Ichinose Masashi, Saito Mitsuru, Wada Hiroyuki, Kitano Asami, Kondo Narihiko, Nishiyasu Takeshi
Institute of Health and Sport Sciences, University of Tsukuba, Tsukuba City, Ibaraki 305-8574, Japan.
Am J Physiol Heart Circ Physiol. 2004 Feb;286(2):H701-7. doi: 10.1152/ajpheart.00618.2003.
We aimed to investigate the interaction [with respect to the regulation of muscle sympathetic nerve activity (MSNA) and blood pressure] between the arterial baroreflex and muscle metaboreflex in humans. In 10 healthy subjects who performed a 1-min sustained handgrip exercise at 50% maximal voluntary contraction followed by forearm occlusion, arterial baroreflex control of MSNA (burst incidence and strength and total activity) was evaluated by analyzing the relationship between beat-by-beat spontaneous variations in diastolic arterial blood pressure (DAP) and MSNA both during supine rest (control) and during postexercise muscle ischemia (PEMI). During PEMI (vs. control), 1) the linear relationship between burst incidence and DAP was shifted rightward with no alteration in sensitivity, 2) the linear relationship between burst strength and DAP was shifted rightward and upward with no change in sensitivity, and 3) the linear relationship between total activity and DAP was shifted to a higher blood pressure and its sensitivity was increased. The modification of the control of total activity that occurs in PEMI could be a consequence of alterations in the baroreflex control of both MSNA burst incidence and burst strength. These results suggest that the arterial baroreflex and muscle metaboreflex interact to control both the occurrence and strength of MSNA bursts.
我们旨在研究人体动脉压力反射与肌肉代谢反射之间[在肌肉交感神经活动(MSNA)和血压调节方面]的相互作用。在10名健康受试者中,他们先以最大自主收缩力的50%进行1分钟的持续握力运动,随后进行前臂阻断,通过分析仰卧休息(对照)期间和运动后肌肉缺血(PEMI)期间舒张压(DAP)的逐搏自发变化与MSNA之间的关系,评估动脉压力反射对MSNA的控制(爆发发生率、强度和总活动)。在PEMI期间(与对照相比),1)爆发发生率与DAP之间的线性关系向右偏移,敏感性无改变;2)爆发强度与DAP之间的线性关系向右上方偏移,敏感性无变化;3)总活动与DAP之间的线性关系向更高血压偏移,且其敏感性增加。PEMI期间发生的总活动控制的改变可能是MSNA爆发发生率和爆发强度的压力反射控制改变的结果。这些结果表明,动脉压力反射和肌肉代谢反射相互作用,以控制MSNA爆发的发生和强度。