| Project/Area Number |
15592110
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Surgical dentistry
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| Research Institution | Okayama University |
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Principal Investigator |
MITOH Yoshihiro (2004) Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Research Associate, 大学院・医歯学総合研究科, 助手 (20240872)
糀谷 淳 (2003) 岡山大学, 医学部・歯学部附属病院, 助手 (60304325)
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| Co-Investigator(Kenkyū-buntansha) |
MIYAWAKI Takuya Okayama University, Hospital of Medicine and Dentistry, Associate Professor, 医学部・歯学部附属病院, 助教授 (00219825)
MATSUO Ryuji Okayama University, Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Professor, 大学院・医歯学総合研究科, 教授 (30157268)
美藤 純弘 岡山大学, 大学院・医歯学総合研究科, 助手 (20240872)
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| Project Period (FY) |
2003 – 2004
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| Project Status |
Completed (Fiscal Year 2004)
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| Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2004: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 2003: ¥2,400,000 (Direct Cost: ¥2,400,000)
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| Keywords | volatile anesthetics / sevoflurane / lower esophageal sphincter / nitric oxide / general anesthesia / swallowing / NMDA receptor / smooth muscle / 胃食道逆流 / 下部食堂括約筋 |
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| Research Abstract |
Nonadrenergic noncholinergic (NANC) nerves, which regulate peristaltic waves and/or relaxing mechanisms of the gastrointestinal tract, are known to be nitrergic and to initiate NO-cGMP signaling pathway. We investigated the effect of sevoflurane on NANC relaxation of the lower esophageal sphincter (LES), and the relevance of peripheral N-methyl-D-aspartate (NMDA) receptors in the myenteric plexus mediating NANC relaxation. Sevoflurane inhibited NANC relaxation in a concentration-dependent manner. MK801 concentration-dependently inhibited NANC relaxation, accompanied by a decrease in cGMP production. NMDA induced a concentration-dependent relaxation, which is antagonized by MK801. NMDA stimulated cGMP production, which was inhibited by N^G-nitro-L-arginine. Superoxide dismutase (SOD) shifted the concentration-response relationship of MK801 mediating inhibition of NANC relaxation to the right, but catalase did not. Treatment with diethyldithiocarbamic acid to inactivate Cu/Zn SOD shifted the concentration-response relationships of pyrogallol, ketamine, and MK801 mediating the inhibition of NANC relaxation to the left. These findings suggest that the peripheral NMDA receptors mediates NANC smooth muscle relaxation, and modulates it in part through extracellular production of superoxide anion thus eliminating the relaxant effect of endogenous NO, and that volatile anesthetics may modify LES function by modulating NANC relaxation through antagonism of peripheral NMDA receptors. The functional linkage of peripheral NMDA receptors in the myenteric plexus and NO-cGMP pathway leading to smooth muscle relaxation could provide a key on elucidating the roles of peripheral excitatory amino acids and endogenous NO regulating gastrointestinal motility in the near future.
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