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骶部膀胱副交感神经传出通路中反复抑制的潜在机制。

Mechanisms underlying recurrent inhibition in the sacral parasympathetic outflow to the urinary bladder.

作者信息

de Groat W C

出版信息

J Physiol. 1976 May;257(2):503-13. doi: 10.1113/jphysiol.1976.sp011381.

Abstract
  1. In cats with the sacral dorsal roots cut on one side electrical stimulation (15-40 c/s) of the central end of the transected ipsilateral pelvic nerve depressed spontaneous bladder contractions. The depression was abolished by transecting the ipsilateral sacral ventral roots. 2. Electrical stimulation of acutely or chronically transected ('deafferented') sacral ventral roots depressed spontaneous bladder contractions and the firing of sacral parasympathetic preganglionic neurones innervating the bladder. The depression of neuronal firing occurred ipsilateral and contralateral to the point of stimulation, but only occurred with stimulation of sacral roots containing preganglionic axons and only with stimulation of sacral roots containing preganglionic axons and only at intensities of stimulation (0-7-4V) above the threshold for activation of these axons. 3. The inhibitory responses were not abolished by strychnine administered by micro-electrophoresis to preganglionic neurones, but were blocked by the intravenous administration of strychnine. 4. The firing of preganglionic neurones elicited by micro-electrophoretic administration of an excitant amino acid (DL-homocysteic acid) was not depressed by stimulation of the ventral roots. 5. It is concluded that the inhibition of the sacral outflow to the bladder by stimulation of sacral ventral roots is related to antidromic activation of vesical preganglionic axons. Collaterals of these axons must excite inhibitory interneurones which in turn depress transmission at a site on the micturition reflex pathway prior to the preganglionic neurones.
摘要
  1. 在一侧骶背根被切断的猫中,电刺激(15 - 40次/秒)切断侧同侧盆神经的中枢端可抑制膀胱的自发性收缩。切断同侧骶腹根后,这种抑制作用消失。2. 电刺激急性或慢性切断(“去传入神经”)的骶腹根可抑制膀胱的自发性收缩以及支配膀胱的骶副交感神经节前神经元的放电。神经元放电的抑制在刺激点的同侧和对侧均有发生,但仅在刺激含有节前轴突的骶根时出现,且仅在刺激强度(0 - 7 - 4伏)高于这些轴突激活阈值时出现。3. 通过微电泳向节前神经元施用士的宁并不能消除抑制反应,但静脉注射士的宁可阻断该反应。4. 通过微电泳施用兴奋性氨基酸(DL - 高胱氨酸)引发的节前神经元放电不会因腹根刺激而受到抑制。5. 得出的结论是,刺激骶腹根对膀胱骶部传出神经的抑制作用与膀胱节前轴突的逆向激活有关。这些轴突的侧支必定会兴奋抑制性中间神经元,而这些中间神经元反过来会在节前神经元之前的排尿反射途径的某一部位抑制传递。

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Brain Res. 1973 Jul 16;57(1):229-33. doi: 10.1016/0006-8993(73)90582-9.

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