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膀胱扩张与感觉纤维传出功能的激活:与辣椒素作用的相似性。

Bladder distension and activation of the efferent function of sensory fibres: similarities with the effect of capsaicin.

作者信息

Lecci A, Giuliani S, Tramontana M, Santicioli P, Criscuoli M, Dion S, Maggi C A

机构信息

Pharmacology Research Department Menarini Ricerche, Florence, Italy.

出版信息

Br J Pharmacol. 1998 May;124(2):259-66. doi: 10.1038/sj.bjp.0701820.

DOI:10.1038/sj.bjp.0701820
PMID:9641541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1565380/
Abstract
  1. The effects of the tachykinin NK2 receptor antagonist MEN 11420 (100 nmol kg(-1), i.v.) and isoprenaline (400 nmol kg(-1), i.v.) were compared in a model of distension-induced bladder activity in isovolumetric conditions. MEN 11420 induced a relaxation of the basal tone of the urinary bladder that was dependent on the volume of the viscus: the effect was absent at low volumes (0.2 and 0.5 ml) and it was maximal at high volumes of distension (1 and 2 ml), approaching about 60% of the isoprenaline-induced relaxation. The relaxant effect of isoprenaline was always evident at all volumes of distension. 2. Tetrodotoxin (1-100 microM, intravesically applied) abolished distension-evoked micturition contractions, but did not prevent the relaxant effect of MEN 11420- or isoprenaline on the bladder tone. 3. The cyclo-oxygenase inhibitor S-ketoprofen (0.5 micromol kg(-1), i.v.) produced a marked decrease of the bladder tone and a concomitant reduction of bladder motility at 1 ml volume of distension. At 2 ml of distension, S-ketoprofen still decreased the minimal pressure but had no significant effect on other parameters of vesical motility. In S-ketoprofen-pretreated rats, the relaxant effect of MEN 11420 was significant at 2 but not at 1 ml of distension, and that of isoprenaline was reduced by 50% at both 1 and 2 ml. 4. Ruthenium red (10 micromol kg(-1), i.v.) had no effect at a low volume of distension (0.2 ml) or at highest volume (2 ml) but decreased the basal tone and the frequency of bladder contractions at 1 ml of distension. In ruthenium red-pretreated rats, MEN 11420 failed to decrease bladder tone at 1 ml, whereas at 2 ml the effect of MEN 11420 was not different from that observed in controls (43 vs 60% of isoprenaline-induced relaxation, respectively). 5. At both 1 and 2 ml of distension, capsaicin pretreatment (164 micromol kg(-1), s.c. 5 days before) reduced the frequency of micturition contractions but had no effect on the bladder tone. Capsaicin pretreatment prevented the relaxant effect of MEN 11420 on the bladder tone both at 1 and at 2 ml of distension. 6. It is concluded that the release of tachykinins from capsaicin-sensitive afferent nerves induced by bladder distension is resistant to tetrodotoxin and to prostaglandin synthesis inhibition. Tachykinins modulate the vesical tone by acting through NK2 receptors.
摘要
  1. 在等容条件下扩张诱导膀胱活动的模型中,比较了速激肽NK2受体拮抗剂MEN 11420(100 nmol kg⁻¹,静脉注射)和异丙肾上腺素(400 nmol kg⁻¹,静脉注射)的作用。MEN 11420可诱导膀胱基础张力的松弛,该作用取决于内脏的容量:在低容量(0.2和0.5 ml)时无此作用,在高容量扩张(1和2 ml)时作用最大,接近异丙肾上腺素诱导松弛的60%。异丙肾上腺素的松弛作用在所有扩张容量下均始终明显。2. 河豚毒素(1 - 100 μM,膀胱内给药)可消除扩张诱发的排尿收缩,但不影响MEN 11420或异丙肾上腺素对膀胱张力的松弛作用。3. 环氧化酶抑制剂S - 酮洛芬(0.5 μmol kg⁻¹,静脉注射)在1 ml扩张容量时可使膀胱张力显著降低,并同时使膀胱运动性降低。在2 ml扩张时,S - 酮洛芬仍可降低最小压力,但对膀胱运动的其他参数无显著影响。在S - 酮洛芬预处理的大鼠中,MEN 11420在2 ml扩张时的松弛作用显著,而在1 ml扩张时则不显著,异丙肾上腺素在1 ml和2 ml扩张时的松弛作用均降低50%。4. 钌红(10 μmol kg⁻¹,静脉注射)在低容量扩张(即0.2 ml)或高容量(2 ml)时无作用,但在1 ml扩张时可降低基础张力和膀胱收缩频率。在钌红预处理的大鼠中,MEN 11420在1 ml时未能降低膀胱张力,而在2 ml时MEN 11420的作用与对照组观察到的作用无差异(分别为异丙肾上腺素诱导松弛的43%和60%)。5. 在1 ml和2 ml扩张时,辣椒素预处理(164 μmol kg⁻¹,皮下注射,5天前)均可降低排尿收缩频率,但对膀胱张力无影响。辣椒素预处理可在1 ml和2 ml扩张时均阻止MEN 11420对膀胱张力的松弛作用。6. 得出结论:膀胱扩张诱导的辣椒素敏感传入神经释放的速激肽对河豚毒素和前列腺素合成抑制具有抗性。速激肽通过作用于NK2受体调节膀胱张力。

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