Cui Jian, Blaha Cheryl, Moradkhan Raman, Gray Kristen S, Sinoway Lawrence I
Heart and Vascular Institute, Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA.
J Physiol. 2006 Oct 15;576(Pt 2):625-34. doi: 10.1113/jphysiol.2006.116640. Epub 2006 Jul 27.
It is suggested that mechanoreceptors in muscle play an important role in the exercise pressor reflex. However, it has not been verified whether isolated stimulation of the mechanoreceptors can induce responses in muscle sympathetic nerve activity (MSNA) in young healthy individuals. We tested the hypothesis that passive stretch of muscle can evoke an increase in MSNA in healthy individuals. In 12 young subjects, leg calf muscles were passively stretched, or actively contracted for 5 s followed by a 15-25 s (random length) relaxation period. Stretch and contraction were each repeated 25 times. MSNA, heart rate and blood pressure were analysed, and averaged according to the onset of the force on a beat-by-beat basis. At the 1st to the 3rd heart beat from the onset of stretch, MSNA (199 +/- 30%, P < 0.05) as well as heart rate (102.5 +/- 0.7%, P < 0.05) increased transiently but significantly from the prior stretch baseline (100%), followed (from 3rd to 7th beat from the onset of stretch) by a transient increase in mean blood pressure (101.9 +/- 0.3%, P < 0.05) from the baseline. Similar response patterns were observed during active muscle contractions. The present data show that MSNA responses to isolated stimulation of mechanoreceptors are measurable. Because of baroreflex engagement, the magnitude of the response is small and transient, and the haemodynamic consequences using this protocol may be limited.
有人认为,肌肉中的机械感受器在运动加压反射中起重要作用。然而,在年轻健康个体中,孤立刺激机械感受器是否能诱发肌肉交感神经活动(MSNA)的反应尚未得到证实。我们检验了这样一个假设:肌肉的被动拉伸可使健康个体的MSNA增加。在12名年轻受试者中,对小腿肌肉进行被动拉伸,或主动收缩5秒,随后是15 - 25秒(随机时长)的放松期。拉伸和收缩各重复25次。分析MSNA、心率和血压,并根据逐搏施加力的起始点进行平均。从拉伸开始的第1至第3个心跳时,MSNA(199±30%,P<0.05)以及心率(102.5±0.7%,P<0.05)相对于先前拉伸基线(100%)短暂但显著增加,随后(从拉伸开始的第3至第7个心跳)平均血压相对于基线短暂增加(101.9±0.3%,P<0.05)。在肌肉主动收缩期间观察到类似的反应模式。目前的数据表明,对机械感受器的孤立刺激所产生的MSNA反应是可测量的。由于压力反射的参与,反应的幅度较小且短暂,使用该方案产生的血流动力学后果可能有限。