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人体肌梭的静息放电不受交感神经驱动增加的调节。

Resting discharge of human muscle spindles is not modulated by increases in sympathetic drive.

作者信息

Macefield Vaughan G, Sverrisdottir Yrsa B, Wallin B Gunnar

机构信息

Prince of Wales Medical Research Institute and University of New South Wales, Sydney, Australia.

出版信息

J Physiol. 2003 Sep 15;551(Pt 3):1005-11. doi: 10.1113/jphysiol.2003.040196. Epub 2003 Aug 15.

Abstract

There is evidence in experimental animals that, in addition to receiving fusimotor drive, muscle spindles are subject to modulation by the sympathetic nervous system. We examined the validity of this idea in human subjects by recording from muscle spindles in the relaxed ankle and toe extensor muscles during a strong and sustained physiological activation of muscle sympathetic outflow. Unitary recordings were made from 20 primary and 17 secondary muscle spindle afferents via a tungsten microelectrode inserted percutaneously into the peroneal nerve in 10 awake, healthy subjects seated with the legs supported in the extended position. ECG, blood pressure, respiration and calf circumference were also recorded. The majority of the muscle spindles were spontaneously active at rest; a background discharge was induced in four silent spindles by vibrating the tendon. A sustained increase in muscle vasoconstrictor activity, an increase in calf volume and a fall in pulse pressure were produced by subjects performing a 30-40 s maximal inspiratory breath-hold. Despite this strong increase in muscle sympathetic outflow no significant changes occurred in the discharge of either primary or secondary muscle spindle afferents, measured as a change in mean frequency and variability over sequential 5 s epochs and compared with the preceding period of rest. Strong chemoreceptor-driven sympathetic bursts during sustained expiratory breath-holds also failed to modulate the firing of 14 spindle endings. We conclude that a sustained, physiological increase in muscle sympathetic activity causes no detectable change in muscle spindle firing, lending no support to the concept that the sympathetic nervous system can influence the sensitivity of human muscle spindles directly.

摘要

在实验动物中有证据表明,除了接受肌梭运动驱动外,肌梭还受到交感神经系统的调节。我们通过在肌肉交感神经流出持续强烈的生理激活期间记录放松的踝关节和趾伸肌中的肌梭,来检验这一观点在人类受试者中的有效性。在10名清醒、健康的受试者中,将钨微电极经皮插入腓总神经,从20个初级和17个次级肌梭传入纤维进行单位放电记录,受试者坐在腿部伸展支撑的位置。同时记录心电图、血压、呼吸和小腿周长。大多数肌梭在静息时自发活动;通过振动肌腱在四个静息的肌梭中诱发了背景放电。受试者进行30 - 40秒的最大吸气屏气时,肌肉血管收缩活动持续增加、小腿体积增大和脉压下降。尽管肌肉交感神经流出有如此强烈的增加,但以连续5秒时间段内的平均频率和变异性变化来衡量,并与之前的静息期相比,初级或次级肌梭传入纤维的放电均未发生显著变化。在持续呼气屏气期间由强烈化学感受器驱动的交感神经爆发也未能调节14个肌梭末梢的放电。我们得出结论,肌肉交感神经活动的持续生理性增加不会导致肌梭放电有可检测到的变化,这并不支持交感神经系统能直接影响人类肌梭敏感性的概念。

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