ネコの下部尿路を支配する遠心性および一次求心性神経経路の同定 第1報 遠心性神経経路
ネコの下部尿路に対する遠心性神経支配様式の全体像の解明を試みた. そのために, 膀胱左壁, 膀胱三角部, 近位部尿道左壁, 外尿道括約筋左壁, 骨盤神経とその膀胱枝, 陰部神経とその尿道枝, 下腹神経, 下腸間膜動脈神経節およびその神経節に入る中央線維群と側方線維群, 性腺動脈神経節, L4とS1の交感神経幹神経節の計15カ所に horseradish peroxidase (HRP) を投与した. 下部尿路を支配する脊髄内神経核は, 胸髄尾側から腰髄中央部の中間外側核と内側核, 仙髄の中間外側核と内側核, それに仙髄 Onuf 核であった. 胸腰髄の中間質からの交感神経経路は, 下腹, 骨盤...
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| Published in | 日本泌尿器科學會雑誌 Vol. 79; no. 5; pp. 868 - 879 |
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| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本泌尿器科学会
20.05.1988
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| Online Access | Get full text |
| ISSN | 0021-5287 1884-7110 |
| DOI | 10.5980/jpnjurol1928.79.5_868 |
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| Abstract | ネコの下部尿路に対する遠心性神経支配様式の全体像の解明を試みた. そのために, 膀胱左壁, 膀胱三角部, 近位部尿道左壁, 外尿道括約筋左壁, 骨盤神経とその膀胱枝, 陰部神経とその尿道枝, 下腹神経, 下腸間膜動脈神経節およびその神経節に入る中央線維群と側方線維群, 性腺動脈神経節, L4とS1の交感神経幹神経節の計15カ所に horseradish peroxidase (HRP) を投与した. 下部尿路を支配する脊髄内神経核は, 胸髄尾側から腰髄中央部の中間外側核と内側核, 仙髄の中間外側核と内側核, それに仙髄 Onuf 核であった. 胸腰髄の中間質からの交感神経経路は, 下腹, 骨盤, 陰部のそれぞれの神経に分かれて外尿道括約筋を含む膀胱, 尿道の全域に投射していた. 下腹神経を通る経路はL1～6の交感神経幹神経節, 性腺動脈神経節, 下腸間膜動脈神経節と骨盤神経節のいずれかで節後線維となり, 左右の交感神経幹の間と下腸間膜動脈神経節で部分交叉していた. 骨盤神経と陰部神経を通る交感神経経路はL5～S3の交感神経幹神経節で節後線維となり, 左右の交感神経幹の間で部分交叉していた. 仙髄中間質からの副交感神経経路は, 骨盤神経を通って骨盤神経節で節後線維となり, 膀胱, 尿道に投射していた. Onuf 核からの体性神経経路は, そのほとんどが陰部神経を通って, 一部は骨盤神経を通って外尿道括約筋に投射していた. |
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| AbstractList | ネコの下部尿路に対する遠心性神経支配様式の全体像の解明を試みた. そのために, 膀胱左壁, 膀胱三角部, 近位部尿道左壁, 外尿道括約筋左壁, 骨盤神経とその膀胱枝, 陰部神経とその尿道枝, 下腹神経, 下腸間膜動脈神経節およびその神経節に入る中央線維群と側方線維群, 性腺動脈神経節, L4とS1の交感神経幹神経節の計15カ所に horseradish peroxidase (HRP) を投与した. 下部尿路を支配する脊髄内神経核は, 胸髄尾側から腰髄中央部の中間外側核と内側核, 仙髄の中間外側核と内側核, それに仙髄 Onuf 核であった. 胸腰髄の中間質からの交感神経経路は, 下腹, 骨盤, 陰部のそれぞれの神経に分かれて外尿道括約筋を含む膀胱, 尿道の全域に投射していた. 下腹神経を通る経路はL1～6の交感神経幹神経節, 性腺動脈神経節, 下腸間膜動脈神経節と骨盤神経節のいずれかで節後線維となり, 左右の交感神経幹の間と下腸間膜動脈神経節で部分交叉していた. 骨盤神経と陰部神経を通る交感神経経路はL5～S3の交感神経幹神経節で節後線維となり, 左右の交感神経幹の間で部分交叉していた. 仙髄中間質からの副交感神経経路は, 骨盤神経を通って骨盤神経節で節後線維となり, 膀胱, 尿道に投射していた. Onuf 核からの体性神経経路は, そのほとんどが陰部神経を通って, 一部は骨盤神経を通って外尿道括約筋に投射していた. |
| Author | 菅谷, 公男 森, 茂美 土田, 正義 |
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| Copyright | 社団法人 日本泌尿器科学会 |
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| References | 14) 肥田岳彦, 斉木隆男, 沖平真須美, 清水信夫: ラット膀胱壁への副交感神経の起始細胞について. HRPによる実験形態学的研究. 藤田学園医学会誌, 6, 33-37, 1982. 18) Morgan, C., Nadelhaft, I. and de Groat, W. C.: Location of bladder preganglionic neruons within the sacral parasympathetic nucleus of the cat. Neurosci. Lett., 14, 189-194, 1979. 5) Elbadawi, A. and Schenk, E. A.: A new theory of the innervation of bladder musculature. part 4. Innervation of the vesicourethral junction and external urethral sphincter. J. Urol., 111, 613-615, 1974. 11) Yamamoto, T., Satomi, H., Ise, H., Takatama, H. and Takahashi, K.: Sacral spinal innervations of the rectal and vesical smooth muscles and the sphincteric striated muscles as demonstrated by the horseradish peroxidase method. Neurosci. Lett., 7, 41-47, 1978. 