Maki S
Department of Neuropsychiatry, Faculty of Medicine, Kyushu University, Fukuoka.
Fukuoka Igaku Zasshi. 1991 Feb;82(2):86-99.
When the anteromedial hypothalamus is stimulated with a chronically implanted electrode in conscious cats, negative emotional behaviors such as restlessness and escape occur during stimulation and ventricular extrasystoles occur in rapid succession immediately after the end of stimulation. It has been shown in the lightly anesthetized cat that the activity of the sympathetic nervous system becomes predominant during stimulation of the anteromedial hypothalamus thereby causing the rises in blood pressure and heart rate. However, immediately after the cessation of the stimulation, this 'sympathetic dominant' state was observed to be switched to the 'parasympathetic dominant' state with falls in blood pressure and heart rate which was very frequently followed by the appearance of the ventricular extrasystoles (Poststimulus Arrhythmia: PSA). The purpose of this experiment was to examine how the electric and pharmacological stimulation of the prefrontal cortex modulate the rise in the blood pressure and heart rate and PSA caused by electric stimulation of the anteromedial hypothalamus. When the prefrontal cortex was electrically stimulated simultaneously with stimulation of the anteromedial hypothalamus in 24 lightly anesthetized cats, PSA was inhibited or facilitated or remained unchanged depending on the site of stimulation in the prefrontal cortex. When dopamine or noradrenaline was microinjected into the site of prefrontal cortex where PSA was inhibited, PSA was suppressed and this effect was blocked by microinjection of haloperidol or phenoxybenzamine, respectively. Dopamine was ineffective when injected in the site where PSA was facilitated; PSA was facilitated by microinjection of noradrenaline and this effect was inhibited by microinjection of propranolol. Although changes in blood pressure and heart rate were observed when the inhibition or facilitation of PSA was elicited by prefrontal injection of noradrenaline, no changes in cardiovascular parameters occurred when dopamine injection caused the inhibition of PSA. These results suggest (1) that activation of the dopamine receptor or alpha adrenoceptor in the prefrontal cortex is involved in the inhibition of PSA, and activation of beta adrenoceptor is concerned with facilitation of PSA and (2) that the mechanisms of dopamine receptor mediated inhibition of PSA appear to be different from those of inhibition of PSA by activation of the alpha adrenoceptor in the prefrontal cortex.
当在清醒的猫身上用慢性植入电极刺激下丘脑前内侧时,刺激期间会出现诸如不安和逃避等负性情绪行为,刺激结束后立即会迅速连续出现室性期前收缩。在轻度麻醉的猫身上已经表明,刺激下丘脑前内侧期间交感神经系统的活动占主导地位,从而导致血压和心率升高。然而,刺激停止后立即观察到这种“交感神经占主导”状态转变为“副交感神经占主导”状态,伴随血压和心率下降,这之后非常频繁地会出现室性期前收缩(刺激后心律失常:PSA)。本实验的目的是研究前额叶皮质的电刺激和药物刺激如何调节下丘脑前内侧电刺激引起的血压、心率升高以及PSA。在24只轻度麻醉的猫中,当同时刺激下丘脑前内侧和前额叶皮质时,PSA会受到抑制、促进或保持不变,这取决于前额叶皮质的刺激部位。当将多巴胺或去甲肾上腺素微量注射到抑制PSA的前额叶皮质部位时,PSA受到抑制,并且这种作用分别被氟哌啶醇或酚苄明的微量注射所阻断。多巴胺注射到促进PSA的部位时无效;去甲肾上腺素微量注射会促进PSA,而这种作用会被普萘洛尔的微量注射所抑制。尽管前额叶注射去甲肾上腺素引起PSA抑制或促进时观察到血压和心率的变化,但多巴胺注射引起PSA抑制时心血管参数没有变化。这些结果表明:(1)前额叶皮质中多巴胺受体或α肾上腺素受体的激活与PSA的抑制有关,β肾上腺素受体的激活与PSA的促进有关;(2)多巴胺受体介导的PSA抑制机制似乎与前额叶皮质中α肾上腺素受体激活对PSA的抑制机制不同。