The substantia nigra modulates proximal colon tone and motility in a vagally-dependent manner in the rat.

Tiaosi Xing, G. Nanni, Cameron R Burkholder, K. Browning, R. Travagli
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Abstract

A monosynaptic pathway connects the substantia nigra pars compacta (SNpc) to neurons of the dorsal motor nucleus of the vagus (DMV). This monosynaptic pathway modulates the vagal control of gastric motility. It is not known, however, whether this nigro-vagal pathway also modulates the tone and motility of the proximal colon. In rats, microinjection of retrograde tracers in the proximal colon and of anterograde tracers in SNpc showed that bilaterally labelled colonic-projecting neurons in the DMV received inputs from SNpc neurons. Microinjections of the ionotropic glutamate receptor agonist, NMDA, in the SNpc increased proximal colonic motility and tone, as measured via a strain gauge aligned with the colonic circular smooth muscle; the motility increase was inhibited by acute subdiaphragmatic vagotomy. Upon transfection of SNpc with pAAV-hSyn-hM3D(Gq)-mCherry, chemogenetic activation of nigro-vagal nerve terminals by brainstem application of clozapine-N-oxide increased the firing rate of DMV neurons and proximal colon motility; both responses were abolished by brainstem pretreatment with the dopaminergic D1-like antagonist SCH23390. Chemogenetic inhibition of nigro-vagal nerve terminals following SNpc transfection with pAAV-hSyn-hM4D(Gi)-mCherry decreased the firing rate of DMV neurons and inhibited proximal colon motility. These data suggest that a nigro-vagal pathway modulates activity of the proximal colon motility tonically via a discrete dopaminergic synapse in a manner dependent on vagal efferent nerve activity. Impairment of this nigro-vagal pathway may contribute to the severely reduced colonic transit and prominent constipation observed in both patients and animal models of parkinsonism. KEY POINTS: Substantia nigra pars compacta (SNpc) neurons are connected to the dorsal motor nucleus of the vagus (DMV) neurons via a presumed direct pathway. Brainstem neurons in the lateral DMV innervate the proximal colon. Colonic-projecting DMV neurons receive inputs from neurons of the SNpc. The nigro-vagal pathway modulates tone and motility of the proximal colon via D1-like receptors in the DMV. The present study provides the mechanistic basis for explaining how SNpc alterations may lead to a high rate of constipation in patients with Parkinson's Disease.
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在大鼠中,黑质以迷走神经依赖的方式调节结肠近端张力和运动。
一条单突触通路将黑质致密部(SNpc)与迷走神经背运动核(DMV)的神经元连接起来。这种单突触通路调节迷走神经对胃运动的控制。然而,尚不清楚这种黑迷走神经通路是否也调节近端结肠的张力和运动性。在大鼠中,在近端结肠中微量注射逆行示踪剂和在SNpc中微量注射顺行示踪剂表明,DMV中双侧标记的结肠突出神经元接受来自SNpc神经元的输入。在SNpc中微量注射嗜离子性谷氨酸受体激动剂(NMDA)可以增加结肠近端运动性和张力,这是通过与结肠环形平滑肌对准的应变计测量的;急性膈下迷走神经切开术可抑制运动性增加。pAAV-hSyn-hM3D(Gq)-mCherry转染SNpc后,脑干应用氯氮平- n-氧化物对迷走神经末梢的化学激活增加了DMV神经元的放电率和近端结肠运动;脑干预处理多巴胺能d1样拮抗剂SCH23390可消除这两种反应。pAAV-hSyn-hM4D(Gi)-mCherry转染SNpc后,对迷走神经末梢的化学发生抑制降低了DMV神经元的放电率,抑制了近端结肠运动。这些数据表明,黑迷走神经通路通过一个独立的多巴胺能突触,以依赖于迷走传出神经活动的方式,强直地调节结肠近端运动的活动。在帕金森患者和动物模型中观察到,这种黑迷走神经通路的损伤可能导致结肠运输严重减少和明显的便秘。重点:黑质致密部(SNpc)神经元与迷走神经背运动核(DMV)神经元通过一条假定的直接通路相连。外侧DMV的脑干神经元支配结肠近端。结肠突起的DMV神经元接收SNpc神经元的输入。迷走神经通路通过DMV中的d1样受体调节近端结肠的张力和运动性。本研究为解释SNpc改变如何导致帕金森病患者高便秘率提供了机制基础。
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