Dick T E, Coles S K
Division of Pulmonary and Critical Care Medicine, Departments of Medicine and of Neurosciences, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106-4941, USA.
Respir Physiol. 2000 Jul;121(2-3):87-100. doi: 10.1016/s0034-5687(00)00121-3.
The respiratory response to hypoxia is dynamic in the adult anesthetized Sprague-Dawley rat. Hypoxia elicits acute increases in both tidal volume (VT) and respiratory frequency (fR) followed by short-term increases in VT and short-term decreases in fR. After brief hypoxia (<1 min), recovery of the breathing pattern is again dynamic, where both VT and fR decrease immediately, but where VT remains above, and fR drops below, baseline. These acute changes are followed by a short-term progressive decrease in VT and increase in fR to baseline. We have identified a potential neural mechanism that depends on the integrity of the ventrolateral (vl) pons. Our studies show that: (a) blockade of activity in the vl pons prevents the short-term decrease in fR after hypoxia (b) stimulation of the vl pons decreases fR, and (c) vl pontine expiratory neurons are activated after hypoxia. These neurons may not be acting through alpha(2) -adrenergic receptors, but their effect does depend on NMDA-type receptor function. We conclude that the vl pons is a critical element in the pontomedullary network that generates and modulates the fR response to acute hypoxia.
在成年麻醉的斯普拉格-道利大鼠中,对缺氧的呼吸反应是动态的。缺氧会引发潮气量(VT)和呼吸频率(fR)的急性增加,随后是VT的短期增加和fR的短期降低。短暂缺氧(<1分钟)后,呼吸模式的恢复再次呈现动态变化,此时VT和fR立即下降,但VT仍高于基线,而fR降至基线以下。这些急性变化之后是VT的短期逐渐下降和fR增加至基线水平。我们已经确定了一种潜在的神经机制,该机制依赖于脑桥腹外侧(vl)的完整性。我们的研究表明:(a)阻断vl脑桥的活动可防止缺氧后fR的短期降低;(b)刺激vl脑桥会降低fR;(c)缺氧后vl脑桥呼气神经元被激活。这些神经元可能不是通过α₂-肾上腺素能受体起作用,但其作用确实依赖于NMDA型受体功能。我们得出结论,vl脑桥是脑桥延髓网络中的关键要素,该网络产生并调节对急性缺氧的fR反应。