Chapuis Bruno, Vidal-Petiot Emmanuelle, Oréa Valérie, Barrès Christian, Julien Claude
Département de Physiologie et Pharmacologie Clinique, Faculté de Pharmacie, Université Claude Bernard Lyon 1, Lyon 69373, France.
J Physiol. 2004 Sep 1;559(Pt 2):639-49. doi: 10.1113/jphysiol.2004.065474. Epub 2004 Jul 2.
The objective of the present study was to examine whether a simple linear feedback model of arterial pressure (AP) control by the sympathetic nervous system would be able to reproduce the characteristic features of normal AP variability by using AP and renal sympathetic nerve activity (RSNA) data collected in conscious sinoaortic baroreceptor denervated (SAD) rats. As compared with baroreceptor-intact rats (n=8), SAD rats (n=10) had increased spectral power (+ 680%) of AP in the low frequency range (LF, 0.0003-0.14 Hz) and reduced power (-19%) in the mid-frequency range (MF, 0.14-0.8 Hz) containing Mayer waves. In individual SAD rats, RSNA data were translated into 'sympathetic' AP time series by using the RSNA-AP transfer function that had been previously characterized in anaesthetized rats. AP 'perturbation' time series were then calculated by subtracting 'sympathetic' from actual AP time series. Actual RSNA and AP 'perturbation' time series were introduced in a reflex loop that was closed by using the previously identified baroreflex transfer function (from baroreceptor afferent activity to RSNA). By progressively increasing the open-loop static gain, it was possible to compute virtual AP power spectra that increasingly deviated from their progenitor spectra, with spectral power decreasing in the LF range (as a result of baroreflex buffering of haemodynamic perturbations), and increasing in the MF band (as a result of increasing transients at the resonance frequency of the loop). The most accurate reproduction of actual AP and RSNA spectra observed in baroreceptor-intact rats was obtained at 20-30% of the baroreflex critical gain (open-loop static gain resulting in self-sustained oscillations at the resonance frequency). In conclusion, while the gain of the sympathetic component of the arterial baroreceptor reflex largely determines its ability to provide an efficient correction of slow haemodynamic perturbations, this is achieved at the cost of increasing transients at higher frequencies (Mayer waves). However, the system remains fundamentally stable.
本研究的目的是通过使用在清醒的去窦主动脉压力感受器(SAD)大鼠中收集的动脉血压(AP)和肾交感神经活动(RSNA)数据,检验交感神经系统对动脉血压(AP)控制的简单线性反馈模型是否能够重现正常AP变异性的特征。与压力感受器完整的大鼠(n = 8)相比,SAD大鼠(n = 10)在低频范围(LF,0.0003 - 0.14 Hz)的AP频谱功率增加(+ 680%),而在包含迈尔波的中频范围(MF,0.14 - 0.8 Hz)功率降低(-19%)。在个体SAD大鼠中,通过使用先前在麻醉大鼠中表征的RSNA - AP传递函数,将RSNA数据转换为“交感”AP时间序列。然后通过从实际AP时间序列中减去“交感”来计算AP“扰动”时间序列。将实际的RSNA和AP“扰动”时间序列引入一个反射回路,该回路通过使用先前确定的压力感受性反射传递函数(从压力感受器传入活动到RSNA)来闭合。通过逐步增加开环静态增益,可以计算出越来越偏离其原始频谱的虚拟AP功率谱,低频范围内的频谱功率降低(由于压力感受性反射对血流动力学扰动的缓冲),而中频带内的频谱功率增加(由于回路共振频率处的瞬态增加)。在压力感受器完整的大鼠中观察到的实际AP和RSNA频谱的最准确重现是在压力感受性反射临界增益的20 - 30%时获得的(开环静态增益导致在共振频率处出现自持振荡)。总之,虽然动脉压力感受器反射的交感成分的增益在很大程度上决定了其有效校正缓慢血流动力学扰动的能力,但这是以增加高频(迈尔波)瞬态为代价实现的。然而,该系统在根本上仍然是稳定的。