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肥胖型 Zucker 大鼠通过中枢机制减弱了压力反射对交感神经活动的控制。

Attenuated baroreflex control of sympathetic nerve activity in obese Zucker rats by central mechanisms.

机构信息

Department of Physiology, Medical College of Georgia, 1120 15th Street, CA-3147, Augusta, GA 30912-3000, USA.

出版信息

J Physiol. 2010 May 1;588(Pt 9):1515-25. doi: 10.1113/jphysiol.2009.186387. Epub 2010 Mar 8.

Abstract

Adult obese Zucker rats (OZRs) have reduced sympathetic responses to evoked changes in arterial pressure (AP) compared to lean Zucker rats (LZRs). This study examined whether attenuated sympathetic baroreflexes in OZRs may be due to altered sensory or central mechanisms. The OZRs had elevated baseline splanchnic sympathetic nerve activity (SNA) and mean AP (MAP) compared to age-matched LZRs under urethane anaesthesia (P < 0.05). Aortic depressor nerve activity (ADNA) was measured while AP was altered by infusions of phenylephrine or nitroprusside (+/-60 mmHg over 60-90 s) in rats treated with atropine and propranolol to eliminate changes in heart rate. Although baseline ADNA was higher in the hypertensive OZRs, the relationship between MAP and ADNA was comparable in OZRs and LZRs. In contrast, electrical stimulation of the ADN afferent fibres (5 s train, 2 ms pulses, 4 V, 0.5-48 Hz) produced dramatically smaller reductions in SNA and MAP in OZRs compared to LZRs (P < 0.05). After blockade of alpha-adrenergic receptors to prevent sympathetically mediated depressor responses, OZRs still had reduced sympathetic responses to stimulation of the ADN. In addition, stimulation of vagal afferent nerves electrically or with phenylbiguanide (1, 2, 4 and 8 microg, i.v.) produced smaller inhibitions of SNA in OZRs compared with LZRs (P < 0.05). These data suggest that attenuated sympathetic baroreflexes are the result of altered central mechanisms in OZRs, and not deficits in the responsiveness of aortic baroreceptors to AP. Furthermore, central deficits in the regulation of SNA in OZRs extend to other sympathoinhibitory reflexes initiated by vagal afferent nerves.

摘要

成年肥胖 Zucker 大鼠(OZRs)的交感神经对动脉压(AP)变化的反射反应较瘦 Zucker 大鼠(LZRs)降低。本研究检查了 OZRs 中减弱的交感神经压力反射是否可能是由于感觉或中枢机制改变引起的。在 urethane 麻醉下,OZRs 的基础内脏交感神经活动(SNA)和平均动脉压(MAP)较年龄匹配的 LZRs 升高(P < 0.05)。在给予阿托品和普萘洛尔处理的大鼠中,当通过输注苯肾上腺素或硝普钠(在 60-90 秒内改变 60mmHg)改变 AP 时,测量主动脉降压神经活动(ADNA)。尽管高血压 OZRs 的基础 ADNA 较高,但 OZRs 和 LZRs 之间 MAP 和 ADNA 之间的关系相似。相比之下,ADN 传入纤维的电刺激(5 秒脉冲,2ms 脉冲,4V,0.5-48Hz)在 OZRs 中产生的 SNA 和 MAP 减少幅度明显小于 LZRs(P < 0.05)。在阻断α-肾上腺素能受体以防止交感神经介导的降压反应后,OZRs 对 ADN 刺激的交感神经反应仍然减弱。此外,电刺激或静脉内给予苯双胍(1、2、4 和 8μg)刺激迷走传入神经在 OZRs 中产生的 SNA 抑制作用较 LZRs 减小(P < 0.05)。这些数据表明,交感神经压力反射减弱是 OZRs 中枢机制改变的结果,而不是主动脉压力感受器对 AP 反应性的缺陷。此外,OZRs 中 SNA 调节的中枢缺陷扩展到其他由迷走传入神经启动的交感抑制反射。

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