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使用尼古丁、缓激肽和藜芦碱在未麻醉的兔子中引发心血管化学反射。

Use of nicotine, bradykinin and veratridine to elicit cardiovascular chemoreflexes in unanaesthetized rabbits.

作者信息

Evans R G, Ludbrook J, Michalicek J

机构信息

Cardiovascular Research Laboratory, University of Melbourne Department of Surgery, Parkville, Victoria, Australia.

出版信息

Clin Exp Pharmacol Physiol. 1991 Apr;18(4):245-54. doi: 10.1111/j.1440-1681.1991.tb01438.x.

Abstract
  1. We have characterized in unanaesthetized rabbits the reflex effects of injecting nicotine into the pericardial sac or left atrium on heart rate, arterial pressure, systemic vascular resistance and the amplitude and frequency of respiration. These effects were compared with those of atrial administration of nicotine and veratridine, and intrapericardial administration of veratridine and bradykinin. 2. Injection of nicotine (6.25-400 micrograms) into the pericardial sac caused dose-dependent falls of heart rate and arterial pressure, and a brief period of hypopnoea. The fall in arterial pressure was mainly due to a fall in systemic vascular resistance. The threshold dose was 25 micrograms. Near maximal falls in heart rate (108 beats/min) and arterial pressure (47 mmHg) occurred at a dose of 200-400 micrograms. The latency between injection and the onset of bradycardia was 3.0 s. 3. The effects of intrapericardial nicotine on arterial pressure and respiration were antagonized in a dose-dependent fashion by intrapericardial mecamylamine (1-100 micrograms/kg) but were unaffected by intrapericardial hyoscine methylbromide (10 micrograms/kg) or vecuronium (1-10 micrograms/kg). The haemodynamic and respiratory effects were abolished by intrapericardial procaine. The haemodynamic effects were increased, though not significantly, by sino-aortic baroreceptor denervation. In decerebrate, artificially ventilated rabbits, bilateral cervical vagotomy converted the hypotensive and bradycardic response into a slowly developing tachycardia without change in arterial pressure. 4. Left atrial injection of nicotine (6.25-100 micrograms) caused bradycardia, a rise in arterial pressure, and prolonged hyperpnoea preceded by transient hypopnoea. After sino-aortic barodenervation it caused profound falls in heart rate and arterial pressure and transient hypopnoea, which were abolished by intrapericardial procaine. 5. Intrapericardial injection of veratridine (50-100 micrograms) had no consistent effect under control conditions. After sino-aortic barodenervation it caused falls in heart rate and arterial pressure which were abolished by intrapericardial procaine. Left atrial injection of veratridine caused highly variable haemodynamic effects. 6. Intrapericardial bradykinin (2.5-25 micrograms) caused rises in both arterial pressure and heart rate. These were abolished by intrapericardial procaine. 7. We conclude that when nicotine is injected into the pericardial sac of conscious rabbits the reflex haemodynamic and respiratory effects are due to the selective activation of neuronal-type nicotinic cholinoceptors on vagal afferents that originate in the epicardium. The reflex effects of left atrial nicotine are probably due to the excitation of a combination of carotid chemoreceptors and cardiac receptors. 8. The effects of nicotine, veratridine and bradykinin that we observed in conscious rabbits were profoundly different from those reported in anaesthetized rabbits.
摘要
  1. 我们已在未麻醉的兔子身上研究了向心包囊或左心房注射尼古丁对心率、动脉压、全身血管阻力以及呼吸幅度和频率的反射效应。将这些效应与心房注射尼古丁和藜芦碱,以及心包内注射藜芦碱和缓激肽所产生的效应进行了比较。2. 向心包囊注射尼古丁(6.25 - 400微克)会导致心率和动脉压呈剂量依赖性下降,并出现一段短暂的呼吸浅慢。动脉压下降主要是由于全身血管阻力降低。阈剂量为25微克。在剂量为200 - 400微克时,心率(降至108次/分钟)和动脉压(降至47 mmHg)接近最大降幅。注射与心动过缓开始之间的潜伏期为3.0秒。3. 心包内注射美加明(1 - 100微克/千克)能以剂量依赖性方式拮抗心包内尼古丁对动脉压和呼吸的效应,但心包内注射甲基溴化东莨菪碱(10微克/千克)或维库溴铵(1 - 10微克/千克)对其无影响。心包内注射普鲁卡因可消除血流动力学和呼吸效应。去窦弓神经支配后,血流动力学效应虽未显著增强,但有所增加。在去大脑、人工通气的兔子中,双侧颈迷走神经切断术可将降压和心动过缓反应转变为缓慢发展的心动过速,而动脉压无变化。4. 向左心房注射尼古丁(6.25 - 100微克)会导致心动过缓、动脉压升高,以及在短暂呼吸浅慢之前出现的呼吸增强延长。去窦弓神经支配后,会导致心率和动脉压大幅下降以及短暂呼吸浅慢,心包内注射普鲁卡因可消除这些效应。5. 在对照条件下,心包内注射藜芦碱(50 - 100微克)没有一致的效应。去窦弓神经支配后,会导致心率和动脉压下降,心包内注射普鲁卡因可消除这些效应。向左心房注射藜芦碱会产生高度可变的血流动力学效应。6. 心包内注射缓激肽(2.5 - 25微克)会导致动脉压和心率升高。心包内注射普鲁卡因可消除这些效应。7. 我们得出结论,当向清醒兔子的心包囊注射尼古丁时,反射性血流动力学和呼吸效应是由于选择性激活了起源于心外膜的迷走传入神经上的神经元型烟碱胆碱受体。左心房尼古丁的反射效应可能是由于颈动脉化学感受器和心脏感受器的联合兴奋。8. 我们在清醒兔子中观察到的尼古丁、藜芦碱和缓激肽的效应与在麻醉兔子中报道的效应有很大不同。

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