Hisata Yoichi, Zeredo Jorge L, Eishi Kiyoyuki, Toda Kazuo
Cardiovascular Surgery, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki 852-8588, Japan.
Auton Neurosci. 2006 Jun 30;126-127:174-8. doi: 10.1016/j.autneu.2006.02.008. Epub 2006 Mar 29.
It is reported that cardiac afferent information is transmitted through at least three different pathways to the CNS: sympathetic, parasympathetic, and somatic; however, there are few studies concerning the role of afferent fibers of vagus nerves for eliciting cardiac sensation including pain. Especially, receptive field properties innervated by single vagal nerve fiber and mechanical threshold of nociceptors on the cardiac surface are not yet quantitatively studied. Therefore, in this study, we systematically investigated characteristics of vagal units innervating cardiac nociceptors in rats. Using anesthetized and artificially ventilated rats, 37 single unit recordings were made from fine nerve filaments of the left vagal nerve. For quantitative mechanical stimulation, the cardiac surface was stimulated by a von Frey type device. In addition, bradykinin was used for checking the chemical sensitivity of the nociceptor. Electrical stimulation was used to estimate the conduction velocity of the recorded nerve fiber. All units recorded from the vagal nerve were either Adelta- or C-polymodal nociceptors. About 70% of the afferents had conduction velocities in the C-fiber range. In 60% of the units, the peripheral receptive field covered spot-like areas, but we also found larger and continuous receptive fields. Our results show that a majority of nociceptors innervated by vagal afferents are the C-polymodal type with spot-like receptive fields. We consider it to relate to the ambiguous and dull pain of angina pectoris.
据报道,心脏传入信息通过至少三种不同途径传输至中枢神经系统(CNS):交感神经、副交感神经和躯体神经;然而,关于迷走神经传入纤维在引发包括疼痛在内的心脏感觉中的作用的研究较少。特别是,由单根迷走神经纤维支配的感受野特性以及心脏表面伤害感受器的机械阈值尚未进行定量研究。因此,在本研究中,我们系统地研究了支配大鼠心脏伤害感受器的迷走神经单位的特征。使用麻醉并人工通气的大鼠,从左迷走神经的细神经丝上进行了37次单单位记录。为了进行定量机械刺激,用von Frey型装置刺激心脏表面。此外,使用缓激肽检查伤害感受器的化学敏感性。用电刺激估计记录神经纤维的传导速度。从迷走神经记录的所有单位均为Aδ或C多模式伤害感受器。约70%的传入纤维传导速度在C纤维范围内。在60%的单位中,外周感受野覆盖点状区域,但我们也发现了更大的连续感受野。我们的结果表明,由迷走神经传入纤维支配的大多数伤害感受器是具有点状感受野的C多模式类型。我们认为这与心绞痛的模糊和钝痛有关。