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E Atanassova

Publications and source records attributed to E Atanassova.

At least 19 recordsLinked to original sources

Non-invasive registration of the aboral and oral spreading of the gastroduodenal peristaltic activity (experimental and clinical investigations).

The electrical activity of the stomach and the upper part of the small intestine of healthy volunteers and patients with nausea and vomiting was recorded non-invasively on an original electrogastrograph. Two kinds of waves were distinguished according to their amplitude: low-amplitude waves, corresponding to the period of quiescence of migrating myoelectrical complex (MMC) and about twice higher in amplitude waves, characterising the periods of activity of MMC (peristaltic activity). There was also some difference between the low- and high-amplitude waves from the small intestine. Sequence of high-amplitude waves recorded from the stomach was followed usually by sequence of high-amplitude waves from the small intestine, presenting the aboral spreading of an activity period of MMC from the stomach to the small intestine. In some patients however, high-amplitude waves were led off first from the duodenal record and after that high-amplitude waves appeared in the gastric record. This suggests an oral spreading of the peristaltic activity (antiperistalsis). Experimental model of antiperistalsis was performed on dogs with chronically implanted electrodes on the gastric and duodenal muscle wall. Carbachol 5 micrograms/kg i.m. evoked bursts of spike potentials first with duodenal slow waves and after that with the gastric slow potentials. The antiperistaltic spreading of the spike activity in dog corresponded to the appearance of high-amplitude waves first in the record of the human small intestine, followed by sequence of high-amplitude waves in the stomach. Thus, the non-invasive recording of the electrical activity of the stomach and small intestines gives reliable information about the direction of the spreading of the peristaltic activity.

Algorithms↗

Effect of substance P and met-enkephalin on cat colonic smooth muscle activity.

1. The effects of substance P (2.5 x 10(-8)M) (SP) and met-enkephalin (10(-7)M) (ME), when administered alone or in combination (SP + ME), on the contractile activity of cat colonic muscle strips were compared. 2. SP evoked powerful contractions of the circular muscle strips (2.30 +/- 0.36 g) (background 0.65 +/- 0.10 g). 3. In the majority of cases, ME significantly increased the background activity (1.88 +/- 0.34 g and 0.70 +/- 0.10 g, respectively). 4. The two substances administered together produced the most pronounced contractile activity (3.86 +/- 0.44 g). 5. The longitudinal muscle strips showed higher spontaneous and evoked contractions. 6. Thus ME contributes to the increase in the effect of SP on colonic contractile activity.

Animals↗

Non-invasive electrocologram: correlation between the electrical activity of the dog colonic muscle wall recorded by cutaneous and implanted electrodes.

Chronic experiments were performed on dogs with silver, bipolar, ball-shaped electrodes implanted on the colonic and of the gastric muscle wall. Cutaneous electrodes were placed on the abdominal wall, along the projection of descending colon and also of the stomach, at the beginning of each experiment. Slow waves were led off in the electrocolomyogram (EColMG), corresponding to low-amplitude waves in the non-invasive electrocologram (EColG) with a frequency of 6.39 +/- 0.58 cpm (type A). When bursts of spike potentials appeared with the slow waves in the EColMG, increase of the amplitude of the EColG waves and decrease of the frequency (1.90 +/- 0.20 cpm) was observed. There was a significant difference between the colonic wave frequency and the frequency of the gastric waves (3.96 +/- 0.28 cpm). A good correlation was found between the number and frequency of the spike potentials in a group in the EColMG and the wave amplitude in the EColG. A sequence of low-frequency, high-amplitude waves (type B) characterized an activity period, while a sequence of low-amplitude, high-frequency waves (type A) corresponded to a quiescent period of the colonic motility. Thus the functional state of the colonic muscle wall could be judged by the differences in the frequency and amplitude of the EColG waves.

Animals↗

Non-invasive electrocologram: non-invasive recording of the human colonic electrical activity.

The electrical activity of the descending colon of fifteen healthy volunteers was recorded non-invasively by cutaneous electrodes sticked on the abdominal wall along the descending colon projection--electrocologram (EColG). The electrical activity of the colon and stomach was recorded by an original electrogastrograph. The means, S.E.M. of the frequency of the colonic and gastric waves were calculated. Parallel studies of the EColG and the changes in the intracolonic pressure were performed on 10 patients with balloon inflated in the colon. Two kinds of EColG waves according to their frequency were identified: i) Type A waves with a frequency of 5.86 +/- 0.59 cpm and ii) Type B waves with a frequency of 2.35 +/- 0.25 cpm. There was a significant difference between the frequencies of the EColG waves and the frequency of the EGG waves -3.35 +/- 0.31 cpm. The type A waves were of low amplitude and corresponded to type A dog colonic waves i.e. they characterized the quiescent period of colonic motility. Type B waves were with a high amplitude, corresponded to type B dog colonic waves and characterised the activity periods of colonic motility. This was confirmed by the correspondence between type B waves and the changes in the intracolonic pressure. Thus the proposed non-invasive electrogastrographic method proved to be suitable for non-invasive registration of the electrical activity of the human colon.

