Seagard J L, van Brederode J F, Dan C, Hopp F A, Elegbe E O, Gallenberg L A, Kampine J P
Zablocki Veterans Administration Medical Center, WI 53295.
Circ Res. 1991 Oct;69(4):1097-105. doi: 10.1161/01.res.69.4.1097.
Sympathetic stimulation and catecholamine exposure have been shown to sensitize the arterial baroreceptors, but the extent or importance of this effect is not known. We performed this study to investigate the effects of sympathetic feedback on the carotid sinus baroreceptors, specifically examining the effect of the stimulation on the two different functional types of baroreceptors characterized in an earlier study. The existence of two baroreceptor function-response curves has suggested that the roles of the two functionally different baroreceptors may not be the same. If true, the effects of epinephrine exposure on baroreceptor firing characteristics may contribute to differential roles played by each baroreceptor type in the control of blood pressure. Single-fiber baroreceptor activity from a vascularly isolated carotid sinus was recorded during slow increases in carotid sinus pressure before and during exposure to epinephrine (10(-8) to 10(-6) M). Baroreceptor firing characteristics were determined from function curves plotting carotid sinus pressure versus nerve activity, with curve-fitting analysis of the hyperbolic type I and sigmoidal type II baroreceptor curves used to obtain threshold (Pth) and saturation (Psat) pressures, threshold (Fth) and saturation (Fsat) firing rates, and sensitivity (slope) for each baroreceptor before and during epinephrine exposure. The possible mechanisms of observed changes were examined using our previously published baroreceptor computer model. Epinephrine exposure was found to significantly increase sensitivity, Fth, and Fsat of both types of baroreceptors, with a relatively greater effect on type I sensitivity and on type II Fth and Fsat. Epinephrine also was found to increase the level of spontaneous discharge for type II baroreceptors.(ABSTRACT TRUNCATED AT 250 WORDS)
交感神经刺激和儿茶酚胺暴露已被证明可使动脉压力感受器敏感,但这种效应的程度或重要性尚不清楚。我们进行这项研究以调查交感神经反馈对颈动脉窦压力感受器的影响,具体研究刺激对早期研究中所描述的两种不同功能类型压力感受器的作用。两条压力感受器功能 - 反应曲线的存在表明,两种功能不同的压力感受器的作用可能不同。如果属实,肾上腺素暴露对压力感受器放电特性的影响可能有助于每种类型压力感受器在血压控制中发挥不同作用。在暴露于肾上腺素(10^(-8)至10^(-6) M)之前和期间,当颈动脉窦压力缓慢升高时,记录来自血管分离的颈动脉窦的单纤维压力感受器活动。通过绘制颈动脉窦压力与神经活动的函数曲线来确定压力感受器放电特性,使用双曲线I型和S形II型压力感受器曲线的曲线拟合分析来获得肾上腺素暴露之前和期间每个压力感受器的阈值(Pth)和饱和(Psat)压力、阈值(Fth)和饱和(Fsat)放电率以及敏感性(斜率)。使用我们之前发表的压力感受器计算机模型研究观察到的变化的可能机制。发现肾上腺素暴露可显著增加两种类型压力感受器的敏感性、Fth和Fsat,对I型敏感性以及II型Fth和Fsat的影响相对更大。还发现肾上腺素可增加II型压力感受器的自发放电水平。(摘要截短于250字)