Courneya C A, Korner P I, Oliver J R, Woods R L
Baker Medical Research Institute, Melbourne, Australia.
Am J Physiol. 1991 Aug;261(2 Pt 2):H380-91. doi: 10.1152/ajpheart.1991.261.2.H380.
We examined the role of the arterial and cardiac baroreceptors on the hindquarter conductance and heart rate responses of conscious rabbits bled at approximately 3% blood volume (BV)/min to 80% BV (i.e., 20% BV removed). We used rabbits with both sets of baroreceptors working and when only one or neither sets was working. Each animal was studied with normal effector function and during autonomic blockade (hormonal + local effectors), where release of arginine vasopressin (AVP) and renin (angiotensin II, ANG II) were enhanced. The local response (LR) to hemorrhage was determined in a separate group of neurohumorally blocked rabbits. The estimated constrictor response (ECR) was the difference between the LR and net conductance response. In normal rabbits, the ECR was 49 units, with the estimated arterial-to-cardiac barorecptor drive ratio approximately 2.8:1 and with the two receptor groups acting by simple addition. Both barorecptors contributed to the rise in heart rate, with the relative arterial-to-cardiac baroreceptor drive ratio approximately 4:1. When hemorrhage was performed during autonomic blockade, ECR was 84 units (compared with normal rabbits, P less than 0.01), but blood pressure was poorly maintained and the constrictor effect was not under baroreceptor control. Although the baroreceptors were critical for AVP release during autonomic blockade, they played no role in renin release (ANG II production); the latter was released in large amounts, producing near-maximum constriction, which was unrelated to the afferent input. Thus neurally mediated regulation during hemorrhage has substantial advantages over that mediated primarily through the pressor hormones.
我们研究了动脉和心脏压力感受器对清醒家兔后肢血管传导和心率反应的作用,这些家兔以约3%血容量(BV)/分钟的速度放血至80%BV(即放血20%BV)。我们使用了两组压力感受器均正常工作、仅一组压力感受器工作或两组压力感受器均不工作的家兔。每只动物在效应器功能正常以及自主神经阻断(激素 + 局部效应器)期间接受研究,自主神经阻断时精氨酸加压素(AVP)和肾素(血管紧张素II,ANG II)的释放会增强。在另一组经神经体液阻断的家兔中测定了对出血的局部反应(LR)。估计的收缩反应(ECR)是LR与净传导反应之间的差值。在正常家兔中,ECR为49个单位,估计的动脉压力感受器与心脏压力感受器驱动比率约为2.8:1,且两组感受器通过简单相加起作用。两种压力感受器均导致心率升高,动脉压力感受器与心脏压力感受器的相对驱动比率约为4:1。当在自主神经阻断期间进行放血时,ECR为84个单位(与正常家兔相比,P < 0.01),但血压维持不佳,且收缩效应不受压力感受器控制。尽管在自主神经阻断期间压力感受器对AVP释放至关重要,但它们在肾素释放(ANG II生成)中不起作用;后者大量释放,产生接近最大程度的收缩,这与传入输入无关。因此,出血期间神经介导的调节比主要通过升压激素介导的调节具有显著优势。