Imaeda K, Takano H, Koshita M, Yamamoto Y, Joh T, Suzuki H
Department of Physiology, Nagoya City University Medical School, Japan.
J Smooth Muscle Res. 1998 Feb;34(1):1-11. doi: 10.1540/jsmr.34.1.
Electrical properties of colonic smooth muscle were investigated in the Otsuka Long-Evans Tokushima Fatty (OLETF) rat, a model animal for spontaneous non-insulin-dependent diabetes mellitus (NIDDM), and the results were compared with those obtained from the Long-Evans Tokushima Otsuka (LETO) rat, a control of OLETF rat. At experiments (aged 60-80 weeks), blood glucose level was about 171 mg/dl in LETO rats and 370 mg/dl in OLETF rats. Feces in the colon were restricted to the proximal region in LETO rats and distributed widely in the whole colon in OLETF rats. In both LETO and OLETF rats, the circular smooth muscle strips of the isolated distal colon revealed two types of spontaneous electrical response, slow wave and transient hyperpolarization. The resting membrane potential was smaller in OLETF rats than in LETO rats by about 3 mV, but it was not positively related with the blood glucose level. The amplitude of hyperpolarization produced by noradrenaline (NA) was smaller in OLETF rats than in LETO rats. Transmural nerve stimulation evoked a non-adrenergic, non-cholinergic (NANC) inhibitory junction potential (i.j.p.) in both LETO and OLETF rats; the amplitude of the i.j.p. was smaller in OLETF rats than in LETO rats, while the latency of the i.j.p. was longer in OLETF rats than in LETO rats. Thus, in the distal colon, NIDDM may cause a depolarization of the membrane, an attenuation of NANC inhibitory transmission and a reduction in reactivity of adrenoceptors to NA. These results suggest that the constipation appearing with diabetes mellitus involves dysfunction of both the enteric autonomic nerves and the smooth muscles in the colon.
在自发性非胰岛素依赖型糖尿病(NIDDM)模型动物大冢长- Evans 德岛肥胖(OLETF)大鼠中研究了结肠平滑肌的电特性,并将结果与作为 OLETF 大鼠对照的大冢德岛长- Evans(LETO)大鼠所获得的结果进行比较。在实验(60 - 80 周龄)时,LETO 大鼠的血糖水平约为 171mg/dl,OLETF 大鼠的血糖水平为 370mg/dl。LETO 大鼠结肠内的粪便局限于近端区域,而 OLETF 大鼠的粪便广泛分布于整个结肠。在 LETO 和 OLETF 大鼠中,分离的远端结肠环形平滑肌条均显示出两种类型的自发性电反应,即慢波和短暂超极化。OLETF 大鼠的静息膜电位比 LETO 大鼠小约 3mV,但它与血糖水平无正相关。去甲肾上腺素(NA)产生的超极化幅度在 OLETF 大鼠中比在 LETO 大鼠中小。在 LETO 和 OLETF 大鼠中,经壁神经刺激均诱发非肾上腺素能、非胆碱能(NANC)抑制性接头电位(i.j.p.);OLETF 大鼠中 i.j.p. 的幅度比 LETO 大鼠小,而 OLETF 大鼠中 i.j.p. 的潜伏期比 LETO 大鼠长。因此,在远端结肠中,NIDDM 可能导致膜去极化、NANC 抑制性传递减弱以及肾上腺素能受体对 NA 的反应性降低。这些结果表明,糖尿病伴发的便秘涉及肠自主神经和结肠平滑肌的功能障碍。