Nakamura Takeshi, Bhatt Suresh, Sapru Hreday N
Department of Neurological Surgery, MSB H-586, UMDNJ-New Jersey Medical School, 185 South Orange Ave, Newark, NJ 07103, USA.
Hypertension. 2009 Dec;54(6):1369-75. doi: 10.1161/HYPERTENSIONAHA.109.140715. Epub 2009 Nov 2.
Experiments were carried out in urethane-anesthetized, artificially ventilated, adult male Wistar rats. Microinjections (50 nL) of N-methyl-d-aspartic acid (1, 5, and 10 mmol/L), but not artificial cerebrospinal fluid, into the hypothalamic arcuate nucleus (ARCN) elicited increases in mean arterial pressure (5.7+/-0.5, 13.2+/-1.4, and 17.3+/-1.1 mm Hg, respectively) and heart rate (24.3+/-4.3, 49.3+/-5.2, and 75.2+/-8.0 bpm, respectively). ARCN stimulation was accomplished by microinjections of a maximally effective concentration of N-methyl-d-aspartic acid (10 mmol/L). The tachycardic responses to the ARCN stimulation were significantly attenuated after bilateral vagotomy. Intrathecal injections of ionotropic glutamate receptor (iGLUR) antagonists completely blocked pressor responses to the ARCN stimulation, whereas the tachycardic responses were significantly attenuated but not abolished. Intrathecal injections of iGLUR antagonists at T9 to T10, combined with bilateral vagotomy, completely blocked the tachycardic responses to ARCN stimulation. ARCN stimulation with N-methyl-d-aspartic acid elicited increased activities of the greater splanchnic nerve (91.7+/-14.8%) and the renal nerve (109.3+/-13%). Intrathecal injections of iGLURs at T9 to T10 blocked the increase in the greater splanchnic nerve activity in response to ARCN stimulation. These results indicate the following: (1) the chemical stimulation of the ARCN elicits increases in mean arterial pressure, greater splanchnic nerve and renal nerve activity, and heart rate; (2) the increases in mean arterial pressure and sympathetic nerve activity are mediated via the activation of spinal cord iGLURs; and (3) the increases in heart rate are mediated via the activation of spinal cord iGLURs and decreases in vagal input to the heart.
实验在经乌拉坦麻醉、人工通气的成年雄性Wistar大鼠身上进行。向下丘脑弓状核(ARCN)微量注射(50纳升)N-甲基-D-天冬氨酸(1、5和10毫摩尔/升),而非人工脑脊液,可使平均动脉压分别升高(5.7±0.5、13.2±1.4和17.3±1.1毫米汞柱),心率分别升高(24.3±4.3、49.3±5.2和75.2±8.0次/分钟)。通过微量注射最大有效浓度的N-甲基-D-天冬氨酸(10毫摩尔/升)实现对ARCN的刺激。双侧迷走神经切断术后,对ARCN刺激的心动过速反应明显减弱。鞘内注射离子型谷氨酸受体(iGLUR)拮抗剂可完全阻断对ARCN刺激的升压反应,而心动过速反应虽明显减弱但未消除。在T9至T10水平鞘内注射iGLUR拮抗剂并联合双侧迷走神经切断术,可完全阻断对ARCN刺激的心动过速反应。用N-甲基-D-天冬氨酸刺激ARCN可使内脏大神经(91.7±14.8%)和肾神经(109.3±13%)的活动增加。在T9至T10水平鞘内注射iGLUR可阻断因ARCN刺激引起的内脏大神经活动增加。这些结果表明:(1)对ARCN的化学刺激可使平均动脉压、内脏大神经和肾神经活动以及心率增加;(2)平均动脉压和交感神经活动的增加是通过脊髓iGLUR的激活介导的;(3)心率的增加是通过脊髓iGLUR的激活以及心脏迷走神经输入减少介导的。