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心肌肥厚对麻醉大鼠肾交感神经活动的动脉及心肺压力反射控制的影响。

Impact of cardiac hypertrophy on arterial and cardiopulmonary baroreflex control of renal sympathetic nerve activity in anaesthetized rats.

作者信息

Flanagan Evelyn T, Buckley Maria M, Aherne Claire M, Lainis Fredolin, Sattar Munavvar, Johns Edward J

机构信息

Department of Physiology, Aras Windle, University College Cork, Western Road, Cork, Republic of Ireland.

出版信息

Exp Physiol. 2008 Sep;93(9):1058-64. doi: 10.1113/expphysiol.2008.043216. Epub 2008 May 16.

Abstract

This study aimed to quantify the effect of cardiac hypertrophy induced with isoprenaline and caffeine on reflex regulation of renal sympathetic nerve activity by the arterial and cardiopulmonary baroreceptors. Male Wistar rats, untreated or given water containing caffeine and subcutaneous (s.c.) isoprenaline every 72 h for 2 weeks or thyroxine s.c. for 7 days, were anaesthetized and prepared for measurement of renal sympathetic nerve activity or cardiac indices. Both isoprenaline-caffeine and thyroxine treatment blunted weight gain but increased heart weight and heart weight to body weight ratio by 40 and 14% (both P<0.01), respectively. In the isoprenaline-caffeine group, the maximal rate of change of left ventricular pressure and the contractility index were higher by 17 and 14% (both P<0.01), respectively, compared with untreated rats. In the isoprenaline-caffeine-treated rats, baroreflex gain curve sensitivity was depressed by approximately 30% (P<0/05), while the mid-point blood pressure was lower, by 15% (P<0/05), and the range of the curve was 60% (P<0.05) greater than in the untreated rats. An acute intravenous infusion of a saline load decreased renal sympathetic nerve activity by 42% (P<0.05) in the untreated rats but had no effect in the isoprenaline-caffeine- or the thyroxine-treated groups. The isoprenaline-caffeine treatment induced cardiac hypertrophy with raised cardiac performance and an associated depression in the reflex regulation of renal sympathetic nerve activity by both high- and low-pressure baroreceptors. The thyroxine-induced cardiac hypertrophy also blunted the low-pressure baroreceptor-mediated renal sympatho-inhibition. These findings demonstrate that in cardiac hypertrophy without impaired cardiac function, there is a blunted baroreceptor control of renal sympathetic outflow.

摘要

本研究旨在量化异丙肾上腺素和咖啡因诱导的心脏肥大对动脉和心肺压力感受器反射调节肾交感神经活动的影响。将雄性Wistar大鼠分为未处理组,或每72小时给予含咖啡因的水和皮下注射异丙肾上腺素,持续2周;或皮下注射甲状腺素,持续7天。麻醉后,准备测量肾交感神经活动或心脏指标。异丙肾上腺素-咖啡因和甲状腺素治疗均使体重增加减缓,但心脏重量和心脏重量与体重之比分别增加了40%和14%(均P<0.01)。与未处理大鼠相比,异丙肾上腺素-咖啡因组左心室压力最大变化率和收缩性指数分别高出17%和14%(均P<0.01)。在异丙肾上腺素-咖啡因处理的大鼠中,压力感受性反射增益曲线敏感性降低了约30%(P<0.05),而血压中点降低了15%(P<0.05),曲线范围比未处理大鼠大60%(P<0.05)。急性静脉输注生理盐水负荷使未处理大鼠的肾交感神经活动降低了42%(P<0.05),但对异丙肾上腺素-咖啡因或甲状腺素处理组无影响。异丙肾上腺素-咖啡因治疗诱导了心脏肥大,心脏功能增强,同时高压和低压压力感受器对肾交感神经活动的反射调节均受到抑制。甲状腺素诱导的心脏肥大也减弱了低压压力感受器介导的肾交感神经抑制。这些发现表明,在心脏功能未受损的心脏肥大中,压力感受器对肾交感神经流出的控制减弱。

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