Adult↗

Non-invasive electrogastrography. Part 1: Correlation between the gastric electrical activity in dogs with implanted and cutaneous electrodes.

Experiments were made on dogs with bipolar silver ball-shaped electrodes chronically implanted on the muscle wall of the stomach. The electrical activity of the gastric muscle wall (electrogastromyogram-EGMG) was characterized by slow potential changes during the quiescent period of the migrating myoelectric complex (MMC) and bursts of spike potentials during the activity period of MMC. Cutaneous (surface) electrodes were placed on the abdominal wall. Waves with a rhythm of 4.5-5 cpm were led off by the cutaneous electrodes (electrogastrogram-EGG), simultaneously with the EGMg. The bursts of spike potentials with the slow gastric potentials in the EGMG corresponded to an increase of the amplitude of the waves in the EGG. Good correlation was found between the number and frequency of spike potentials in a group and the wave amplitude in the EGG. EGG recorded on an electrogastrograph designed by us was characterized by low-amplitude waves corresponding to the slow waves during the period of quiescence of MMC and high-amplitude waves corresponding to the bursts of spike potentials during the activity period of MMC. Therefore it is possible to determine the MMC of the stomach by the changes in the amplitude of the waves in the EGG.

Action Potentials↗

Non-invasive electrogastrography. Part 2. Human electrogastrogram.

The electrical activity of human stomach muscle wall-electrogastrogram (EGG), was led off by surface (cutaneous) electrodes placed on the abdominal wall and recorded on an electrogastrograph. A method for complete elimination of the cardiac artefact was elaborated and successfully implemented. It consists of a preliminary elimination of the QRS complex, based on its higher amplitude and slope. The eliminated intervals were replaced by linear segments. A subsequent low-pass filtering allowed to obtain a high quality EGG signal. The electrical activity of the stomach of healthy volunteers was characterized by waves with a frequency of 3.35 +/- 0.09 cpm during the quiescent periods and 2.99 +/- 0.14 cpm during the activity periods of the migrating myoelectrical complex (MMC). Bearing in mind the correlation between the bursts of spike potentials with the slow waves in the dog EGMG and the high-amplitude waves, characterizing the periods of activity in the dog EGG, we can better differentiate the periods of quiescence and activity by the amplitude of the waves. The wave amplitude during periods of quiescence was 81.13 +/- 20.61 microV, significantly different from the wave amplitude during periods of activity being 164.74 +/- 43.34 microV (n = 7). Thus with this method in visual inspection it is possible to identify MMC of the human stomach by the changes in the amplitude of the waves in the EGG.

Action Potentials↗

Possibilities of the non-invasive electrogastrography.

A non-invasive method for recording the electrical activity of the gastric muscle wall is presented. Electrogastrograms (EGG) with cutaneous electrodes on the abdominal wall were recorded using an original electrogastrograph. High-quality records without cardiac artifacts allowed for identification of waves belonging to the quiescent or activity period of the migrating myoelectric complex (MMC). The amplitude of the waves of the activity period of MMC were almost twice higher than that of the waves of the quiescent period. The wave amplitude immediately after feeding increased two times and a half compared to that during fasting. The high-amplitude waves in the activity periods of MMC and after feeding in the electrogastromyograms (EGMG) of dogs corresponded to bursts of spike potentials with slow potentials, i.e. to intense gastric muscle wall contractions. The method could contribute to the diagnosis of gastric motility disturbances in clinical practice.

Action Potentials↗

Effects of cholecystokinin octapeptide and somatostatin on the motility and release of [3H]acetylcholine in canine colon.

1. The longitudinal and circular muscle layers of canine colon showed a different pattern of mechanical activity: regular rhythmic phasic contractions in the circular strips and irregular rhythmic prolonged contractions in the longitudinal strips. 2. The spontaneous motility of both layers was suppressed by atropine (1 microM) or hexamethonium (1 microM), suggesting the involvement of ACh. 3. Somatostatin (1 nM-1 microM) decreased, while CCK8 (1-10 nM) increased the spontaneous and electrically-induced contractions of the colonic muscles, the circular layer being more sensitive as compared to the longitudinal layer. 4. CCK8 enhanced both resting and electrically-induced [3H]ACh release, while SOM inhibited the electrically-stimulated [3H]ACh release.

Acetylcholine↗

Changes in the electrical activity of the gastric remnant after Billroth II gastrectomy in dogs.

