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喉内收肌反射的神经元机制

Neuronal mechanisms underlying the laryngeal adductor reflex.

作者信息

Sun Qi-Jian, Chum Jia Min, Bautista Tara G, Pilowsky Paul M, Berkowitz Robert G

机构信息

Australian School of Advanced Medicine, Macquarie University, Sydney, Australia.

出版信息

Ann Otol Rhinol Laryngol. 2011 Nov;120(11):755-60. doi: 10.1177/000348941112001110.

Abstract

OBJECTIVES

Electromyographic studies of the laryngeal adductor reflex, glottal closure occurring in response to laryngeal stimulation, have demonstrated an early ipsilateral response (R1) and a late bilateral response (R2). To better define the physiologic properties of these responses, we recorded responses from expiratory laryngeal motoneurons (ELMs) in rats during stimulation of the superior laryngeal nerve (SLN).

METHODS

Single unit extracellular recordings were obtained from 5 ELMs, identified by their antidromic responses to recurrent laryngeal nerve stimulation and postinspiratory firing pattern, in 4 Sprague-Dawley rats.

RESULTS

Unilateral stimulation of the SLN (at 20 Hz) stopped both phrenic nerve inspiratory activity and ELM postinspiratory activity. However, the ELMs displayed robust tonic firing, consisting of non-respiratory burst activity and single action potentials. The single action potentials were identified as short-latency ones (5 to 10 ms) activated by ipsilateral SLN stimulation, with an occurrence rate of 90%, and long-latency ones (20 to 50 ms) activated by bilateral SLN stimulation, with occurrence rates of 47% on the ipsilateral side and 58% on the contralateral side.

CONCLUSIONS

The R1 response appears to be the result of the short-latency action potentials, orthodromically activated by ipsilateral stimulation of the SLN. The R2 response is likely to be a result of the long-latency action potentials that can be recorded from ELMs on both sides.

摘要

目的

喉内收肌反射的肌电图研究表明,对喉部刺激产生的声门闭合表现为早期同侧反应(R1)和晚期双侧反应(R2)。为了更好地定义这些反应的生理特性,我们在刺激大鼠喉上神经(SLN)期间记录了呼气性喉运动神经元(ELM)的反应。

方法

从4只Sprague-Dawley大鼠的5个ELM中获得单单位细胞外记录,这些ELM通过对喉返神经刺激的逆向反应和吸气后放电模式来识别。

结果

单侧刺激SLN(20Hz)可使膈神经吸气活动和ELM吸气后活动停止。然而,ELM表现出强烈的紧张性放电,由非呼吸性爆发活动和单个动作电位组成。单个动作电位被确定为同侧SLN刺激激活的短潜伏期动作电位(5至10毫秒),发生率为90%,以及双侧SLN刺激激活的长潜伏期动作电位(20至50毫秒),同侧发生率为47%,对侧发生率为58%。

结论

R1反应似乎是由同侧刺激SLN正向激活的短潜伏期动作电位的结果。R2反应可能是两侧ELM均可记录到的长潜伏期动作电位的结果。

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