滑らかな筋肉のホリナージック・デナーベーション ダイバーティキュラー疾患における過敏性
Mark Golder1, David E Burleigh, Abi Belai
1Academic Department of Surgery, Barts and The London School of Medicine and Dentistry, Whitechapel, London, UK. m.s.golder@qmul.ac.uk <m.s.golder@qmul.ac.uk>
Lancet (London, England)
|June 13, 2003
まとめ
椎間板症は,神経胆能活性の低下と,滑らかな筋肉のM3受容体の増加と関連しています. これは,コリナージック・デナーヴェーション過敏症が疾患の異常を説明する可能性があることを示唆しています.
科学分野:
- 胃腸内科 胃腸内科
- 神経胃腸内科 神経胃腸内科
- 滑らかな筋肉の生理学 滑らかな筋肉の生理学
背景:
- 椎間板腫疾患の病原性は,コレリン系の障害を含む可能性があります.
- コリン作用の関与の正確なメカニズムは不明である.
- 滑らかな筋肉と神経のコレリン活性の研究は極めて重要です.
研究 の 目的:
- 滑らかな筋肉と神経のコレリン活性がダイヴェルティキュラー疾患における役割を調査する.
- コリナージック・デナーベーション過敏症がダイヴェルティキュラー疾患に存在するかどうかを判断する.
主な方法:
- 患者および対照群のシグモイド結腸組織におけるコレンのアセチルトランスフェラーゼおよびM3受容体の免疫ヒスト化学分析.
- 筋肉のストライプにおけるアセチルコリン感受性を評価するための臓器浴実験.
主要な成果:
- コリンアセチルトランスフェラーゼの活性を低下させ,ダイバーティキュラー疾患の患者の円形および縦横の滑らかな筋肉に作用する.
- ダイバーティキュラー疾患の患者の滑らかな筋肉のM3受容体がアップレギュレーションされた.
- 循環筋のアセチルコリンに対する感受性の増加,しかし,縦筋の筋肉ではない.
結論:
- 結果は,滑らかな筋肉におけるコレニルゲン・デナーベーション過敏症を示唆しています.
- 滑らかな筋肉のM3受容体のアップレギュレーションは,関節疾患の異常に寄与する可能性があります.
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