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热疗可增加大鼠肺C纤维传入神经的敏感性。

Hyperthermia increases sensitivity of pulmonary C-fibre afferents in rats.

作者信息

Ruan Ting, Gu Qihai, Kou Yu Ru, Lee Lu-Yuan

机构信息

Department of Physiology, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA.

出版信息

J Physiol. 2005 May 15;565(Pt 1):295-308. doi: 10.1113/jphysiol.2005.084319. Epub 2005 Mar 10.

DOI:10.1113/jphysiol.2005.084319
PMID:15760937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1464481/
Abstract

This study was carried out to investigate whether an increase in tissue temperature alters the excitability of vagal pulmonary C-fibres. Single-unit afferent activities of 88 C-fibres were recorded in anaesthetized and artificially ventilated rats when the intrathoracic temperature (T(it)) was maintained at three different levels by isolated perfusion of the thoracic chamber with saline: control (C: approximately 36 degrees C), medium (M: approximately 38.5 degrees C) and high (H: approximately 41 degrees C), each for 3 min with 30 min recovery. Our results showed: (1) The baseline fibre activity (FA) of pulmonary C-fibres did not change significantly at M, but increased drastically (>5-fold) at H. (2) The C-fibre response to right-atrial injection of capsaicin (0.5 microg kg(-1)) was markedly elevated at H (deltaFA = 5.94 +/- 1.65 impulses s(-1) at C and 13.13 +/- 2.98 impulses s(-1) at H; P < 0.05), but not at M. Similar increases in the C-fibre responses to other chemical stimulants (e.g. adenosine, etc.) were found at H; all the enhanced responses returned to control in 30 min. (3) The C-fibre response to lung inflation was also significantly potentiated at H. In sharp contrast, there was no detectable change in either the baseline activity or the responses to lung inflation and deflation in 10 rapidly adapting pulmonary receptors and 10 slowly adapting pulmonary receptors at either M or H. (4) The enhanced C-fibre sensitivity was not altered by pretreatment with indomethacin or capsazepine, a selective antagonist of the transient receptor potential vanilloid type 1 (TRPV1) receptor, but was significantly attenuated by ruthenium red that is known to be an effective blocker of all TRPV channels. (5) The response of pulmonary C-fibres to a progressive increase in T(it) in a ramp pattern further showed that baseline FA started to increase when T(it) exceeded 39.2 degrees C. In conclusion, a pronounced increase in the baseline activity and excitability of pulmonary C-fibres is induced by intrathoracic hyperthermia, and this enhanced sensitivity probably involves activation of temperature-sensitive ion channel(s), presumably one or more of the TRPV receptors, expressed on the C-fibre endings.

摘要

本研究旨在探究组织温度升高是否会改变迷走神经肺C纤维的兴奋性。在麻醉并人工通气的大鼠中,通过用盐水单独灌注胸腔将胸内温度(T(it))维持在三个不同水平时,记录了88根C纤维的单单位传入活动:对照(C:约36℃)、中等(M:约38.5℃)和高(H:约41℃),每个水平持续3分钟,恢复30分钟。我们的结果显示:(1)肺C纤维的基线纤维活动(FA)在M时无显著变化,但在H时急剧增加(>5倍)。(2)在H时,C纤维对右心房注射辣椒素(0.5μg kg(-1))的反应明显增强(C时deltaFA = 5.94±1.65冲动/秒,H时为13.13±2.98冲动/秒;P < 0.05),而在M时无变化。在H时发现C纤维对其他化学刺激物(如腺苷等)的反应也有类似增加;所有增强的反应在30分钟内恢复到对照水平。(3)在H时,C纤维对肺膨胀的反应也显著增强。与之形成鲜明对比的是,在M或H时,10个快速适应肺感受器和10个缓慢适应肺感受器的基线活动以及对肺膨胀和肺萎陷的反应均未检测到变化。(4)用吲哚美辛或辣椒素受体1(TRPV1)受体的选择性拮抗剂辣椒平预处理并未改变增强的C纤维敏感性,但已知是所有TRPV通道有效阻滞剂的钌红可使其显著减弱。(5)肺C纤维对T(it)以斜坡模式逐渐升高的反应进一步表明,当T(it)超过39.2℃时,基线FA开始增加。总之,胸内高温可诱导肺C纤维的基线活动和兴奋性显著增加,这种增强的敏感性可能涉及温度敏感离子通道的激活,推测是C纤维末梢表达的一种或多种TRPV受体。