9) de Groat, W. C. and Saum, W. R.: Sympathetic inhibition of the urinary bladder and of pelvic ganglionic transmission in the cat. J. Physiol. (London), 214, 297-314, 1972. 20) Morgan, C., Nadelhaft, I. and de Groat, W. C.: The distribution of visceral primary afferents from the pelvic nerve to Lissauer's tract and the spinal gray matter and its relationship to the sacral parasympathetic nucleus. J. Comp. Neurol., 201, 415-440, 1981. 28) Sato, M., Mizuno, N. and Konishi, A.: Localization of motoneurons innervating perineal muscles: A HRP study in cat. Brain Res., 140, 149-154, 1978. 33) Nishizawa, O., Fukuda, T., matsuzaki, A., Moriya, I., Harada, T. and Tsuchida, S.: Role of the sympathetic nerve in bladder and urethral sphincter function during the micturition cycle in the dog evaluated by pressure flow EMG study. J. Urol., 134, 1259-1261, 1985. 1) 土田正義, 西沢理: 神経因性膀胱. 排尿の生理. 新臨床泌尿器科全書, 市川篤二, 落合京一郎, 高安久雄監修, 第4巻B. p. 1-33, 金原出版, 東京, 1984. 4) Elbadawi, A. and Schenk, E. A.: A new theory of the innervation of bladder musculature. part 3. Postganglionic synapses in ureterovesico-urethral autonomic pathways. J. Urol., 105, 372-374, 1971. 21) de Araujo, C. G., Schmidt, R. A. and Tanagho, E. A.: Neural pathways to lower urinary tract identified by retrograde axonal transport of horseradish peroxidase. Urology, 19, 290-295, 1982. 25) Schnitzlein, H. N., Hoffman, H. H., Tucker, C. C. and Quigley, M. B.: The pelvic splanchnic nerves of the male rhesus monkey. J. Comp. Neurol., 114, 51-65, 1960. 3) Morita, T., Nishizawa, O., Noto, H. and Tsuchida, S.: Pelvic nerve innervation of the external sphincter of urethra as suggested by urodynamic and horse-radish peroxidase studies. J. Urol., 131, 591-595, 1984. 15) 菅谷公男, 能登宏光, 森田隆, 西沢理, 土田正義: 外尿道および外肛門括約筋を支配する腰仙髄運動神経細胞の局在に関する研究. 日泌尿会誌, 78, 1529-1538, 1987. 6) Kristensson, K., Olsson, Y. and Sjöstrand, J.: Axonal uptake and retrograde transport of exogenous proteins in the hypoglossal nerve. Brain Res., 32, 399-406, 1971. 12) 葛原茂樹: 会陰筋支配神経の仙髄における起始核について. -逆行性軸索輸送を利用した研究-. 第I部. ネコについて. 臨床神経, 19, 695-703, 1979. 27) Oliver, J., Bradley, W. and Fletcher, T.: Spinal cord distribution of the somatic innervation of the external urethral sphincter of the cat. J. Neurol. Sci., 10, 11-23, 1970. 7) Mesulam, M. M.: Tetramethyl benzidine for horseradish peroxidase neurohistochemistry: A non-carcinogenic blue reaction-product with superior sensitivity for visualizing neural afferents and efferents. J. Histochem. Cytochem., 26, 106-117, 1978. 19) Nadelhaft, I., de Groat, W. C. and Morgan, C.: Location and morphology of parasympathetic preganglionic neurons in the sacral spinal cord of the cat revealed by retrograde axonal transport of horseradish peroxidase. J. Comp. Neurol., 193, 265-281, 1980. 23) Ueyama, T., Mizuno, N., Nomura, S., Konishi, A., Itoh, K. and Arakawa, H.: Central distribution of afferent and efferent components of the pudendal nerve in cat. J. Comp. Neurol., 222, 38-46, 1984. 