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Electrophysiological characterization of vagal afferents relevant to mucosal nociception in the rat upper oesophagus

机译:与大鼠上食道粘膜伤害感受有关的迷走神经传入的电生理特征

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摘要

Emerging evidence indicates a nociceptive role of vagal afferents. A distinct oesophageal innervation in the rat, with muscular and mucosal afferents travelling predominantly in the recurrent (RLN) and superior laryngeal nerve (SLN), respectively, enabled characterization of mucosal afferents with nociceptive properties, using novel isolated oesophagus–nerve preparations. SLN and RLN single-fibre recordings identified 55 and 14 units, respectively, with none conducting faster than 8.7 m s−1. Mucosal response characteristics in the SLN distinguished mechanosensors (n= 13), mechanosensors with heat sensitivity (18) from those with cold sensitivity (19) and a mechanoinsensitive group (5). The mechanosensitive fibres, all slowly adapting, showed a unimodal distribution of mechanical thresholds (1.4–128 mN, peak ∼5.7 mN). No difference in response characteristics of C and Aδ fibres was encountered. Mucosal proton stimulation (pH 5.4 for 3 min), mimicking gastro-oesophageal reflux disease (GORD), revealed in 31% of units a desensitizing response that peaked around 20 s and faded within 60 s. Cold stimulation (15°C) was proportionally encoded but the response showed slow adaptation. In contrast, the noxious heat (48°C) response showed no obvious adaptation with discharge rates reflecting the temperature's time course. Polymodal (69%) mucosal units, > 30% proton sensitive, were found in each fibre category and were considered nociceptors; they are tentatively attributed to vagal nerve endings type I, IV and V, previously morphologically described. All receptive fields were mapped and the distribution indicates that the posterior upper oesophagus may serve as a ‘cutbank’, detecting noxious matters, ingested or regurgitated, and triggering nocifensive reflexes such as bronchoconstriction in GORD.
机译:新兴证据表明迷走神经传入的伤害作用。大鼠的独特食道受神经支配,肌肉和粘膜传入神经分别在复发(RLN)和喉上神经(SLN)中传播,这使得能够使用新颖的分离食道-神经制剂表征具有伤害感受特性的粘膜传入神经。 SLN和RLN单纤维记录分别确定了55和14个单位,没有一个进行得比8.7 m s-1快。 SLN的机械传感器(n = 13),具有热敏感性的机械传感器(18)与具有冷敏感性的机械传感器(19)和具有机械敏感性的组(5)的粘膜响应特性不同。机械敏感性纤维均缓慢适应,显示出机械阈值的单峰分布(1.4-128 mN,峰值约为5.7 mN)。 C和Aδ纤维的响应特性没有差异。模仿胃食管反流病(GORD)的粘膜质子刺激(pH值5.4 3分钟)显示,在31%的单位中,脱敏反应在20 s左右达到峰值,并在60 s内消失。冷刺激(15°C)按比例编码,但反应显示适应缓慢。相比之下,有毒的热量(48°C)响应没有显示出明显的适应性,放电速率反映了温度的时间变化。在每种纤维类别中均发现了多峰(69%)的粘膜单位,对质子敏感度> 30%,被认为是伤害感受器。它们被暂时归因于先前形态学描述的迷走神经末梢类型I,IV和V。所有的感受野都作了图,分布表明后上食道可能起“割肉库”的作用,检测进食或反流的有害物质,并触发伤害性反射,例如GORD中的支气管收缩。

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