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颈动脉体去神经支配会改变对延髓中缝核内注射鹅膏蕈氨酸或局灶性酸中毒的通气反应。

Carotid body denervation alters ventilatory responses to ibotenic acid injections or focal acidosis in the medullary raphe.

作者信息

Hodges M R, Opansky C, Qian B, Davis S, Bonis J M, Krause K, Pan L G, Forster H V

机构信息

Dept. of Neurology, Yale University School of Medicine, New Haven, CT 06520, USA.

出版信息

J Appl Physiol (1985). 2005 Apr;98(4):1234-42. doi: 10.1152/japplphysiol.01011.2004. Epub 2004 Dec 3.

Abstract

Our aim was to determine the effects of carotid body denervation (CBD) on the ventilatory responses to focal acidosis and ibotenic acid (IA) injections into the medullary raphe area of awake, adult goats. Multiple microtubules were chronically implanted into the midline raphe area nuclei either before or after CBD. For up to 15 days after bilateral CBD, arterial PCO2 (PaCO2) (13.3 +/- 1.9 Torr) was increased (P < 0.001), and CO2 sensitivity (-53.0 +/- 6.4%) was decreased (P <0.001). Thereafter, resting PaCO2 and CO2 sensitivity returned (P <0.01) toward control, but PaCO2 remained elevated (4.8 +/- 1.9 Torr) and CO2 sensitivity reduced (-24.7 +/- 6.0%) > or =40 days after CBD. Focal acidosis (FA) at multiple medullary raphe area sites 23-44 days post-CBD with 50 or 80% CO(2) increased inspiratory flow (Vi), tidal volume (Vt), metabolic rate (VO2), and heart rate (HR) (P <0.05). The effects of FA with 50% CO2 after CBD did not differ from intact goats. However, CBD attenuated (P <0.05) the increase in Vi, Vt, and HR with 80% CO2, but it had no effect on the increase in VO2. Rostral but not caudal raphe area IA injections increased Vi, BP, and HR (P < 0.05), and these responses were accentuated (P <0.001) after CBD. CO2 sensitivity was attenuated (-20%; P <0.05) <7 days after IA injection, but thereafter it returned to prelesion values in CBD goats. We conclude the following: 1) the attenuated response to FA after CBD provides further evidence that the carotid bodies provide a tonic facilitory input into respiratory control centers, 2) the plasticity after CBD is not due to increased raphe chemoreceptor sensitivity, and 3) the "error-sensing" function of the carotid body blunts the effect of strong stimulation of the raphe.

摘要

我们的目的是确定在清醒成年山羊中,颈动脉体去神经支配(CBD)对延髓中缝区域局灶性酸中毒和注射鹅膏蕈氨酸(IA)后的通气反应的影响。在CBD之前或之后,将多个微管长期植入中缝区域核的中线。双侧CBD后长达15天,动脉血二氧化碳分压(PaCO2)(13.3±1.9 Torr)升高(P<0.001),二氧化碳敏感性(-53.0±6.4%)降低(P<0.001)。此后,静息PaCO2和二氧化碳敏感性恢复(P<0.01)至接近对照水平,但在CBD后≥40天时,PaCO2仍升高(4.8±1.9 Torr),二氧化碳敏感性降低(-24.7±6.0%)。在CBD后23 - 44天,在多个延髓中缝区域位点用50%或80%二氧化碳进行局灶性酸中毒(FA),可增加吸气流量(Vi)、潮气量(Vt)、代谢率(VO2)和心率(HR)(P<0.05)。CBD后用50%二氧化碳进行FA的效应与完整山羊无差异。然而,CBD减弱了(P<0.05)80%二氧化碳时Vi、Vt和HR的增加,但对VO2的增加无影响。中缝区域头端而非尾端注射IA可增加Vi、血压(BP)和HR(P<0.05),且这些反应在CBD后增强(P<0.001)。IA注射后<7天,二氧化碳敏感性减弱(-20%;P<0.05),但此后在CBD山羊中恢复到损伤前值。我们得出以下结论:1)CBD后对FA反应减弱进一步证明颈动脉体为呼吸控制中枢提供了紧张性促进性输入;2)CBD后的可塑性并非由于中缝化学感受器敏感性增加;3)颈动脉体的“误差传感”功能减弱了中缝强烈刺激的效应。

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