24) Hamberger, B. and Nörberg, K. A.: Studies on some systems of adrenergic genglia of the cat. Acta Physiol. Scand., 65, 235-242, 1965. 32) Deuschel, G. and Illert, M.: Location of lumbar pregnanglionic sympathetic neurons in the cat. Neurosci. lett., 10, 49-54, 1978. 17) de Groat, W. C., Nadelhaft, I., Morgan, C. and Schauble, T.: Horseradish peroxidase tracing of visceral efferent and primary afferent pathways in the cat's sacral spinal cord using benzidine processing. Neurosci, lett., 10, 103-108, 1978. 30) Ueyama, T., Mizuno, N., Takahashi, O., Nomura, S., Arakawa, H. and Matsushima, R.: Central distribution of efferent and afferent components of the pudendal nerve in macaque monkeys. J. Comp. Neurol., 232, 548-556, 1985. 16) Kuzuhara, S., Kanazawa, I. and Nakanishi, T.: Topographical localization of the Onuf's nuclear neurons innervating the rectal and vesical striated sphincter muscle: A retrograde fluorescent double labeling in cat and dog. Neurosci. lett., 16, 125-130, 1980. 31) Morgan, C., de Groat, W. C. and Nadelhaft, I.: The spinal distribution of sympathetic preganglionic and visceral primary afferent neurons that send axons into the hypogastric nerves of the cat. J. Comp. Neurol., 243, 23-40, 1986. 13) 葛原茂樹: 会陰筋支配神全の仙髄における起始核について. -逆行性軸索輸送を利用した研究-. 第II部. イヌについて. 臨床神経, 19, 704-711, 1979. 22) Nadelhaft, I., Roppolo, J., Morgan, C. and de Groat, W. C.: Parasympathetic preganglionic neurons and visceral primary afferents in monkey sacral spinal cord revealed following application of horseradish peroxidase to pelvic nerve. J. Comp. Neurol., 216, 36-52, 1983. 2) Kuo, D. C., Hisamitsu, T. and de Groat, W. C.: A sympathetic projection from sacral paravertebral genglia to the pelvic nerve and to postganglionic nerves on the surface of the urinary bladder and large intestine of the cat. J. Comp. Neurol., 226, 76-86, 1984. 10) de Groat, W. C. and Booth, A. M.: Inhibition and facilitation in parasympathetic ganglia of the urinary bladder. Federation Proc., 39, 2990-2996, 1980. 34) Flood, H. D., Downie, J. W. and Awad, S. A.: The influence of filling rates and sympathectomy on bladder compliance. Neurourol. Urodynam., 6, 138-139, 1987. 35) Kawatani, M. and de Groat, W. C.: The effect of partial denervation on the efferent pathways to the urinary bladder. J. Physiol. Soc. Japan, 49, 395, 1987. 36) Koyanagi, T.: Studies ion sphincteric system located distally in urethra. External urethral sphincter revisited,. J. Urol., 124, 400-406, 1980. 26) Hulsebosch, C. E. and Coggeshall, R. E.: An analysis of the axon populations in the nerves to the pelvic viscera in the rat. J. Comp. Neurol., 211, 1-10, 1982. 29) Tanagho, E. A., Schmidt, R. A. and de Araujo, C. G.: Urinary striated sphincter, What is its nerve supply?. Urology, 20, 415-417, 1982. 8) Stromberg, M. W.: The autonomic nervous system. in Anatiomy of the dog, Miller, M. E., Christensen, G. C. and Evans, H. E. p. 626-644, W. B. Saunders Co., Philadelphia, 1964. |
