压力感受器和化学感受器对大鼠去窦主动脉神经支配所致心室肥厚的作用。

Contribution of baroreceptors and chemoreceptors to ventricular hypertrophy produced by sino-aortic denervation in rats.

作者信息

Van Vliet B N, Chafe L L, Montani J P

机构信息

Faculty of Medicine, Memorial University of Newfoundland, St John's, Newfoundland, Canada,A1B 3V6.

出版信息

J Physiol. 1999 May 1;516 ( Pt 3)(Pt 3):885-95. doi: 10.1111/j.1469-7793.1999.0885u.x.

Abstract
  1. To test whether sino-aortic denervation (SAD)-induced right ventricular hypertrophy (RVH) is a consequence of baroreceptor or chemoreceptor denervation, we compared the effects of aortic denervation (AD), carotid denervation (CD), SAD and a SAD procedure modified to spare the carotid chemoreceptors (mSAD), 6 weeks after denervation surgery in rats. A sham surgery group served as the control. 2. The blood pressure (BP) level was unaffected by AD, CD or SAD, but increased (9 %) following mSAD. The mean heart rate level was not affected. Short-term BP variability was elevated following AD (81 %), SAD (144 %) and mSAD (146 %), but not after CD. Baroreflex heart rate responses to phenylephrine were attenuated in all denervation groups. 3. Significant RVH occurred only following CD and SAD. These procedures also produced high mortality (CD and SAD) and significant increases in right ventricular pressures and haematocrit (CD). 4. Significant left ventricular hypertrophy occurred following CD, SAD and mSAD. Normalized left ventricular weight was significantly correlated with indices of BP variability. 5. These results suggest that SAD-induced RVH is a consequence of chemoreceptor, not baroreceptor, denervation. Our results also demonstrate that a mSAD procedure designed to spare the carotid chemoreceptors produced profound baroreflex dysfunction and significant left, but not right, ventricular hypertrophy.
摘要
  1. 为了检验 sino - 主动脉去神经支配(SAD)诱导的右心室肥厚(RVH)是压力感受器还是化学感受器去神经支配的结果,我们在大鼠去神经支配手术后 6 周,比较了主动脉去神经支配(AD)、颈动脉去神经支配(CD)、SAD 以及一种改良的保留颈动脉化学感受器的 SAD 手术(mSAD)的效果。假手术组作为对照。2. 血压(BP)水平不受 AD、CD 或 SAD 的影响,但在 mSAD 后升高了(9%)。平均心率水平未受影响。AD(81%)、SAD(144%)和 mSAD(146%)后短期血压变异性升高,但 CD 后未升高。所有去神经支配组对去氧肾上腺素的压力反射心率反应均减弱。3. 显著的 RVH 仅在 CD 和 SAD 后出现。这些手术还导致了高死亡率(CD 和 SAD)以及右心室压力和血细胞比容的显著增加(CD)。4. CD、SAD 和 mSAD 后出现显著的左心室肥厚。标准化左心室重量与血压变异性指标显著相关。5. 这些结果表明,SAD 诱导的 RVH 是化学感受器而非压力感受器去神经支配的结果。我们的结果还表明,一种旨在保留颈动脉化学感受器的 mSAD 手术产生了严重的压力反射功能障碍以及显著的左心室肥厚,但右心室未出现肥厚。

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