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腹腔神经节切除术对大鼠内脏器官交感神经支配的影响。

The effects of celiac ganglionectomy on sympathetic innervation to the splanchnic organs in the rat.

机构信息

Department of Pharmacology and Toxicology, B440 Life Sciences, Michigan State University, East Lansing, MI 48824, USA.

出版信息

Auton Neurosci. 2010 Apr 19;154(1-2):66-73. doi: 10.1016/j.autneu.2009.11.009. Epub 2010 Jan 6.

Abstract

The sympathetic nervous system is important in blood pressure regulation, and regionally-specific increases in sympathetic nerve activity occur during the development of hypertension. Sympathetic neurons innervating the splanchnic organs may be especially critical, because sympathetic activity to the splanchnic region is increased early in hypertension development. The celiac ganglionic plexus contains the majority of the sympathetic neurons innervating the splanchnic organs and tissues. Celiac ganglionectomy (CGX) involves surgical removal of the celiac ganglionic plexus, and has been used to study the roles of the splanchnic sympathetic innervation in cardiovascular regulation. In the current study we characterized the short-term (two-week) and long-term (five-week and ten-week) effects of CGX in rats on splanchnic sympathetic nerve structure and function. In the short-term, norepinephrine concentrations in whole splanchnic organs and mesenteric arteries and veins were significantly decreased by CGX. Immunohistochemistry and glyoxylic acid staining showed an almost complete loss of the typical sympathetic innervation of mesenteric arteries and veins. Additionally, CGRP-containing sensory nerves largely disappeared. Constrictor responses of mesenteric arteries and veins to sympathetic nerve stimulation were abolished by CGX. However, the effects of CGX were time-dependent, since significant regeneration of sympathetic nerves in some organs was observed 5weeks after surgery. The inferior mesenteric ganglion had minimal impact on this reinnervation process. In vivo studies showed that CGX significantly lowers resting blood pressure in normal Sprague-Dawley rats. Therefore, CGX is an effective means to impair sympathetic input to the splanchnic organs, but the effect of the procedure is not permanent.

摘要

交感神经系统在血压调节中很重要,并且在高血压的发展过程中,交感神经活动会在局部增加。支配内脏器官的交感神经可能特别重要,因为高血压发展早期,内脏区域的交感活动就增加了。腹腔神经丛包含了支配内脏器官和组织的大部分交感神经元。腹腔神经节切除术(CGX)涉及到对腹腔神经丛的手术切除,已被用于研究内脏交感神经支配在心血管调节中的作用。在目前的研究中,我们描述了 CGX 对大鼠内脏交感神经结构和功能的短期(两周)和长期(五周和十周)影响。在短期,CGX 使整个内脏器官和肠系膜动静脉中的去甲肾上腺素浓度显著降低。免疫组织化学和乙醛酸染色显示肠系膜动静脉的典型交感神经支配几乎完全丧失。含有 CGRP 的感觉神经也大量消失。CGX 使肠系膜动静脉对交感神经刺激的收缩反应被消除。然而,CGX 的作用是时间依赖性的,因为手术后 5 周观察到一些器官中的交感神经有明显的再生。肠系膜下神经节对这种再支配过程的影响很小。体内研究表明,CGX 可显著降低正常 Sprague-Dawley 大鼠的静息血压。因此,CGX 是一种损害内脏器官交感传入的有效方法,但该手术的效果并非永久性的。

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