Pathophysiology Program, Lovelace Respiratory Research Institute, Albuquerque, NM 87108, United States.
Respir Physiol Neurobiol. 2012 Sep 30;183(3):211-7. doi: 10.1016/j.resp.2012.06.032. Epub 2012 Jul 11.
Rapid shallow breathing (RSB) is mainly mediated by bronchopulmonary C-fibers (PCFs). We asked whether this RSB could be modulated by opioids. In anesthetized rats right atrial bolus injection of phenylbiguanide (PBG) to evoke RSB was repeated after: (1) intravenously giving fentanyl (μ-receptor agonist), DPDPE (δ-receptor agonist), or U-50488H (κ-receptor agonist); (2) fentanyl (iv) following naloxone methiodide, a peripheral opioid receptor antagonist; (3) bilateral microinjection of fentanyl into the nodose ganglia; (4) fentanyl (iv) with pre-blocking histamine H(1) and H(2) receptors by diphenhydramine and ranitidine. Systemic fentanyl challenge, but not DPDPE or U-50488H, switched the PBG-induced RSB to a long lasting apnea. This switch was blocked by naloxone methiodide rather than diphenhydramine and ranitidine. After microinjecting fentanyl into the nodose ganglia, PBG also produced an apnea. Our results suggest that activating μ-receptors is capable of turning the PCF-mediated RSB into an apnea, at least partly, via facilitating PCFs' activity and this switching effect appears independent of the released histamine.
快速浅呼吸(RSB)主要由支气管肺 C 纤维(PCF)介导。我们想知道阿片类药物是否可以调节这种 RSB。在麻醉大鼠中,静脉注射苯并胍(PBG)诱发 RSB,然后重复以下操作:(1)静脉给予芬太尼(μ-受体激动剂)、DPDPE(δ-受体激动剂)或 U-50488H(κ-受体激动剂);(2)给予纳洛酮甲碘化物后静脉给予芬太尼,纳洛酮甲碘化物是一种外周阿片受体拮抗剂;(3)双侧迷走神经节内注射芬太尼;(4)静脉给予芬太尼,并用苯海拉明和雷尼替丁预先阻断组胺 H1 和 H2 受体。全身芬太尼挑战而非 DPDPE 或 U-50488H 将 PBG 诱导的 RSB 转变为持久的呼吸暂停。这种转变被纳洛酮甲碘化物而非苯海拉明和雷尼替丁阻断。将芬太尼注入迷走神经节后,PBG 也会引起呼吸暂停。我们的结果表明,激活 μ 受体能够将 PCF 介导的 RSB 转变为呼吸暂停,至少部分是通过促进 PCF 的活动,并且这种转换效应似乎与释放的组胺无关。