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肌肉机械感受器反射通过重置动脉压力感受器反射神经弧来诱发升压反应。

Muscle mechanoreflex induces the pressor response by resetting the arterial baroreflex neural arc.

作者信息

Yamamoto Kenta, Kawada Toru, Kamiya Atsunori, Takaki Hiroshi, Miyamoto Tadayoshi, Sugimachi Masaru, Sunagawa Kenji

机构信息

Department of Cardiovascular Dynamics, National Cardiovascular Center Research Institute, Osaka 565-8565, Japan.

出版信息

Am J Physiol Heart Circ Physiol. 2004 Apr;286(4):H1382-8. doi: 10.1152/ajpheart.00801.2003. Epub 2003 Nov 20.

DOI:10.1152/ajpheart.00801.2003
PMID:14630630
Abstract

The effects of the muscle mechanoreflex on the arterial baroreflex neural control have not previously been analyzed over the entire operating range of the arterial baroreflex. In anesthetized, vagotomized, and aortic-denervated rabbits (n = 8), we isolated carotid sinuses and changed intracarotid sinus pressure (CSP) from 40 to 160 mmHg in increments of 20 mmHg every minute while recording renal sympathetic nerve activity (SNA) and arterial pressure (AP). Muscle mechanoreflex was induced by passive muscle stretch (5 kg of tension) of the hindlimb. Muscle stretch shifted the CSP-SNA relationship (neural arc) to a higher SNA, whereas it did not affect the SNA-AP relationship (peripheral arc). SNA was almost doubled [from 63 +/- 15 to 118 +/- 14 arbitrary units (au), P < 0.05] at the CSP level of 93 +/- 8 mmHg, and AP was increased approximately 50% by muscle stretch. When the baroreflex negative feedback loop was closed, muscle stretch increased SNA from 63 +/- 15 to 81 +/- 21 au (P < 0.05) and AP from 93 +/- 8 to 109 +/- 12 mmHg (P < 0.05). In conclusion, the muscle mechanoreflex resets the neural arc to a higher SNA, which moves the operating point towards a higher SNA and AP under baroreflex closed-loop conditions. Analysis of the baroreflex equilibrium diagram indicated that changes in the neural arc induced by the muscle mechanoreflex might compensate for pressure falls resulting from exercise-induced vasodilatation.

摘要

此前尚未在动脉压力感受性反射的整个工作范围内分析肌肉机械感受器反射对动脉压力感受性反射神经控制的影响。在麻醉、迷走神经切断和主动脉去神经支配的家兔(n = 8)中,我们分离出颈动脉窦,在记录肾交感神经活动(SNA)和动脉血压(AP)的同时,将颈内窦压力(CSP)以每分钟20 mmHg的增量从40 mmHg改变至160 mmHg。通过对后肢进行被动肌肉拉伸(5 kg张力)来诱发肌肉机械感受器反射。肌肉拉伸使CSP-SNA关系(神经弧)向更高的SNA偏移,而不影响SNA-AP关系(外周弧)。在CSP为93±8 mmHg时,SNA几乎增加了一倍[从63±15任意单位(au)增至118±14 au,P < 0.05],并且肌肉拉伸使AP增加了约50%。当压力感受性反射负反馈回路关闭时,肌肉拉伸使SNA从63±15 au增加至81±21 au(P < 0.05),使AP从93±8 mmHg增加至109±12 mmHg(P < 0.05)。总之,肌肉机械感受器反射将神经弧重置为更高的SNA,这使得在压力感受性反射闭环条件下,工作点朝着更高的SNA和AP移动。对压力感受性反射平衡图的分析表明,由肌肉机械感受器反射引起的神经弧变化可能补偿运动诱导的血管舒张导致的压力下降。

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