LeDoux J F, Wilson L B
Dept. of Physiology, University of South Alabama College of Medicine, Mobile, AL 36688, USA.
Am J Physiol Regul Integr Comp Physiol. 2001 Sep;281(3):R868-77. doi: 10.1152/ajpregu.2001.281.3.R868.
Static contraction of skeletal muscle elicits a reflex increase in cardiovascular function. Likewise, noxious stimuli activate somatic nociceptors eliciting a reflex increase in cardiovascular function. On the basis of recent work involving spinothalamic cells in the dorsal horn, we hypothesized that the dorsal horn cells involved in the aforementioned reflexes would be sensitized by applying capsaicin (Cap) to a peripheral nerve. If correct, then Cap would enhance the cardiovascular increases that occur when these reflexes are evoked. Cats were anesthetized, and the popliteal fossa was exposed. Static contraction was induced by electrical stimulation of the tibial nerve at an intensity that did not directly activate small-diameter muscle afferent fibers, whereas nociceptors were stimulated by high-intensity stimulation (after muscle paralysis) of either the saphenous nerve (cutaneous nociceptors) or a muscular branch of the tibial nerve (muscle nociceptors). The reflex cardiovascular responses to these perturbations (contraction or nociceptor stimulation) were determined before and after direct application of Cap (3%) onto the common peroneal nerve, using a separate group of cats for each reflex. Compared with control, application of Cap attenuated the peak change in mean arterial pressure (MAP) evoked by static contraction (DeltaMAP in mmHg: 38 +/- 10 before and 24 +/- 8 after ipsilateral Cap; 47 +/- 10 before and 33 +/- 10 after contralateral Cap). On the other hand, Cap increased the peak change in MAP evoked by stimulation of the saphenous nerve from 57 +/- 8 to 77 +/- 9 mmHg, as well as the peak change in MAP elicited by activation of muscle nociceptors (36 +/- 9 vs. 56 +/- 14 mmHg). These results show that the reflex cardiovascular increases evoked by static muscle contraction and noxious input are differentially affected by Cap application to the common peroneal nerve. We hypothesize that a Cap-induced alteration in dorsal horn processing is the locus for this divergent effect on these reflexes.
骨骼肌的静态收缩会引起心血管功能的反射性增强。同样,伤害性刺激会激活躯体伤害感受器,引发心血管功能的反射性增强。基于近期涉及脊髓背角中脊髓丘脑束细胞的研究工作,我们推测参与上述反射的背角细胞会因将辣椒素(Cap)应用于外周神经而致敏。如果这一推测正确,那么辣椒素会增强这些反射诱发时所出现的心血管功能增强。对猫进行麻醉后,暴露其腘窝。通过以不直接激活小直径肌肉传入纤维的强度电刺激胫神经来诱发静态收缩,而在肌肉麻痹后,通过高强度刺激隐神经(皮肤伤害感受器)或胫神经的肌支(肌肉伤害感受器)来刺激伤害感受器。在将3%的辣椒素直接应用于腓总神经之前和之后,使用每组不同的猫来确定对这些扰动(收缩或伤害感受器刺激)的反射性心血管反应。与对照组相比,应用辣椒素减弱了静态收缩诱发的平均动脉压(MAP)的峰值变化(以mmHg为单位的ΔMAP:同侧辣椒素应用前为38±10,应用后为24±8;对侧辣椒素应用前为47±10,应用后为33±10)。另一方面,辣椒素使隐神经刺激诱发的MAP峰值变化从57±8增加到77±9 mmHg,以及肌肉伤害感受器激活诱发的MAP峰值变化(分别为36±9 mmHg和56±14 mmHg)。这些结果表明,将辣椒素应用于腓总神经对静态肌肉收缩和伤害性输入诱发的反射性心血管功能增强有不同的影响。我们推测,辣椒素诱导的背角处理改变是对这些反射产生这种不同影响的位点。