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脊髓血管加压素调节对静态收缩的反射性心血管反应。

Spinal vasopressin modulates the reflex cardiovascular response to static contraction.

作者信息

Stebbins C L, Ortiz-Acevedo A, Hill J M

机构信息

Department of Internal Medicine, University of California, Davis 95616.

出版信息

J Appl Physiol (1985). 1992 Feb;72(2):731-8. doi: 10.1152/jappl.1992.72.2.731.

Abstract

Recent evidence has demonstrated that arginine vasopressin (AVP) may modulate primary afferent activity of nociceptors in the dorsal horn of the spinal cord. Because nociceptors are group III and IV afferents, spinal AVP also may modulate the activity of group III and IV afferents that cause reflex cardiovascular responses to muscle contraction. Thus, we compared the pressor (mean arterial pressure), myocardial contractile (dP/dt), and heart rate (HR) responses to electrically induced static contraction of the cat hindlimb before and after lumbar intrathecal (IT) injection (L1-L7) of AVP (n = 9), the V1 receptor antagonist d(CH2)5Tyr(Me)AVP (n = 6), the V2 receptor antagonist d(CH2)5[D-Ile2,Ile4,Ala-NH2(9)]AVP (n = 6), and the V2 agonist [Val4,D]AVP (n = 8). After IT injection of AVP (0.1 or 1 nmol) the pressor and contractile responses to static contraction were attenuated by 55 and 44%, respectively. HR was unchanged. Forty-five to 60 min after AVP injection, the contraction-induced pressor and contractile responses were restored to control levels. V1 receptor blockade augmented contraction-induced increases in mean arterial pressure (36%) and dP/dt (49%) but not HR. V2 receptor blockade had no effect on the cardiovascular response to contraction, whereas selective V2 stimulation attenuated the dP/dt (-20%) and HR (-33%) responses but not the pressor response. These results suggest that AVP attenuates the reflex cardiovascular response to contraction by modulating sensory nerve transmission from contracting muscle primarily via a V1 receptor mechanism in the lumbar spinal cord.

摘要

最近的证据表明,精氨酸加压素(AVP)可能调节脊髓背角伤害感受器的初级传入活动。由于伤害感受器是Ⅲ类和Ⅳ类传入神经,脊髓中的AVP也可能调节Ⅲ类和Ⅳ类传入神经的活动,这些传入神经会引起对肌肉收缩的反射性心血管反应。因此,我们比较了在腰段鞘内(IT)注射(L1-L7)AVP(n = 9)、V1受体拮抗剂d(CH2)5Tyr(Me)AVP(n = 6)、V2受体拮抗剂d(CH2)5[D-Ile2,Ile4,Ala-NH2(9)]AVP(n = 6)和V2激动剂[Val4,D]AVP(n = 8)前后,猫后肢电诱发静态收缩所引起的升压(平均动脉压)、心肌收缩(dP/dt)和心率(HR)反应。IT注射AVP(0.1或1 nmol)后,对静态收缩的升压和收缩反应分别减弱了55%和44%。心率未改变。AVP注射后45至60分钟,收缩诱导的升压和收缩反应恢复到对照水平。V1受体阻断增强了收缩诱导的平均动脉压升高(36%)和dP/dt升高(49%),但对心率无影响。V2受体阻断对收缩的心血管反应没有影响,而选择性V2刺激减弱了dP/dt反应(-20%)和心率反应(-33%),但对升压反应无影响。这些结果表明,AVP主要通过腰段脊髓中的V1受体机制调节来自收缩肌肉的感觉神经传递,从而减弱对收缩的反射性心血管反应。

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