Sheriff D D, O'Leary D S, Scher A M, Rowell L B
Department of Physiology and Biophysics, School of Medicine, University of Washington, Seattle 98195.
Am J Physiol. 1990 Feb;258(2 Pt 2):H305-10. doi: 10.1152/ajpheart.1990.258.2.H305.
Graded reductions in hindlimb perfusion in dogs exercising at 2 miles/h (0% grade) elicited reflex pressor responses by what is referred to as the "muscle chemoreflex." To determine the extent to which arterial baroreceptor reflexes oppose the muscle chemoreflex, we elicited pressor responses to muscle ischemia before and after chronic surgical denervation of the arterial baroreceptors. The muscle chemoreflex showed a threshold beyond which systemic pressure rose approximately 3 mmHg for each 1-mmHg decrease in hindlimb perfusion pressure when the arterial baroreceptors were intact. Arterial baroreceptor denervation approximately doubled the pressor responses, i.e., systemic pressure rose by approximately 6 mmHg for each 1-mmHg fall in hindlimb perfusion pressure, without alteration in threshold. We conclude that during mild dynamic exercise, the arterial baroreflexes oppose the pressor response to graded reductions in hindlimb perfusion, reducing it by approximately 50%. When unopposed by the arterial baroreflexes the muscle chemoreflex exhibits a gain (ratio of change in systemic pressure to change in hindlimb perfusion pressure) of approximately -6; thus this reflex can correct by 85% the decrease in muscle perfusion pressure caused by partial vascular occlusion.
以2英里/小时(0%坡度)运动的犬只,其 hindlimb 灌注的分级降低通过所谓的“肌肉化学反射”引发反射性升压反应。为了确定动脉压力感受器反射对肌肉化学反射的对抗程度,我们在对动脉压力感受器进行慢性手术去神经支配之前和之后,引发了对肌肉缺血的升压反应。当动脉压力感受器完整时,肌肉化学反射显示出一个阈值,超过该阈值后,后肢灌注压力每降低1 mmHg,全身压力大约升高3 mmHg。动脉压力感受器去神经支配使升压反应大约加倍,即后肢灌注压力每下降1 mmHg,全身压力大约升高6 mmHg,而阈值没有改变。我们得出结论,在轻度动态运动期间,动脉压力反射对抗后肢灌注分级降低引起的升压反应,使其降低约50%。当不受动脉压力反射对抗时,肌肉化学反射的增益(全身压力变化与后肢灌注压力变化的比值)约为 -6;因此,这种反射可以纠正部分血管阻塞引起的肌肉灌注压力降低的85%。