Matran R
Laboratoire d'Explorations Fonctionnelles Respiratoires, Hôpital Cochin, Paris, France.
Pathol Biol (Paris). 1991 Mar;39(3):223-9.
Vascular responses in airways were studied in an anesthetized pig model. Nervous control of bronchial mucosa blood flow was found to involve mainly the non-adrenergic, non-cholinergic (NANC) system (activation of afferent C-fibers) and the sympathetic system. Nervous control of tracheal and laryngeal vascularization involved the cholinergic and non-cholinergic parasympathetic system and the sympathetic system. Exposure of airways to irritants was followed by vasodilatation in the tracheobronchial mucosa, partly as a result of activation of afferent C-fibers. In sensitized animals, respiratory challenge with the specific allergen produced activation of the NANC system with antidromic vasodilatation in the mucosa. This response can be likened to the "axon reflex" seen in skin. Activation of airway autonomic nerves thus was found to be a central step in the genesis of inflammatory reactions in the lungs.
在麻醉猪模型中研究了气道中的血管反应。发现支气管黏膜血流的神经控制主要涉及非肾上腺素能、非胆碱能(NANC)系统(传入C纤维的激活)和交感神经系统。气管和喉血管形成的神经控制涉及胆碱能和非胆碱能副交感神经系统以及交感神经系统。气道暴露于刺激物后,气管支气管黏膜会出现血管舒张,部分原因是传入C纤维的激活。在致敏动物中,用特异性变应原进行呼吸激发会导致NANC系统激活,并在黏膜中出现逆向血管舒张。这种反应可类似于皮肤中所见的“轴突反射”。因此,气道自主神经的激活被认为是肺部炎症反应发生过程中的一个核心步骤。