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麻醉犬颈动脉体化学感受器离散刺激对心房利钠肽的影响。

The effect of discrete stimulation of carotid body chemoreceptors on atrial natriuretic peptide in anaesthetized dogs.

作者信息

al-Obaidi M, Whitaker E M, Karim F

机构信息

Department of Physiology, University of Leeds.

出版信息

J Physiol. 1991 Nov;443:519-31. doi: 10.1113/jphysiol.1991.sp018849.

Abstract
  1. In seven chloralose-anaesthetized and artificially ventilated beagles, the carotid sinus regions were vascularly isolated and perfused with either arterial or mixed (arterial and venous) blood (PO2 46.4 +/- 1.5 mmHg, mean +/- S.E.M.) to stimulate the chemoreceptors at constant flow and pressure. Cervical vagosympathetic trunks were ligated in all dogs, and gallamine triethiodide (2.0 mg kg-1 h-1, I.V.) was given in five dogs. Right atrial pressure was measured in all dogs, and left atrial pressure in four dogs. Mean aortic pressure was held constant (91.0 +/- 3.0 mmHg) by means of a reservoir connected to the animal via the common carotid and femoral arteries. Plasma atrial natriuretic peptide (ANP) was measured by radioimmunoassay and urinary sodium by flame photometry. 2. In seven dogs with mean carotid sinus pressure maintained at 96.0 +/- 4.3 mmHg, stimulation of the carotid chemoreceptors for 25 min produced significant increases in left atrial pressure of 41.2 +/- 3.3% (n = 4; P less than 0.005) from 5.4 +/- 0.6 cmH2O and of 30.9 +/- 4.5% (n = 7; P less than 0.002) in ANP from 31.6 +/- 2.1 pg ml-1. However, chemoreceptor stimulation produced significant decreases in urine flow rate of 26.1 +/- 1.9% (n = 9; P less than 0.001) from 0.29 +/- 0.03 ml min-1 (100 g kidney weight)-1 and sodium excretion of 29.0 +/- 2.3% (P less than 0.001) from 8.5 +/- 1.7 mumol min-1 (100 g kidney weight)-1 but right atrial pressure and heart rate did not change significantly. In three of the dogs, beta-adrenoceptor blockade by atenolol (2 mg kg-1, I.V.) greatly reduced the effects of chemoreceptor stimulation on plasma levels of ANP. 3. The results show, for the first time, that discrete stimulation of the carotid chemoreceptors caused an increase in plasma ANP levels, probably due to the reflex increase in atrial pressure that results from an inhibition of the cardiac sympathetic nerves, and an increase in venous return from a reduction of peripheral vascular capacitance.
摘要
  1. 在7只使用氯醛糖麻醉并进行人工通气的比格犬中,对颈动脉窦区域进行血管分离,并用动脉血或混合血(动静脉混合血,血氧分压46.4±1.5 mmHg,均值±标准误)以恒定流量和压力灌注,以刺激化学感受器。所有犬均结扎颈迷走交感干,5只犬静脉注射三碘季铵酚(2.0 mg·kg⁻¹·h⁻¹)。测量所有犬的右心房压力,4只犬测量左心房压力。通过连接到动物的储液器经颈总动脉和股动脉使平均主动脉压保持恒定(91.0±3.0 mmHg)。采用放射免疫分析法测定血浆心钠素(ANP),用火焰光度法测定尿钠。2. 在7只平均颈动脉窦压力维持在96.0±4.3 mmHg的犬中,刺激颈动脉化学感受器25分钟,左心房压力从5.4±0.6 cmH₂O显著升高41.2±3.3%(n = 4;P<0.005),ANP从31.6±2.1 pg/ml显著升高30.9±4.5%(n = 7;P<0.002)。然而,化学感受器刺激使尿流率从0.29±0.03 ml·min⁻¹(100 g肾重)⁻¹显著降低26.1±1.9%(n = 9;P<0.001),钠排泄从8.5±1.7 μmol·min⁻¹(100 g肾重)⁻¹显著降低29.0±2.3%(P<0.001),但右心房压力和心率无显著变化。在3只犬中,静脉注射阿替洛尔(2 mg·kg⁻¹)阻断β肾上腺素能受体,极大地降低了化学感受器刺激对血浆ANP水平的影响。3. 结果首次表明,离散刺激颈动脉化学感受器导致血浆ANP水平升高,这可能是由于心脏交感神经受抑制导致心房压力反射性升高,以及外周血管容量减少使静脉回心血量增加所致。

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