Gu He, Lin Min, Liu Jianyu, Gozal David, Scrogin Karie E, Wurster Robert, Chapleau Mark W, Ma Xiuying, Cheng Zixi Jack
Biomolecular Science Center, Burnett College of Biomedical Sciences, University of Central Florida, Orlando, FL 32816, USA.
Am J Physiol Heart Circ Physiol. 2007 Nov;293(5):H2809-18. doi: 10.1152/ajpheart.00358.2007. Epub 2007 Aug 10.
Baroreflex control of heart rate (HR) is impaired after chronic intermittent hypoxia (CIH). However, the location and nature of this response remain unclear. We examined baroreceptor afferent, vagal efferent, and central components of the baroreflex circuitry. Fischer 344 (F344) rats were exposed to room air (RA) or CIH for 35-50 days and were then anesthetized with isoflurane, ventilated, and catheterized for measurement of mean arterial blood pressure (MAP) and HR. Baroreceptor function was characterized by measuring percent changes of integrated aortic depressor nerve (ADN) activity (Int ADNA) relative to the baseline value in response to sodium nitroprusside- and phenylephrine-induced changes in MAP. Data were fitted to a sigmoid logistic function curve. HR responses to electrical stimulation of the left ADN and the right vagus nerve were assessed under ketamine-acepromazine anesthesia. Compared with RA controls, CIH significantly increased maximum baroreceptor gain or maximum slope, maximum Int ADNA, and Int ADNA range (maximum - minimum Int ADNA), whereas other parameters of the logistic function were unchanged. In addition, CIH increased the maximum amplitude of bradycardic response to vagal efferent stimulation and decreased the time from stimulus onset to peak response. In contrast, CIH significantly reduced the maximum amplitude of bradycardic response to left ADN stimulation and increased the time from stimulus onset to peak response. Therefore, CIH decreased central mediation of the baroreflex but augmented baroreceptor afferent function and vagal efferent control of HR.
慢性间歇性缺氧(CIH)后,压力反射对心率(HR)的控制受损。然而,这种反应的位置和性质仍不清楚。我们研究了压力反射通路的压力感受器传入、迷走神经传出和中枢成分。将Fischer 344(F344)大鼠暴露于室内空气(RA)或CIH环境中35 - 50天,然后用异氟烷麻醉,进行通气,并插入导管以测量平均动脉血压(MAP)和HR。通过测量主动脉降压神经(ADN)活动积分(Int ADNA)相对于基线值的百分比变化来表征压力感受器功能,该变化是对硝普钠和去氧肾上腺素诱导的MAP变化的反应。数据拟合为S形逻辑函数曲线。在氯胺酮 - 乙酰丙嗪麻醉下评估HR对左侧ADN和右侧迷走神经电刺激的反应。与RA对照组相比,CIH显著增加了最大压力感受器增益或最大斜率、最大Int ADNA和Int ADNA范围(最大值 - 最小值Int ADNA),而逻辑函数的其他参数未改变。此外,CIH增加了对迷走神经传出刺激的心动过缓反应的最大幅度,并缩短了从刺激开始到反应峰值的时间。相反,CIH显著降低了对左侧ADN刺激的心动过缓反应的最大幅度,并延长了从刺激开始到反应峰值的时间。因此,CIH降低了压力反射的中枢调节,但增强了压力感受器传入功能和迷走神经对HR的传出控制。