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交感神经刺激诱发的心脏去甲肾上腺素和神经肽Y溢出。

Sympathetic stimulation-evoked overflow of norepinephrine and neuropeptide Y from the heart.

作者信息

Warner M R, Senanayake P D, Ferrario C M, Levy M N

机构信息

Indiana University School of Medicine, Krannert Institute of Cardiology, Department of Pharmacology, Indianapolis.

出版信息

Circ Res. 1991 Aug;69(2):455-65. doi: 10.1161/01.res.69.2.455.

Abstract

Neuropeptide Y (NPY) and norepinephrine are released together on sympathetic activation. To compare the time courses of NPY and norepinephrine washout from cardiac tissues, we measured the overflow of NPY-like immunoreactivity (NPY-LI) and norepinephrine in coronary sinus blood before, during, and after 3-minute trains of ansae subclaviae stimulation in 13 anesthetized dogs. We also measured vagally induced cardiac cycle length responses before and after ansae stimulation. Ansae stimulation increased NPY-LI and norepinephrine overflow from the heart in a frequency-dependent manner (p less than 0.02). After stimulation of the ansae at 5 and 10 Hz, the peak norepinephrine overflows decayed by 90% within 2 minutes, but the NPY-LI overflows required 17 +/- 11 and 35 +/- 21 minutes, respectively, to decay by 90%. Cardiac vagal effects were inhibited after 5- and 10-Hz ansae stimulations, and the peak inhibitions decayed by 90% after 19 +/- 7 and 39 +/- 16 minutes, respectively. The 90% decay times of the NPY-LI overflows were longer (p less than 0.003) than those of the norepinephrine overflows but did not differ significantly (p greater than 0.4) from the 90% decay times of the inhibition of vagal effects. We characterized NPY-LI in coronary sinus and arterial plasma by reversed-phase high-performance liquid chromatography. Before ansae stimulation, the main peak of NPY-LI in the plasma had a retention time similar to that of the oxidized human NPY-(1-36) standard. During ansae stimulation, however, there was a substantial increase in the peak of NPY-LI that eluted in a position similar to that of the monoxidized human NPY-(1-36) standard. These data support the hypothesis that neurally released NPY mediates the sympathetically evoked inhibition of vagal effects and indicate that the time course of removal of NPY from the heart differs substantially from that of norepinephrine. Moreover, under basal conditions, most NPY in the circulation is present in the oxidized form or as a fragment of the 36-amino-acid peptide. In contrast, cardiac sympathetic stimulation evokes the overflow of monoxidized NPY-(1-36) into the coronary sinus plasma.

摘要

交感神经激活时,神经肽Y(NPY)和去甲肾上腺素会一起释放。为了比较NPY和去甲肾上腺素从心脏组织中清除的时间过程,我们在13只麻醉犬中,测量了锁骨下襻刺激3分钟期间及刺激前后冠状窦血中NPY样免疫反应性(NPY-LI)和去甲肾上腺素的溢出情况。我们还测量了襻刺激前后迷走神经诱导的心动周期长度反应。襻刺激使心脏的NPY-LI和去甲肾上腺素溢出呈频率依赖性增加(p<0.02)。在5Hz和10Hz刺激襻后,去甲肾上腺素的峰值溢出在2分钟内衰减了90%,但NPY-LI溢出分别需要17±11分钟和35±21分钟才能衰减90%。5Hz和10Hz襻刺激后,心脏迷走神经效应受到抑制,峰值抑制分别在19±7分钟和39±16分钟后衰减90%。NPY-LI溢出的90%衰减时间比去甲肾上腺素溢出的90%衰减时间长(p<0.003),但与迷走神经效应抑制的90%衰减时间相比无显著差异(p>0.4)。我们通过反相高效液相色谱法对冠状窦和动脉血浆中的NPY-LI进行了表征。在襻刺激前,血浆中NPY-LI的主峰保留时间与氧化型人NPY-(1-36)标准品相似。然而,在襻刺激期间,NPY-LI的峰值大幅增加,其洗脱位置与单氧化型人NPY-(1-36)标准品相似。这些数据支持神经释放的NPY介导交感神经诱发的迷走神经效应抑制这一假说,并表明NPY从心脏清除的时间过程与去甲肾上腺素的有很大不同。此外,在基础条件下,循环中的大多数NPY以氧化形式或作为36个氨基酸肽的片段存在。相反,心脏交感神经刺激会使单氧化型NPY-(1-36)溢入冠状窦血浆中。

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