Huang Jianhua, Lusina Sara, Xie Tian, Ji Ensheng, Xiang Shuanglin, Liu Yuzhen, Weiss J Woodrow
Pulmonary and Sleep Research Laboratory, Division of Pulmonary, Critical Care & Sleep Medicine, Department of Medicine, GZ 405, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215, USA.
Respir Physiol Neurobiol. 2009 Apr 30;166(2):102-6. doi: 10.1016/j.resp.2009.02.010. Epub 2009 Mar 3.
Exposure to cyclic intermittent hypoxia (CIH) is associated with elevated arterial pressure and sustained sympathoexcitation, but the causes of the augmented sympathetic activity remain poorly understood. We recorded arterial pressure, heart rate, and renal sympathetic nerve (RSN) activity in conscious rats previously exposed to either CIH or Sham for 3 weeks during acute exposure to hypoxia (15% and 10% O(2)) or hypercapnia (7% CO(2)). Hemodynamic responses to both hypercapnia and hypoxia were similar between CIH-exposed and Sham-exposed rats, although the pattern of response was different for hypoxia (tachycardia with no change in arterial pressure) and hypercapnia (bradycardia and increased arterial pressure). RSN responses as a percent of the baseline were, however, significantly greater in CIH-exposed animals (CIH-exposed: 15% O(2) - 123.4+/-0.06%; 10% O(2) - 136.7+/-0.12%; 7% CO(2) - 138.3+/-0.18%; Sham-exposed: 15% O(2) - 106.6+/-0.03%; 10% O(2) - 107.6+/-0.01%; 7% CO(2) - 103.0+/-0.14% P<0.01 for all conditions). These data indicate that in conscious rats exposure to CIH enhances sympathetic responses to both hypoxia and hypercapnia.
反复间歇性低氧(CIH)暴露与动脉血压升高和持续性交感神经兴奋有关,但交感神经活动增强的原因仍知之甚少。我们记录了清醒大鼠在急性暴露于低氧(15%和10% O₂)或高碳酸血症(7% CO₂)期间,先前暴露于CIH或假手术3周后的动脉血压、心率和肾交感神经(RSN)活动。CIH暴露组和假手术暴露组大鼠对高碳酸血症和低氧的血流动力学反应相似,尽管低氧(心率加快,动脉血压无变化)和高碳酸血症(心率减慢和动脉血压升高)的反应模式不同。然而,以基线百分比表示的RSN反应在CIH暴露动物中显著更大(CIH暴露组:15% O₂ - 123.4±0.06%;10% O₂ - 136.7±0.12%;7% CO₂ - 138.3±0.18%;假手术暴露组:15% O₂ - 106.6±0.03%;10% O₂ - 1,07.6±0.01%;7% CO₂ - 103.0±0.14%;所有条件下P<0.01)。这些数据表明,在清醒大鼠中,暴露于CIH会增强对低氧和高碳酸血症的交感神经反应。