| References_xml | – reference: 20) Morgan, C., Nadelhaft, I. and de Groat, W. C.: The distribution of visceral primary afferents from the pelvic nerve to Lissauer's tract and the spinal gray matter and its relationship to the sacral parasympathetic nucleus. J. Comp. Neurol., 201, 415-440, 1981. – reference: 31) Morgan, C., de Groat, W. C. and Nadelhaft, I.: The spinal distribution of sympathetic preganglionic and visceral primary afferent neurons that send axons into the hypogastric nerves of the cat. J. Comp. Neurol., 243, 23-40, 1986. – reference: 36) Koyanagi, T.: Studies ion sphincteric system located distally in urethra. External urethral sphincter revisited,. J. Urol., 124, 400-406, 1980. – reference: 23) Ueyama, T., Mizuno, N., Nomura, S., Konishi, A., Itoh, K. and Arakawa, H.: Central distribution of afferent and efferent components of the pudendal nerve in cat. J. Comp. Neurol., 222, 38-46, 1984. – reference: 7) Mesulam, M. M.: Tetramethyl benzidine for horseradish peroxidase neurohistochemistry: A non-carcinogenic blue reaction-product with superior sensitivity for visualizing neural afferents and efferents. J. Histochem. Cytochem., 26, 106-117, 1978. – reference: 18) Morgan, C., Nadelhaft, I. and de Groat, W. C.: Location of bladder preganglionic neruons within the sacral parasympathetic nucleus of the cat. Neurosci. Lett., 14, 189-194, 1979. – reference: 10) de Groat, W. C. and Booth, A. M.: Inhibition and facilitation in parasympathetic ganglia of the urinary bladder. Federation Proc., 39, 2990-2996, 1980. – reference: 29) Tanagho, E. A., Schmidt, R. A. and de Araujo, C. G.: Urinary striated sphincter, What is its nerve supply?. Urology, 20, 415-417, 1982. – reference: 6) Kristensson, K., Olsson, Y. and Sjöstrand, J.: Axonal uptake and retrograde transport of exogenous proteins in the hypoglossal nerve. Brain Res., 32, 399-406, 1971. – reference: 4) Elbadawi, A. and Schenk, E. A.: A new theory of the innervation of bladder musculature. part 3. Postganglionic synapses in ureterovesico-urethral autonomic pathways. J. Urol., 105, 372-374, 1971. – reference: 16) Kuzuhara, S., Kanazawa, I. and Nakanishi, T.: Topographical localization of the Onuf's nuclear neurons innervating the rectal and vesical striated sphincter muscle: A retrograde fluorescent double labeling in cat and dog. Neurosci. lett., 16, 125-130, 1980. – reference: 25) Schnitzlein, H. N., Hoffman, H. H., Tucker, C. C. and Quigley, M. B.: The pelvic splanchnic nerves of the male rhesus monkey. J. Comp. Neurol., 114, 51-65, 1960. – reference: 33) Nishizawa, O., Fukuda, T., matsuzaki, A., Moriya, I., Harada, T. and Tsuchida, S.: Role of the sympathetic nerve in bladder and urethral sphincter function during the micturition cycle in the dog evaluated by pressure flow EMG study. J. Urol., 134, 1259-1261, 1985. – reference: 1) 土田正義, 西沢理: 神経因性膀胱. 排尿の生理. 