙皮素、神经肽Y、肽组氨酸异亮氨酸(PHI)、降钙素基因相关肽(CGRP)、甘丙肽、P物质、5-羟色胺和生长抑素。将SO的神经支配与胆囊、胆总管和十二指肠的神经支配进行了比较。光镜显示,SO、胆囊、胆总管和十二指肠的标本有丰富的神经网络,髓磷脂标记物S-100证实了这一点。SO对VIP显示出非常强的免疫反应性,对神经肽Y和甘丙肽显示出强免疫反应性,对PHI和CGRP显示出中度免疫反应性,对蛙皮素和P物质显示出临界免疫反应性。5-羟色胺和生长抑素的免疫反应性也有观察到,但不是在神经中,而是在一些上皮细胞中。胆囊的神经支配与SO的神经支配几乎相同,而胆总管和十二指肠的神经支配略有不同。据我们所知,这是首次在SO中观察到甘丙肽和PHI样免疫反应性。我们的观察结果表明,这些肽与VIP、神经肽Y和CGRP一起,可能在胆汁运动的神经控制中发挥作用。