Gunawardena S, Ravi K, Longhurst J C, Kaufman M P, Ma Amy, Bravo Milo, Kappagoda C T
Division of Cardiovascular Medicine, University of California, Davis, One Shield's Avenue, Davis, CA 95616, USA.
Respir Physiol Neurobiol. 2002 Sep 4;132(3):239-51. doi: 10.1016/s1569-9048(02)00114-3.
Effects of changes in extra-vascular fluid volume produced by pulmonary lymphatic obstruction and plasmapheresis on the activities of bronchial and pulmonary C fiber receptors and rapidly adapting receptors (RARs) were investigated in New Zealand White rabbits. In intact rabbits, pulmonary lymphatic obstruction either alone or in combination with plasmapheresis did not stimulate pulmonary C fiber receptors. Only the combined stimulus activated the bronchial C fiber receptors. Bronchial C fiber receptors were also stimulated by graded increases in left atrial pressure (+5 and +10 mmHg). In contrast, RARs were activated by lymphatic obstruction either alone or in combination with plasmapheresis. These procedures increase the extra-vascular fluid volume in the carina and bronchi but not in the lungs (alveoli). In rabbits with chronic pulmonary venous congestion secondary to mitral valve damage, bronchial C fiber receptors were not stimulated by these increments in left atrial pressure which were insufficient to increase the extra vascular fluid content of the airways. However, both pulmonary and bronchial C fiber receptors were stimulated when the left atrial pressure was raised to 25 mmHg in these animals to cause pulmonary edema.
在新西兰白兔中,研究了肺淋巴阻塞和血浆置换所产生的血管外液体积变化对支气管和肺C纤维受体以及快速适应性受体(RARs)活性的影响。在完整的兔子中,单独的肺淋巴阻塞或与血浆置换联合使用均不会刺激肺C纤维受体。只有联合刺激才能激活支气管C纤维受体。左心房压力分级增加(+5和+10 mmHg)也会刺激支气管C纤维受体。相比之下,单独的淋巴阻塞或与血浆置换联合使用均可激活RARs。这些操作会增加隆突和支气管中的血管外液体积,但不会增加肺(肺泡)中的血管外液体积。在继发于二尖瓣损伤的慢性肺静脉充血的兔子中,这些不足以增加气道血管外液含量的左心房压力升高不会刺激支气管C纤维受体。然而,当这些动物的左心房压力升高至25 mmHg以引起肺水肿时,肺和支气管C纤维受体均会受到刺激。