Department of Physiology, School of Medicine of Ribeirão Preto, Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo). 2013;68(3):395-9. doi: 10.6061/clinics/2013(03)oa18.
Chemoreceptors play an important role in the autonomic modulation of circulatory and ventilatory responses to changes in arterial O(2) and/or CO(2). However, studies evaluating hemodynamic responses to hypoxia and hypercapnia in rats have shown inconsistent results. Our aim was to evaluate hemodynamic and respiratory responses to different levels of hypoxia and hypercapnia in conscious intact or carotid body-denervated rats.
Male Wistar rats were submitted to bilateral ligature of carotid body arteries (or sham-operation) and received catheters into the left femoral artery and vein. After two days, each animal was placed into a plethysmographic chamber and, after baseline measurements of respiratory parameters and arterial pressure, each animal was subjected to three levels of hypoxia (15, 10 and 6% O(2)) and hypercapnia (10% CO(2)).
The results indicated that 15% O(2) decreased the mean arterial pressure and increased the heart rate (HR) in both intact (n = 8) and carotid body-denervated (n = 7) rats. In contrast, 10% O(2) did not change the mean arterial pressure but still increased the HR in intact rats, and it decreased the mean arterial pressure and increased the heart rate in carotid body-denervated rats. Furthermore, 6% O(2) increased the mean arterial pressure and decreased the HR in intact rats, but it decreased the mean arterial pressure and did not change the HR in carotid body-denervated rats. The 3 levels of hypoxia increased pulmonary ventilation in both groups, with attenuated responses in carotid body-denervated rats. Hypercapnia with 10% CO(2) increased the mean arterial pressure and decreased HR similarly in both groups. Hypercapnia also increased pulmonary ventilation in both groups to the same extent.
This study demonstrates that the hemodynamic and ventilatory responses varied according to the level of hypoxia. Nevertheless, the hemodynamic and ventilatory responses to hypercapnia did not depend on the activation of the peripheral carotid chemoreceptors.
化学感受器在自主调节循环和通气对动脉氧(O2)和/或二氧化碳(CO2)变化的反应中起着重要作用。然而,评估大鼠缺氧和高碳酸血症时的血液动力学反应的研究结果不一致。我们的目的是评估清醒完整或颈动脉体去神经大鼠对不同水平缺氧和高碳酸血症的血液动力学和呼吸反应。
雄性 Wistar 大鼠接受双侧颈总动脉结扎(或假手术),并将导管插入左股动脉和静脉。两天后,将每只动物放入体积描记室,在测量呼吸参数和动脉压的基础值后,每只动物分别接受 3 个水平的缺氧(15、10 和 6%O2)和高碳酸血症(10%CO2)处理。
结果表明,15%O2 降低了完整(n = 8)和颈动脉体去神经(n = 7)大鼠的平均动脉压并增加了心率(HR)。相比之下,10%O2 没有改变平均动脉压,但仍增加了完整大鼠的 HR,并且降低了颈动脉体去神经大鼠的平均动脉压并增加了 HR。此外,6%O2 增加了完整大鼠的平均动脉压并降低了 HR,但降低了颈动脉体去神经大鼠的平均动脉压且没有改变 HR。3 个水平的缺氧都增加了两组的肺通气,颈动脉体去神经大鼠的反应减弱。10%CO2 引起的高碳酸血症同样增加了两组的平均动脉压并降低了 HR。高碳酸血症还同样增加了两组的肺通气。
本研究表明,血液动力学和通气反应根据缺氧水平而变化。然而,高碳酸血症的血液动力学和通气反应不依赖于外周颈动脉化学感受器的激活。