Besser R, Wessler I
Department of Neurology, University of Mainz, Federal Republic of Germany.
Pflugers Arch. 1991 Jan;417(5):540-2. doi: 10.1007/BF00370952.
Acetylcholinesterase inhibition with neostigmine in the isolated rat phrenic nerve-hemidiaphragm preparation induced axonal backfiring and repetitive compound muscle action potentials following single nerve stimulation. The duration of backfiring and the repetitive compound muscle action potentials did not exceed 55 ms. With repetitive nerve stimulation at frequencies ranging from 1 to 50 Hz, backfiring was present only with the first stimulus and the amplitude of the second compound muscle action potential was maximally reduced, while the subsequent responses recovered gradually. However, the amplitudes of the concomitant antidromic nerve action potentials remained unchanged during the entire train of stimulation. Lack of nerve action potential amplitude changes and the short duration of backfiring of the first nerve action potential exclude a collision phenomenon of backfiring with the nerve action potential induced by the second stimulus. Moreover, the duration of the repetitive compound muscle action potentials did not exceed the duration of backfiring. Therefore, the prolongation of the muscle membrane refractory period by reexcitation following backfiring cannot explain the decrement of the second compound muscle action potential.
在离体大鼠膈神经 - 半膈肌标本中,新斯的明抑制乙酰胆碱酯酶会在单次神经刺激后引发轴突逆向放电和重复性复合肌肉动作电位。逆向放电和重复性复合肌肉动作电位的持续时间不超过55毫秒。在1至50赫兹的频率下进行重复性神经刺激时,逆向放电仅出现在第一个刺激时,第二个复合肌肉动作电位的幅度最大程度降低,而随后的反应逐渐恢复。然而,在整个刺激序列中,伴随的逆向神经动作电位的幅度保持不变。第一个神经动作电位缺乏神经动作电位幅度变化且逆向放电持续时间较短,排除了逆向放电与第二个刺激诱发的神经动作电位发生碰撞的现象。此外,重复性复合肌肉动作电位的持续时间不超过逆向放电的持续时间。因此,逆向放电后再兴奋导致的肌膜不应期延长无法解释第二个复合肌肉动作电位的衰减。