Ngampramuan Sukonthar, Baumert Mathias, Beig Mirza Irfan, Kotchabhakdi Naiphinich, Nalivaiko Eugene
Neuro-Behavioural Biology Centre, Institute of Science and Technology for Research and Development, Mahidol University, Salaya Nakron Pathom, Thailand.
Am J Physiol Regul Integr Comp Physiol. 2008 Jan;294(1):R132-41. doi: 10.1152/ajpregu.00464.2007. Epub 2007 Oct 24.
To better understand the central mechanisms that mediate increases in heart rate (HR) during psychological stress, we examined the effects of systemic and intramedullary (raphe region) administration of the serotonin-1A (5-HT(1A)) receptor agonist 8-hydroxy-2-(di-n-propylamino)tetraline (8-OH-DPAT) on cardiac changes elicited by restraint in hooded Wistar rats with preimplanted ECG telemetric transmitters. 8-OH-DPAT reduced basal HR from 356 +/- 12 to 284 +/- 12 beats/min, predominantly via a nonadrenergic, noncholinergic mechanism. Restraint stress caused tachycardia (an initial transient increase from 318 +/- 3 to 492 +/- 21 beats/min with a sustained component of 379 +/- 12 beats/min). beta-Adrenoreceptor blockade with atenolol suppressed the sustained component, whereas muscarinic blockade with methylscopolamine (50 microg/kg) abolished the initial transient increase, indicating that sympathetic activation and vagal withdrawal were responsible for the tachycardia. Systemic administration of 8-OH-DPAT (10, 30, and 100 microg/kg) attenuated stress-induced tachycardia in a dose-dependent manner, and this effect was suppressed by the 5-HT(1A) antagonist WAY-100635 (100 microg/kg). Given alone, the antagonist had no effect. Systemically injected 8-OH-DPAT (100 microg/kg) attenuated the sympathetically mediated sustained component (from +85 +/- 19 to +32 +/- 9 beats/min) and the vagally mediated transient (from +62 +/- 5 to +25 +/- 3 beats/min). Activation of 5-HT(1A) receptors in the medullary raphe by microinjection of 8-OH-DPAT mimicked the antitachycardic effect of the systemically administered drug but did not affect basal HR. We conclude that tachycardia induced by restraint stress is due to a sustained increase in cardiac sympathetic activity associated with a transient vagal withdrawal. Activation of central 5-HT(1A) receptors attenuates this tachycardia by suppressing autonomic effects. At least some of the relevant receptors are located in the medullary raphe-parapyramidal area.
为了更好地理解心理应激期间介导心率(HR)增加的核心机制,我们研究了全身性和髓内(中缝区域)给予5-羟色胺-1A(5-HT(1A))受体激动剂8-羟基-2-(二正丙基氨基)四氢萘(8-OH-DPAT)对预先植入心电图遥测发射器的Wistar大鼠约束诱发的心脏变化的影响。8-OH-DPAT将基础心率从356±12次/分钟降至284±12次/分钟,主要通过非肾上腺素能、非胆碱能机制。约束应激导致心动过速(最初从318±3次/分钟短暂增加到492±21次/分钟,持续部分为379±12次/分钟)。阿替洛尔阻断β-肾上腺素能受体抑制了持续部分,而甲基东莨菪碱(50微克/千克)阻断毒蕈碱受体消除了最初的短暂增加,表明交感神经激活和迷走神经撤离是心动过速的原因。全身性给予8-OH-DPAT(10、30和100微克/千克)以剂量依赖的方式减轻应激诱导的心动过速,并且这种作用被5-HT(1A)拮抗剂WAY-100635(100微克/千克)抑制。单独给予拮抗剂没有作用。全身性注射8-OH-DPAT(100微克/千克)减轻了交感神经介导的持续部分(从+85±19次/分钟降至+32±9次/分钟)和迷走神经介导的短暂部分(从+62±5次/分钟降至+25±3次/分钟)。通过微量注射8-OH-DPAT激活髓质中缝的5-HT(1A)受体模拟了全身性给药药物的抗心动过速作用,但不影响基础心率。我们得出结论,约束应激诱导的心动过速是由于心脏交感神经活动持续增加并伴有短暂的迷走神经撤离。中枢5-HT(1A)受体的激活通过抑制自主神经作用减轻这种心动过速。至少一些相关受体位于髓质中缝-锥体旁区域。