Heistad D D, Marcus M L, Gross P M
Am J Physiol. 1978 Nov;235(5):H544-52. doi: 10.1152/ajpheart.1978.235.5.H544.
Cerebral vascular responses to sympathetic stimulation and denervation were examined in three species during acute severe hypertension as well as normal conditions. Cerebral blood flow (CBF) was measured with microspheres after the superior cervical sympathetic trunk was cut and during electrical stimulation of the superior cervical sympathetic ganglion. Sympathetic denervation did not increase CBF in anesthetized cats or monkeys. Under normal conditions, sympathetic stimulation decreased CBF significantly in monkeys (-26 +/- 3%) (mean +/- SE) but not in cats. During acute severe hypertension, decreases in CBF due to sympathetic stimulation were greatly augmented in cats (-29 +/- 7%, compared to -3 +/- 3%), only modestly augmented in dogs (-9 +/- 3%, compared to -1 +/- 2%), and not augmented in monkeys (-17 +/- 3%, compared to -23 +/- 4%). Disruption of the blood-brain barrier during hypertension was reduced by sympathetic stimulation. We conclude that 1) sympathetic tone to cerebral vessels is minimal because denervation does not increase CBF; 2) sympathetic stimulation decreases CBF under normal conditions in monkeys and during severe hypertension in cats, dogs, and monkeys, and it reduces disruption of the blood-brain barrier; and 3) there is an important species difference in responses to sympathetic stimulation under normal conditions and during acute hypertension.
在急性重度高血压以及正常条件下,对三个物种的脑血管对交感神经刺激和去神经支配的反应进行了研究。在切断颈上交感神经干后以及电刺激颈上交感神经节期间,用微球测量脑血流量(CBF)。交感神经去神经支配并未增加麻醉猫或猴子的CBF。在正常条件下,交感神经刺激使猴子的CBF显著降低(-26±3%)(平均值±标准误),但对猫没有影响。在急性重度高血压期间,猫因交感神经刺激导致的CBF降低显著增加(-29±7%,相比之下为-3±3%),狗仅适度增加(-9±3%,相比之下为-1±2%),猴子则未增加(-17±3%,相比之下为-23±4%)。高血压期间血脑屏障的破坏因交感神经刺激而减少。我们得出以下结论:1)脑血管的交感神经张力最小,因为去神经支配不会增加CBF;2)交感神经刺激在正常条件下会降低猴子的CBF,在猫、狗和猴子的重度高血压期间也会降低CBF,并且会减少血脑屏障的破坏;3)在正常条件下和急性高血压期间,对交感神经刺激的反应存在重要的物种差异。