新臨床泌尿器科全書, 市川篤二, 落合京一郎, 高安久雄監修, 第4巻B. p. 1-33, 金原出版, 東京, 1984. – reference: 34) Flood, H. D., Downie, J. W. and Awad, S. A.: The influence of filling rates and sympathectomy on bladder compliance. Neurourol. Urodynam., 6, 138-139, 1987. – reference: 11) Yamamoto, T., Satomi, H., Ise, H., Takatama, H. and Takahashi, K.: Sacral spinal innervations of the rectal and vesical smooth muscles and the sphincteric striated muscles as demonstrated by the horseradish peroxidase method. Neurosci. Lett., 7, 41-47, 1978. – reference: 14) 肥田岳彦, 斉木隆男, 沖平真須美, 清水信夫: ラット膀胱壁への副交感神経の起始細胞について. HRPによる実験形態学的研究. 藤田学園医学会誌, 6, 33-37, 1982. – reference: 19) Nadelhaft, I., de Groat, W. C. and Morgan, C.: Location and morphology of parasympathetic preganglionic neurons in the sacral spinal cord of the cat revealed by retrograde axonal transport of horseradish peroxidase. J. Comp. Neurol., 193, 265-281, 1980. – reference: 21) de Araujo, C. G., Schmidt, R. A. and Tanagho, E. A.: Neural pathways to lower urinary tract identified by retrograde axonal transport of horseradish peroxidase. Urology, 19, 290-295, 1982. – reference: 17) de Groat, W. C., Nadelhaft, I., Morgan, C. and Schauble, T.: Horseradish peroxidase tracing of visceral efferent and primary afferent pathways in the cat's sacral spinal cord using benzidine processing. Neurosci, lett., 10, 103-108, 1978. – reference: 26) Hulsebosch, C. E. and Coggeshall, R. E.: An analysis of the axon populations in the nerves to the pelvic viscera in the rat. J. Comp. Neurol., 211, 1-10, 1982. – reference: 22) Nadelhaft, I., Roppolo, J., Morgan, C. and de Groat, W. C.: Parasympathetic preganglionic neurons and visceral primary afferents in monkey sacral spinal cord revealed following application of horseradish peroxidase to pelvic nerve. J. Comp. Neurol., 216, 36-52, 1983. – reference: 30) Ueyama, T., Mizuno, N., Takahashi, O., Nomura, S., Arakawa, H. and Matsushima, R.: Central distribution of efferent and afferent components of the pudendal nerve in macaque monkeys. J. Comp. Neurol., 232, 548-556, 1985. – reference: 12) 葛原茂樹: 会陰筋支配神経の仙髄における起始核について. -逆行性軸索輸送を利用した研究-. 第I部. ネコについて. 臨床神経, 19, 695-703, 1979. – reference: 32) Deuschel, G. and Illert, M.: Location of lumbar pregnanglionic sympathetic neurons in the cat. Neurosci. lett., 10, 49-54, 1978. – reference: 8) Stromberg, M. W.: The autonomic nervous system. in Anatiomy of the dog, Miller, M. E., Christensen, G. C. and Evans, H. E. p. 626-644, W. B. Saunders Co., Philadelphia, 1964. – reference: 2) Kuo, D. C., Hisamitsu, T. and de Groat, W. C.: A sympathetic projection from sacral paravertebral genglia to the pelvic nerve and to postganglionic nerves on the surface of the urinary bladder and large intestine of the cat. J. Comp. 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| Snippet | ネコの下部尿路に対する遠心性神経支配様式の全体像の解明を試みた. そのために, 膀胱左壁, 膀胱三角部, 近位部尿道左壁, 外尿道括約筋左壁, 骨盤神経とその膀胱枝, 陰部神経とその尿道枝, 下腹神経, 下腸間膜動脈神経節およびその神経節に入る中央線維群と側方線維群, 性腺動脈神経節,... |
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| StartPage | 868 |
| Subtitle | 第1報 遠心性神経経路 |
| Title | ネコの下部尿路を支配する遠心性および一次求心性神経経路の同定 |
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| ispartofPNX | 日本泌尿器科學會雑誌, 1988/05/20, Vol.79(5), pp.868-879 |
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