一氧化氮介导的肠平滑肌收缩。

L Barthó, R A Lefebvre
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摘要

一氧化氮(NO)似乎作为神经递质参与了整个胃肠道的非肾上腺素能非胆碱能(NANC)平滑肌松弛。胃肠平滑肌对NO的收缩反应也有报道。在豚鼠回肠纵肌-肌肠丛基底张力准备中,一氧化氮诱导适度松弛后收缩;后者被河豚毒素阻断。后收缩也被阿托品减少,其余部分被P物质拮抗剂抑制。这表明胆碱能神经元和可能的速激能神经元的激活;尚不清楚这是否代表松弛的反弹现象或最初被松弛掩盖的NO的直接作用。据报道,负鼠食管体和猫远端结肠对抑制性NANC神经的电刺激产生的氮能“关闭”收缩。据报道,在大鼠回肠和负鼠食管纵肌中有一氧化氮的原发性收缩。在大鼠制剂中,在较低浓度下观察到对NO的收缩作用,而不是松弛作用。负鼠的收缩似乎与鸟苷酸环化酶激活有关,而大鼠回肠的情况并非如此,因为亚甲基蓝不影响收缩,8-溴- cgmp仅具有松弛作用。在一氧化氮诱导的收缩期间,cGMP未见明显升高。一氧化氮诱导的收缩也不受瑞诺定的影响,但硝苯地平的浓度依赖性降低,提示其与细胞外钙通过l型钙通道内流有关。在大鼠整个回肠和大鼠盲肠纵肌中也观察到一氧化氮引起的原发性收缩,而在大鼠降结肠、横结肠、乙状结肠以及猫回肠纵肌中也观察到一氧化氮引起的后性收缩。
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Nitric oxide-mediated contraction in enteric smooth muscle.

Nitric oxide (NO) seems to be involved as neurotransmitter in nonadrenergic noncholinergic (NANC) smooth muscle relaxation throughout the gastrointestinal tract. Contractile responses to NO in the gastrointestinal smooth muscle have also been reported. In the guinea-pig ileal longitudinal muscle-myenteric plexus preparation at basal tone, NO induces a moderate relaxation followed by an aftercontraction; the latter is blocked by tetrodotoxin. The aftercontraction is also reduced by atropine, the remaining part being inhibited by a substance P antagonist. This indicates the activation of cholinergic and, possibly, tachykininergic neurons; it is not clear whether this represents a rebound phenomenon to the relaxation or a direct action of NO, initially masked by the relaxation. Nitrergic "off"-contractions, in response to electrical stimulation of the inhibitory NANC nerves, were reported in the opossum esophageal body and in the cat distal colon. Primary contractions to NO have been reported in the rat ileum and in the longitudinal muscle of the opossum esophagus. In the rat preparation, the contraction to NO is observed at lower concentrations than the relaxant effect. While the contraction in the opossum seems to be related to guanylate cyclase activation, this is not the case in the rat ileum, as methylene blue did not influence the contractions and 8-bromo-cGMP only had a relaxant effect. No clear-cut rise in cGMP was observed during the NO-induced contraction. The NO-induced contraction was also not influenced by ryanodine but it was concentration-dependently reduced by nifedipine, suggesting that it is related to extracellular calcium influx through L-type calcium channels. Primary contractions due to NO were also observed in the rat whole ileum and in the rat caecal longitudinal muscle, while aftercontractions, due to NO, were also obtained in the rat descending, transverse and sigmoid colon, as well as in the cat ileal longitudinal muscle.

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