Machado B H
Department of Physiology, School of Medicine of Ribeirão Preto, University of São Paulo, 14049-900, Ribeirão Preto, SP, Brazil.
Ann N Y Acad Sci. 2001 Jun;940:179-96. doi: 10.1111/j.1749-6632.2001.tb03676.x.
Chemoreflex activation with potassium cyanide (i.v.) produces pressor and bradycardic responses in awake rats. Microinjection of AP-5, a selective NMDA receptor antagonist, into the nucleus tractus solitarii (NTS) produced a dose-dependent blockade of the bradycardic response; while microinjection of DNQX, a selective non-NMDA receptor antagonist, or kynurenic acid, a nonselective ionotropic receptor antagonist, produced only a partial reduction in the pressor response, indicating that the bradycardic component of the chemoreflex is mediated by NMDA receptors and that the sympathoexcitatory component may involve neurotransmitters other than excitatory amino acids. With respect to the baroreflex, we verified that the gain of baroreflex bradycardia in response to phenyleprine (Phe) infusion was significantly reduced in a dose-dependent manner by microinjection of AP-5 into the NTS, indicating that the parasympathetic component of the baroreflex is mediated mainly by NMDA receptors. However, in a series of experiments involving the electrical stimulation of the aortic depressor nerve (ADN) we observed that the maximal bradycardic response was almost blocked by the combination of microinjection of NMDA and non-NMDA receptor antagonists into the NTS, while the depressor response was only partially reduced. These data indicate that the bradycardic response produced by the activation of the baroreflex with Phe is mediated by mechanisms differing from those in response to the electrical stimulation of the ADN because phenylephrine also activates carotid and aortic baroreceptors, while unilateral electrical stimulation of the ADN involves only one specific set of baroreceptor afferents. These data also indicate that the sympatho inhibitory component of this response may involve neurotransmitters other than L-glutamate. We discuss the possibility that two different afferent systems of arterial baroreceptors are involved in the modulation of parasympathoexcitation and sympathoinhibition: one activated within the normal range of pulsatile arterial pressure (on a pulse-to-pulse basis) and the other acting under circumstances of challenge to the pulsatile arterial pressure above the normal range.
静脉注射氰化钾激活化学反射可在清醒大鼠中产生升压和心动过缓反应。向孤束核(NTS)微量注射选择性NMDA受体拮抗剂AP-5可产生剂量依赖性的心动过缓反应阻断;而微量注射选择性非NMDA受体拮抗剂DNQX或非选择性离子型受体拮抗剂犬尿氨酸仅使升压反应部分降低,这表明化学反射的心动过缓成分由NMDA受体介导,而交感神经兴奋成分可能涉及兴奋性氨基酸以外的神经递质。关于压力感受性反射,我们证实,向NTS微量注射AP-5可使对苯肾上腺素(Phe)输注的压力感受性反射性心动过缓增益以剂量依赖性方式显著降低,这表明压力感受性反射的副交感神经成分主要由NMDA受体介导。然而,在一系列涉及电刺激主动脉减压神经(ADN)的实验中,我们观察到,向NTS联合微量注射NMDA和非NMDA受体拮抗剂几乎可阻断最大心动过缓反应,而降压反应仅部分降低。这些数据表明,Phe激活压力感受性反射所产生的心动过缓反应是由与ADN电刺激反应不同的机制介导的,因为去氧肾上腺素还可激活颈动脉和主动脉压力感受器而单侧电刺激ADN仅涉及一组特定的压力感受器传入纤维。这些数据还表明,该反应的交感抑制成分可能涉及L-谷氨酸以外的神经递质。我们讨论了两种不同的动脉压力感受器传入系统参与副交感神经兴奋和交感抑制调节的可能性:一种在动脉搏动压力的正常范围内激活(逐搏激活),另一种在动脉搏动压力高于正常范围受到挑战的情况下起作用。