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慢性和急性低氧血症对胫前肌肌肉传入活动影响的比较。

Comparison between the effects of chronic and acute hypoxemia on muscle afferent activities from the tibialis anterior muscle.

作者信息

Dousset Erick, Decherchi Patrick, Grelot Laurent, Jammes Yves

机构信息

Laboratoire des Déterminants Physiologiques de l'Activité Physique (UPRES EA 3285), Institut Fédératif de Recherches Etienne-Jules Marey (IFR107), Faculté des Sciences du Sport, Université de la Méditerranée (Aix-Marseille II), Marseille, France.

出版信息

Exp Brain Res. 2003 Feb;148(3):320-7. doi: 10.1007/s00221-002-1297-0. Epub 2002 Dec 3.

Abstract

The reflex loops initiated by the activation of muscle afferents are altered by a reduction of the oxygen supply. This has been shown in different mammalian species under experimental conditions of acute or chronic hypoxemia. In the present study in rats, we compared the effects of acute and chronic hypoxemia on the activity of afferents from the tibialis anterior muscle to investigate the existence of possible adaptive mechanisms to hypoxaemia. The activity in groups I and II (mechanosensitive) and groups III and IV (mechano- and mostly chemosensitive) muscle afferents was recorded under conditions of normoxaemia and acute and chronic hypoxemia. Chronic hypoxaemia was achieved by exposing the rats for 45 consecutive days to a gas mixture containing 10% oxygen in nitrogen, whereas acute hypoxaemia was limited to a 1-h exposure to a 10% oxygen mixture. Different test agents: muscle stimulation (MS), arterial injection of KCl or lactic acid and tendon vibrations, were used to activate muscle afferents. Both acute and chronic hypoxaemia suppressed the post-MS activation of groups III and IV muscle afferents and significantly depressed the response of these afferents to KCl and lactic acid. The pattern of response of mechanosensitive afferents to mechanical tendon vibration was similar under the three conditions but chronic hypoxemia significantly reduced the response to 10-50 Hz vibrations. We conclude that inhibitory effects on muscle metabosensitive afferents occurred in the first minutes following acute hypoxemia and was prolonged with chronic hypoxemia. Our data also suggest that chronic hypoxemia depresses mechanosensitive muscle afferents. This may explain the observation that sensorimotor control of skeletal muscles is often markedly impaired in hypoxemic humans.

摘要

肌肉传入神经激活引发的反射回路会因氧气供应减少而改变。这已在不同哺乳动物物种的急性或慢性低氧血症实验条件下得到证实。在本大鼠研究中,我们比较了急性和慢性低氧血症对胫前肌传入神经活动的影响,以研究是否存在针对低氧血症的可能适应性机制。在常氧血症、急性和慢性低氧血症条件下记录了I组和II组(机械敏感)以及III组和IV组(机械和主要化学敏感)肌肉传入神经的活动。通过将大鼠连续45天暴露于含10%氧气的氮气混合气体中来实现慢性低氧血症,而急性低氧血症则限于1小时暴露于10%氧气混合气体。使用不同的测试剂:肌肉刺激(MS)、动脉注射氯化钾或乳酸以及肌腱振动,来激活肌肉传入神经。急性和慢性低氧血症均抑制了III组和IV组肌肉传入神经在MS后的激活,并显著降低了这些传入神经对氯化钾和乳酸的反应。在三种条件下,机械敏感传入神经对机械性肌腱振动的反应模式相似,但慢性低氧血症显著降低了对10 - 50 Hz振动的反应。我们得出结论,急性低氧血症后最初几分钟内对肌肉代谢敏感传入神经产生抑制作用,且慢性低氧血症时这种抑制作用会延长。我们的数据还表明,慢性低氧血症会抑制机械敏感肌肉传入神经。这可能解释了在低氧血症患者中骨骼肌的感觉运动控制常常明显受损这一现象。

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