Shibata C, Murr M M, Balsiger B, Anding W J, Sarr M G
Department of Surgery and the Gastroenterology Research Unit, Mayo Clinic and Mayo Foundation, Rochester, MN, USA.
J Gastrointest Surg. 1998 Sep-Oct;2(5):463-72. doi: 10.1016/s1091-255x(98)80038-3.
The aim of the present study was to determine the long-term effects of isogeneic small bowel transplantation (SBT) on jejunal and ileal circular smooth muscle contractile activity in the rat. Transmural strips of circular muscle were prepared from proximal jejunum and distal ileum of 1-year-old control rats and rats 1 year after SBT (SBT-1Y) to measure isometric force. Spontaneous contractile activity and the dose-responses to bethanechol and norepinephrine were studied. Electrical field stimulation (EFS) at varying frequencies (1 to 20 Hz) was evaluated under adrenergic and cholinergic blockade to investigate inhibitory nerves. Spontaneous activity both in the jejunum and ileum in SBT-1Y rats was not different compared to control rats. Sensitivity to bethanechol did not differ between control and SBT-1Y rats in the jejunum or ileum. Sensitivity to norepinephrine, however, was significantly increased after SBT in the ileum but not in the jejunum. During EFS, inhibition was seen at low frequencies, and contractions were induced at high frequencies in all groups. The degree of inhibition did not differ between control and SBT-1Y rats in the jejunum; however, it tended to be increased in the ileum after SBT. The long-term adaptive response of smooth muscle to the extrinsic denervation accompanying SBT differs between the jejunum and the ileum.
本研究的目的是确定同基因小肠移植(SBT)对大鼠空肠和回肠环形平滑肌收缩活动的长期影响。从1岁对照大鼠以及SBT术后1年的大鼠(SBT-1Y)的近端空肠和远端回肠制备环形肌透壁条,以测量等长力。研究了自发收缩活动以及对氨甲酰甲胆碱和去甲肾上腺素的剂量反应。在肾上腺素能和胆碱能阻断下,评估不同频率(1至20Hz)的电场刺激(EFS),以研究抑制性神经。SBT-1Y大鼠空肠和回肠的自发活动与对照大鼠相比无差异。对照大鼠和SBT-1Y大鼠在空肠或回肠中对氨甲酰甲胆碱的敏感性无差异。然而,SBT后回肠对去甲肾上腺素的敏感性显著增加,而空肠则未增加。在EFS期间,所有组在低频时均出现抑制,高频时诱导收缩。空肠中对照大鼠和SBT-1Y大鼠之间的抑制程度无差异;然而,SBT后回肠中的抑制程度有增加趋势。平滑肌对伴随SBT的外在去神经支配的长期适应性反应在空肠和回肠之间有所不同。