Koike H, Mark A L, Heistad D D, Schmid P G
Circ Res. 1975 Oct;37(4):422-9. doi: 10.1161/01.res.37.4.422.
The goal of this study was to determine if physiological levels of cardiopulmonary vagal afferent activity modulate carotid chemoreceptor and baroreceptor reflexes. In anesthetized, ventilated dogs, the aortic nerves and the cervical sympathetic trunks were cut, and atropine was administered so that vagotomy would interrupt only cardiopulmonary afferent impulses. Reflex vascular responses were observed in perfused gracilis muscle and hindpaw. Carotid chemoreceptors were activated with nicotine or hypoxic, hypercapnic blood; carotid baroreceptors were stimulated by changes in carotid pressure. Interruption of vaga afferents augmented reflex vascular responses during changes incarotid pressure from 75 to 125 mm Hg. Interruption of cardiopulmonary vagal afferents potentiated reflex vasoconstrictor (muscle), vasodilator (paw), and vasopressor responses to activation of the carotid chemoreceptors. The potentiation of the chemoreceptor reflex frequently occurred in the absence of increases in base-line vascular resistance. Vagotomy also potentiated ventilatory responses to stimulation of the carotid chemoreceptors in spontaneously breathing dogs. The results indicate that interruption of cardiopulmonary afferents potentiates the vascular and ventilatory responses to activation of the carotid chemoreceptors and augments the gain of the carotid baroreceptor reflex at low carotid pressures. These findings suggest that physiological levels of cardiopulmonary vagal afferent impulses suppress carotid baroreceptor and chemoreceptor reflexes through an interaction in the central nervous system. The suppressive effect on the chemoreceptor reflex may be distinct from tonic restraint of the vasomotor center by vagal afferents, since it involves sympathetic vasodilator as well as vasoconstrictor responses and may occur without suppression of base-line adrenergic constrictor tone.
本研究的目的是确定心肺迷走传入活动的生理水平是否调节颈动脉化学感受器和压力感受器反射。在麻醉、通气的犬中,切断主动脉神经和颈交感干,并给予阿托品,以使迷走神经切断仅中断心肺传入冲动。在灌注的股薄肌和后爪中观察反射性血管反应。用尼古丁或低氧、高碳酸血症血液激活颈动脉化学感受器;通过颈动脉压力变化刺激颈动脉压力感受器。在颈动脉压力从75毫米汞柱变化到125毫米汞柱期间,迷走传入神经的中断增强了反射性血管反应。心肺迷走传入神经的中断增强了对颈动脉化学感受器激活的反射性血管收缩(肌肉)、血管舒张(爪)和升压反应。化学感受器反射的增强经常在基线血管阻力未增加的情况下发生。迷走神经切断术还增强了自主呼吸犬对颈动脉化学感受器刺激的通气反应。结果表明,心肺传入神经的中断增强了对颈动脉化学感受器激活的血管和通气反应,并在低颈动脉压力下增加了颈动脉压力感受器反射的增益。这些发现表明,心肺迷走传入冲动的生理水平通过在中枢神经系统中的相互作用抑制颈动脉压力感受器和化学感受器反射。对化学感受器反射的抑制作用可能不同于迷走传入神经对血管运动中枢的紧张性抑制,因为它涉及交感血管舒张以及血管收缩反应,并且可能在不抑制基线肾上腺素能收缩张力的情况下发生。