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在快速眼动睡眠中,脑交感神经活动对脑循环具有主要调节作用。

Cerebral sympathetic nerve activity has a major regulatory role in the cerebral circulation in REM sleep.

作者信息

Cassaglia Priscila A, Griffiths Robert I, Walker Adrian M

机构信息

Ritchie Centre for Baby Health Research, Monash Institute of Medical Research, Monash University, Melbourne, Australia.

出版信息

J Appl Physiol (1985). 2009 Apr;106(4):1050-6. doi: 10.1152/japplphysiol.91349.2008. Epub 2009 Jan 15.

Abstract

Sympathetic nerve activity (SNA) in neurons projecting to skeletal muscle blood vessels increases during rapid-eye-movement (REM) sleep, substantially exceeding SNA of non-REM (NREM) sleep and quiet wakefulness (QW). Similar SNA increases to cerebral blood vessels may regulate the cerebral circulation in REM sleep, but this is unknown. We hypothesized that cerebral SNA increases during phasic REM sleep, constricting cerebral vessels as a protective mechanism against cerebral hyperperfusion during the large arterial pressure surges that characterize this sleep state. We tested this hypothesis using a newly developed model to continuously record SNA in the superior cervical ganglion (SCG) before, during, and after arterial pressure surges occurring during REM in spontaneously sleeping lambs. Arterial pressure (AP), intracranial pressure (ICP), cerebral blood flow (CBF), cerebral vascular resistance [CVR = (AP - ICP)/CBF], and SNA from the SCG were recorded in lambs (n = 5) undergoing spontaneous sleep-wake cycles. In REM sleep, CBF was greatest (REM > QW = NREM, P < 0.05) and CVR was least (REM < QW = NREM, P < 0.05). SNA in the SCG did not change from QW to NREM sleep but increased during tonic REM sleep, with a further increase during phasic REM sleep (phasic REM > tonic REM > QW = NREM, P < 0.05). Coherent averaging revealed that SNA increases preceded AP surges in phasic REM sleep by 12 s (P < 0.05). We report the first recordings of cerebral SNA during natural sleep-wake cycles. SNA increases markedly during tonic REM sleep, and further in phasic REM sleep. As SNA increases precede AP surges, they may serve to protect the brain against potentially damaging intravascular pressure changes or hyperperfusion in REM sleep.

摘要

投射至骨骼肌血管的神经元的交感神经活动(SNA)在快速眼动(REM)睡眠期间增加,显著超过非快速眼动(NREM)睡眠和安静觉醒(QW)时的SNA。类似的SNA增加至脑血管可能在REM睡眠中调节脑循环,但这尚不清楚。我们假设在REM睡眠的相位性阶段,脑SNA增加,使脑血管收缩,作为一种保护机制,以抵御该睡眠状态特征性的大动脉压力波动期间的脑过度灌注。我们使用一种新开发的模型来测试这一假设,该模型可在自然睡眠的羔羊REM期间动脉压力波动之前、期间和之后连续记录颈上神经节(SCG)中的SNA。记录了经历自然睡眠-觉醒周期的羔羊(n = 5)的动脉压(AP)、颅内压(ICP)、脑血流量(CBF)、脑血管阻力[CVR =(AP - ICP)/CBF]以及来自SCG的SNA。在REM睡眠中,CBF最大(REM > QW = NREM,P < 0.05),CVR最小(REM < QW = NREM,P < 0.05)。SCG中的SNA从QW睡眠到NREM睡眠没有变化,但在持续性REM睡眠期间增加,在相位性REM睡眠期间进一步增加(相位性REM > 持续性REM > QW = NREM,P < 0.05)。相干平均显示,在相位性REM睡眠中,SNA增加比AP波动提前12秒(P < 0.05)。我们报告了自然睡眠-觉醒周期期间脑SNA的首次记录。SNA在持续性REM睡眠期间显著增加,在相位性REM睡眠期间进一步增加。由于SNA增加先于AP波动,它们可能有助于保护大脑免受REM睡眠中潜在的有害血管内压力变化或过度灌注的影响。

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