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在大鼠呼气末正压期间,肺C纤维受体激活消除了与膈神经爆发无关的面神经活动。

Pulmonary C-fiber receptor activation abolishes uncoupled facial nerve activity from phrenic bursting during positive end-expired pressure in the rat.

作者信息

Lee Kun-Ze, Fuller David D, Lu I-Jung, Ku Li-Chi, Hwang Ji-Chuu

机构信息

Dept. of Life Science, National Taiwan Normal Univ., Taipei, Taiwan.

出版信息

J Appl Physiol (1985). 2008 Jan;104(1):119-29. doi: 10.1152/japplphysiol.00505.2007. Epub 2007 Oct 4.

Abstract

Phasic respiratory bursting in the facial nerve (FN) can be uncoupled from phrenic bursting by application of 9 cmH(2)O positive end-expired pressure (PEEP). This response reflects excitation of expiratory-inspiratory (EI) and preinspiratory (Pre-I) facial neurons during the Pre-I period and inhibition of EI neurons during inspiration (I). Because activation of pulmonary C-fiber (PCF) receptors can inhibit the discharge of EI and Pre-I neurons, we hypothesized that PCF receptor activation via capsaicin would attenuate or abolish uncoupled FN bursting with an increase from 3 cmH(2)O (baseline) to 9 cmH(2)O PEEP. Neurograms were recorded in the FN and phrenic nerve in anesthetized, ventilated, vagally intact adult Wistar rats. Increasing PEEP to 9 cmH(2)O resulted in a persistent rhythmic discharge in the FN during phrenic quiescence (i.e., uncoupled bursting). Combination of PEEP with intrajugular capsaicin injection severely attenuated or eliminated uncoupled bursting in the FN (P < 0.05). Additional experiments examined the pattern of facial motoneuron (vs. neurogram) bursting during PEEP application and capsaicin treatment. These single-fiber recordings confirmed that Pre-I and EI (but not I) neurons continued to burst during PEEP-induced phrenic apnea. Capsaicin treatment during PEEP substantially inhibited Pre-I and EI neuron discharge. Finally, analyses of FN and motoneuron bursting across the respiratory cycle indicated that the inhibitory effects of capsaicin were more pronounced during the Pre-I period. We conclude that activation of PCF receptors can inhibit FN bursting during PEEP-induced phrenic apnea by inhibiting EI and I facial motoneuron discharge.

摘要

通过施加9 cmH₂O的呼气末正压(PEEP),面神经(FN)的阶段性呼吸爆发可与膈神经爆发解耦联。这种反应反映了呼气-吸气(EI)和吸气前(Pre-I)面神经神经元在吸气前期受到兴奋,而EI神经元在吸气(I)时受到抑制。由于肺C纤维(PCF)受体的激活可抑制EI和Pre-I神经元的放电,我们推测通过辣椒素激活PCF受体会减弱或消除从3 cmH₂O(基线)增加到9 cmH₂O PEEP时的解耦联FN爆发。在麻醉、通气、迷走神经完整的成年Wistar大鼠中记录FN和膈神经的神经图。将PEEP增加到9 cmH₂O会导致在膈神经静止期间FN持续有节律的放电(即解耦联爆发)。PEEP与颈内注射辣椒素联合使用会严重减弱或消除FN中的解耦联爆发(P < 0.05)。额外的实验研究了在施加PEEP和辣椒素治疗期间面神经运动神经元(与神经图相比)爆发的模式。这些单纤维记录证实,在PEEP诱导的膈神经呼吸暂停期间,Pre-I和EI(但不是I)神经元继续爆发。在PEEP期间进行辣椒素治疗会显著抑制Pre-I和EI神经元的放电。最后,对整个呼吸周期中FN和运动神经元爆发的分析表明,辣椒素的抑制作用在吸气前期更为明显。我们得出结论,PCF受体的激活可通过抑制EI和I面神经运动神经元的放电来抑制PEEP诱导的膈神经呼吸暂停期间的FN爆发。

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