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[新生大鼠脊髓运动神经元脊髓切断术后去甲肾上腺素能超敏反应的诱导]

[Induction of noradrenergic supersensitivity following cordotomy in neonatal rat spinal motoneurons].

作者信息

Kadotani H

机构信息

Department of Anesthesiology, Nippon Medical School, Tokyo, Japan.

出版信息

Nihon Ika Daigaku Zasshi. 1999 Feb;66(1):21-7. doi: 10.1272/jnms.66.21.

Abstract

Patients with spinal cord lesions frequently show autonomic hyperreflexia. The mechanism of autonomic hyperreflexia has been thought to be an acute general autonomic overactivity in response to cutaneous or visceral stimuli, but it remains uncertain. Several kinds of experiments suggest that amplified spinal sympathetic reflexes in the decentralized cord are attributable to the denervation supersensitivity of denervated neurons, which is a well-known phenomenon in denervated muscle fibers. In the present study, changes in the supersensitivity of motoneurons after cordotomy were studied in the spinal cord of neonatal rats. Responses to bath-applied noradrenaline (NA) were recorded from a ventral root of the isolated spinal cord of 6-day-old rats. In normal spinal cords, NA induced depolarization in motoneurons dose-dependently. alpha 1-antagonist prazosin (3 microM) inhibited the deporalization induced by NA, and alpha 2-antagonist rauwolscine (1 microM) potentiated it. In one group of rats, cordotomy was performed 4 days after birth by complete transection of the spinal cord at vertebrate 8th-10th thoracic level, and NA response was examined two days later (when they were 6 days old). In cordotomized rats, NA-induced depolarization was increased with respect to both amplitude and duration. alpha 1- as well as alpha 2-antagonists inhibited the NA response in the spinalized rats. Especially, both antagonists shortened the duration of NA response as compared to normal level. It is concluded that the denervation supersensitivity to NA appears 2 days after cordotomy in the spinal motoneurons of neonatal rats and that the supersensitivity to NA is attributable to the upregulation of both alpha 1- and alpha 2-adrenoceptors on the motoneurons, indicating that a new type of alpha 2-adrenoceptor function appears.

摘要

脊髓损伤患者常出现自主神经反射亢进。自主神经反射亢进的机制被认为是对皮肤或内脏刺激的一种急性全身性自主神经活动过度,但仍不明确。多种实验表明,在去传入脊髓中放大的脊髓交感反射归因于去神经支配神经元的去神经超敏反应,这是去神经支配肌纤维中一种众所周知的现象。在本研究中,在新生大鼠脊髓中研究了脊髓横断术后运动神经元超敏反应的变化。从6日龄大鼠分离脊髓的腹根记录对浴加去甲肾上腺素(NA)的反应。在正常脊髓中,NA剂量依赖性地诱导运动神经元去极化。α1拮抗剂哌唑嗪(3 microM)抑制NA诱导的去极化,而α2拮抗剂育亨宾(1 microM)增强该反应。在一组大鼠中,出生后4天在第8 - 10胸椎水平完全横断脊髓进行脊髓横断术,并在两天后(6日龄时)检测NA反应。在脊髓横断的大鼠中,NA诱导的去极化在幅度和持续时间方面均增加。α1和α2拮抗剂均抑制脊髓化大鼠中的NA反应。特别是,与正常水平相比,两种拮抗剂均缩短了NA反应的持续时间。结论是,新生大鼠脊髓运动神经元在脊髓横断术后2天出现对NA的去神经超敏反应,且对NA的超敏反应归因于运动神经元上α1和α2肾上腺素能受体的上调,表明出现了一种新型的α2肾上腺素能受体功能。

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