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Many workers have reported that α-adrenergic drugs activate and β-adrenergic drugs suppress the ureteral activity. On the other hand, recent studies have proved that the pacemaker in the renal pelvis controles the ureteral peristalsis .<BR>In this study, in vivo and in vitro experiments were performed to explore the effects of autonomic drugs on pelvic pacemaker controling the ureteral peristalsis .<BR>It was suggested that both of noradrenaline and isoproterenol stimulated the pacemaker activity itself, the former, however, elevated the renal pelvic pressure to accelerate the propagation of pacemaker activity consequentry, while the latter decreased the renal pelvic pressure to suppress the propagation consequently .Acetylcholine stimulated the pacemaker activity and its propagation transiently, but base line of renal pelvic pressure with increased contraction pressure was decreased after drug administration. Furthermore, acetylcholine sometimes developed the retrograde peristaltic contraction from ureter to pacemaker region through the pelviureteral junction. Then acetylcholine might affect directly on ureter rather than on pacemaker itself and its propagation.
- 日本平滑筋学会の論文