Blok B F, de Weerd H, Holstege G
Department of Anatomy and Embryology, Faculty of Medical Sciences, University of Groningen, The Netherlands.
Neurosci Lett. 1997 Sep 19;233(2-3):109-12. doi: 10.1016/s0304-3940(97)00644-7.
Stimulation of the pontine micturition center (PMC) results in micturition, i.e. an immediate relaxation of the bladder sphincter and a contraction of the detrusor muscle of the bladder. Earlier studies have shown that the bladder contraction is brought about by a direct excitatory pathway from the PMC to the parasympathetic bladder motoneurons in the sacral cord. How the PMC produces the inhibition of the bladder sphincter is not known. The present study in two adult male cats demonstrates at the ultrastructural level a direct pathway from the PMC to the dorsal gray commissure of the sacral cord. More than half (55%) of these terminals made contact with gamma amino butyric acid (GABA) immunoreactive neurons or somata, the others with non-GABA immunoreactive profiles. The PMC terminals contained many round vesicles, some dense cored vesicles and exclusively asymmetric synaptic clefts, which correspond with an excitatory pathway. A concept is put forward in which this pathway produces the relaxation of the bladder sphincter during micturition.
刺激脑桥排尿中枢(PMC)会导致排尿,即膀胱括约肌立即松弛,膀胱逼尿肌收缩。早期研究表明,膀胱收缩是由从PMC到骶髓副交感神经膀胱运动神经元的直接兴奋性通路引起的。PMC如何产生对膀胱括约肌的抑制尚不清楚。本研究在两只成年雄性猫身上,在超微结构水平上证实了一条从PMC到骶髓背侧灰质连合的直接通路。这些终末中超过一半(55%)与γ-氨基丁酸(GABA)免疫反应性神经元或胞体接触,其他的则与非GABA免疫反应性结构接触。PMC终末含有许多圆形囊泡、一些有致密核心的囊泡以及仅有的不对称突触间隙,这与一条兴奋性通路相符。提出了一个概念,即在排尿过程中这条通路会使膀胱括约肌松弛。