Chronic experiments were performed on dogs with Biller II gastrectomy followed by Roux-Y gastrojejunostomy. Gastric mucosa valve was made in the region of the gastrointestinal anastomosis in order to prevent the rapid gastric evacuation. Electrical activity of the gastric remnant, duodenum and jejunum was led off by six bipolar, silver, ball-shaped electrodes, implanted subserously on the muscle wall. Continuous bursting of groups of spike potentials with the slow gastric potentials in the usual rhythm (4.5-5 cpm) occurred during the 1st month after surgery. However, at the end of the 2nd month after surgery there were periods of tachygastria. The frequency of the gastric potentials was lower (7.52 +/- 1.37 cpm, n = 26) or higher (20.40 +/- 0.68 cpm, n = 30) compared to that of the jejunal slow waves (14.11 +/- 0.18 cpm, n = 50), i.e., it was different from the frequency of the jejunal slow waves.

Animals↗

Character of the excitatory neurotransmission in dog terminal ileum.

In vitro experiments were performed on smooth muscle strips cut out longitudinally or circularly from the terminal ileum at about 5 cm from sphincter ileo-colocum of 3-4-month old and adult dogs. Studies were made on the postsynaptic responses of single smooth-muscle cells to transmural electrical stimulation of strips placed in sucrose gap, as well as on the contraction changes in response to field electrical stimulation of strips placed in organ bath. Field electrical stimulation elicited mainly excitatory responses of the muscle strips. Using cholino- and adrenoreceptor-antagonists and serotonergic receptor-blockers, we found that the majority of responses were cholinergic and a small part of them were alpha-adrenergic. Excitatory serotonergic responses were also obtained. The nerve nature of the responses was proved by tetrodotoxin. Single smooth-muscle cells gave predominantly excitatory postsynaptic responses to transmural stimulation of the smooth muscle strips. The pattern of both postsynaptic and contractile responses changed in the presence of the antagonists used. The present results suggest the predominance of cholinergic transmission in the contractile responses of the terminal ileum.

Animals↗

Changes in the responsiveness of the colonic smooth muscle to carbachol in Hirschsprung's disease.

In vitro experiments were performed on smooth-muscle strips cut out in longitudinal and circular direction from the colon of Hirschsprung's patients who underwent an operation and from patients operated on for tumors of the sigmoid colon and rectum, serving as controls. The changes in the contractile activity of the smooth-muscle strips after carbachol applied cumulatively were examined and dose-response curves were plotted. The EC50 values for the circular strips from the aganglionic part of the colon were 6 x 10(-7) M in Hirschsprung's patients and 3.7 x 10(-8) M in control patients: the pD2 values were 6.23 and 7.43, respectively. This showed that the affinity of cholinoreceptors in the aganglionic part of the colon for carbachol was 16 times lower in Hirschsprung's patients as compared to control patients. The EC50 values for longitudinal strips from the ganglionic part of the colon were 2.6 x 10(-7) M in Hirschsprung's patients and 4 x 10(-8) M in control patients; pD2 values were 6.6 and 7.4, respectively. The affinity of cholinoreceptors in the smooth muscle of the ganglionic part of the colon for carbachol was also decreased (nearly 6.5 times) in Hirschsprung's patients as compared to controls.

Atropine↗

Relationship between the spike activities of the small and large intestines.

Experiments were performed using chronically implanted electrodes on the dog smooth muscle wall of the stomach and of the small and large intestines. Electrical activity of the muscle wall was recorded before and after feeding. When reaching the terminal ileum the active part of the migrating myoelectrical complex (MMC) continuously induced bursts of spike potentials superimposed on the slow waves. This electrical activity spread to the ascending colon. We also showed the existence of a spike activity on the terminal ileum independent of the MMC (appearing during the phase 1) and propagating to the colon. A relationship between the spike activities of the small and large intestines was also present after feeding. Beside the well-known gastro-colic reflex, we observed an increase in the spike activity of the terminal ileum and ascending colon between the 4th-5th hours after feeding. This probably corresponds to the arrival of the first portions of contents, evacuated from the arrival of the first portions of contents, evacuated from the stomach, and of the last portions of small intestinal contents. In conclusion, there is a relationship between the spike activities of the small and large intestines in starving animals and after feeding, and the terminal ileum plays a substantial role in this relationship.

Action Potentials↗

Acetylcholine release in two parts of the canine ileum.

1. Electrically-induced contractions and acetylcholine (Ach) release in two parts of the ileum: 5 and 25 cm proximal to the ileo-colic sphincter (ICS) were compared. 2. The amplitude of electrically- and Ach-induced contractions of the ileum 5 cm proximal to the ICS (terminal ileum) was much higher than the amplitude of the contractions of the ileum 25 cm proximal to the ICS. 3. The amount of Ach released in the ileum 25 cm proximal to the ICS accounted for 58% of the amount of Ach released in the terminal ileum, which was taken to be 100%.

Acetylcholine↗

The role of the pelvic nerves in the realization of the reservoir function of the colon.

