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静态肌肉收缩诱发的升压反射:一氧化氮在背角中的作用。

Pressor reflex evoked by static muscle contraction: role of nitric oxide in the dorsal horn.

作者信息

Wilson L B, Engbretson J, Crews A D

机构信息

Department of Physiology, University of South Alabama College of Medicine, Mobile, Alabama 36688, USA.

出版信息

Am J Physiol. 1999 Jun;276(6):R1639-46. doi: 10.1152/ajpregu.1999.276.6.R1639.

Abstract

In this study, we tested the hypothesis that nitric oxide (NO) production in the dorsal horn is involved in producing the pressor reflex elicited by static contraction of skeletal muscle. Cats were anesthetized with alpha-chloralose (80 mg/kg) and urethane (100 mg/kg), and a laminectomy was performed. With the exception of the L7 dorsal root, the dorsal and ventral roots from L5 to S2 were sectioned on one side and static contraction of the ipsilateral triceps surae muscle was evoked by electrically stimulating the peripheral ends of the L7 and S1 ventral roots. Dialysis of the NO synthase inhibitor NG-nitro-L-arginine methyl ester (L-NAME; 50 mmol/l syringe concentration, based upon dose-response data) into the dorsal horn at L6 and S1 failed to attenuate the peak change in mean arterial pressure (MAP) evoked by static contraction (DeltaMAP in mmHg: 57 +/- 5 before and 50 +/- 6 after 2 h of L-NAME). However, this dialysis of L-NAME reduced the magnitude of the initial pressor response as the MAP at 10 s of the contraction fell from 27 +/- 4 to 17 +/- 4 mmHg. On the other hand, 2 h of L-arginine dialysis (50 mmol/l) shifted the curve representing the time course of the pressor response upward and increased the peak pressor response to static contraction from 51 +/- 9 to 68 +/- 9 mmHg. A 2-h dialysis of D-NAME (50 mmol/l), the inactive enantiomer of L-NAME, had no effect on the time course or the peak pressor response (DeltaMAP in mmHg: 78 +/- 12 before and 72 +/- 15 after). These data suggest that NO production in the dorsal horn has a modulatory influence on the pressor reflex evoked by static contraction of skeletal muscle and that increasing the level of NO in the dorsal horn enhances the excitability of dorsal horn cells to muscle afferent input.

摘要

在本研究中,我们验证了以下假说:背角中一氧化氮(NO)的产生参与了骨骼肌静态收缩所引发的升压反射。猫用α-氯醛糖(80mg/kg)和乌拉坦(100mg/kg)麻醉后,进行椎板切除术。除L7背根外,将L5至S2的背根和腹根在一侧切断,通过电刺激L7和S1腹根的外周端诱发同侧腓肠三头肌的静态收缩。将NO合酶抑制剂NG-硝基-L-精氨酸甲酯(L-NAME;根据剂量反应数据,注射器浓度为50mmol/l)透析至L6和S1的背角,未能减弱静态收缩所诱发的平均动脉压(MAP)的峰值变化(L-NAME处理2小时后,MAP变化值,以mmHg为单位:处理前为57±5,处理后为50±6)。然而,L-NAME的这种透析降低了初始升压反应的幅度,因为收缩10秒时的MAP从27±4mmHg降至17±4mmHg。另一方面,L-精氨酸透析(50mmol/l)2小时使代表升压反应时间进程的曲线向上移动,并使静态收缩的峰值升压反应从51±9mmHg增加到68±9mmHg。L-NAME的无活性对映体D-NAME(50mmol/l)透析2小时对时间进程或峰值升压反应没有影响(MAP变化值,以mmHg为单位:处理前为78±12,处理后为72±15)。这些数据表明,背角中NO的产生对骨骼肌静态收缩所诱发的升压反射具有调节作用,并且背角中NO水平的升高增强了背角细胞对肌肉传入输入的兴奋性。

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