In situ experiments were made on a group of dogs and in vivo experiments on another group of dogs with implanted electrodes for recording the electrical activity of the colonic muscle wall. A bipolar platinum electrode implanted in the pelvic nerve entering into the distal area of descending colon was used for electrical stimulation of the nerve (1 ms impulse duration, frequency of 2, 8, 10 and 15 Hz and amplitude of 10, 15 or 20 V). Electrical stimulation of the pelvic nerve with a frequency of 2 Hz resulted in inhibition of the spike activity. However, groups of spike potential burst in the distal part of the descending colon in response to electrical stimulation with frequencies of 8, 10 or 15 Hz. Repeated stimulation caused spreading of the spike activity of the descending colon in oral direction until the transverse colon. These antiperistaltic waves probably prevented the propulsion of the content of the descending colon. Thus, in addition to the inhibitory effect exercised by the sympathetic and noncholinergic nonadrenergic inhibitory part of the intrinsic nervous system, the reservoir function of the colon is influenced by these orally spreading waves of spike activity (antiperistaltic waves), which are caused by impulses along the pelvic nerves.

Animals↗

On the mechanism of the smooth-muscle action of rosanol.

In vivo and in vitro experiments were performed to clarify some aspects of the mechanism of the smooth-muscle action of rosanol prepared from rose oil. On dogs (in vivo) and on isolated segments from guinea-pig ileum (in vitro) rosanol at high doses exerted a slight inhibitory effect on the activated gastrointestinal motility. The cholinolytic rosanol action proved in in vitro experiments, was found to play an essential role in the mechanism of its gastrointestinal motility-inhibiting effect. The present studies showed a pronounced antagonistic effect of rosanol on the KCl-increased Ca2+ level in rabbit aorta. It might be suggested that this effect of rosanol is also involved in the inhibitory action of rosanol on the activated gastrointestinal motility.

Animals↗

Changes in the reactivity of the intrinsic nervous system of the stomach to hexamethonium after transthoracic vagotomy.

Experiments were carried out on seven breedless dogs with chronically implanted electrodes in the stomach. The effect of hexamethonium (in doses of 0.2, 0.3, 0.5, 1, 2, 3, 5, 7 and 10 mg/kg, i. v.) on the migrating myoelectrical complex (MMC) was studied before and after transthoracic vagotomy. Injected on the background of the first MMC phase, hexamethonium in doses of up to 2 mg/kg induces the appearance of spike potentials (SP). Applied on the background of spike activity, hexamethonium induces the appearance of spike activity of the type of the 3rd MMC phase. In a dose exceeding 2 mg/kg, introduced during SP activity, hexamethonium interrupts for different periods of time the SP generation and shortens the duration of the active MMC phases. On the background of increased spike activity characteristic of the stomach after vagotomy, 3 mg/kg hexamethonium have almost no effect on the electrical activity, whereas 10 mg/kg only reduce the percentage of slow waves accompanied by SP. It is probably that after vagotomy the excitability of the intrinsic nerve cells is increased, therefore even the high doses of the ganglionic blocker hexamethonium cannot inhibit entirely the active phases of MMC.

Animals↗

Spike activity of the muscle wall of the stomach remnant after gastric resection.

Chronic experiments have been carried out on dogs with implanted bipolar silver ball-shaped electrodes on the muscle wall of the stomach remnant after gastric resection. It has been found that in the first group of animals with subtotal gastrectomy (the frequency of the slow potentials during late periods after the resection increases and reaches the frequency of the corpus and antrum) the spike activity is represented by small groups of low-amplitude and low-frequency spike potentials. In the second group of animals for which the resection line passes at a distance of 1 to 1.5 cm distally from the boundary between the fundus and the corpus of the stomach (the frequency of the slow potentials increases to about 4 cpm even at the end of the first postoperational week), large groups of relatively high-amplitude and high-frequency spike potentials burst with the rhythmic slow potentials. The faster and better adaptation of the stomach remnant after sparse resection (2nd group of animals) is considered to be due to the existence of part of the pacemaker area in the stomach remnant. The spike activity characterizing the myoelectric complex is a prerequisite for the realization of the evacuation function by the stomach remnant.

Action Potentials↗

Electrical activity of the stomach: nervous control.

The role of the extramural vagus nerves in the modulation of gastric electrical activity and the myoelectrical complex (MEC) was studied by electrical stimulation of the nerve of Latarjet. As a consequence of the interruption of vagal impulses for five months by bilateral transthoracic vagotomy, the intramural nervous system began to perform as an organiser and modulator of the disorganised gastric electrical activity. The modulating role of the intramural nervous system was also demonstrated by stimulating the transmural electrical system, using parameters such as spike-firing and duration of stimulation of the MEC, and by blocking the adrenergic receptors.

Action Potentials↗