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重复刺激后交感神经刺激长期效应的减弱。

Attenuation of long-lasting effects of sympathetic stimulation after repeated stimulation.

作者信息

Hall G T, Gardner T D, Potter E K

机构信息

School of Physiology and Pharmacology, University of New South Wales, Sydney, Australia.

出版信息

Circ Res. 1990 Jul;67(1):193-8. doi: 10.1161/01.res.67.1.193.

Abstract

Neuropeptide Y (NPY) is stored with norepinephrine in sympathetic nerves throughout the cardiovascular system and is released during activation of the sympathetic nervous system in humans and other animals. After stimulation of the cardiac sympathetic nerves in anesthetized dogs, the action of the vagus nerve on heart rate is attenuated for a prolonged period. This attenuation of cardiac vagal action is also seen after injection of NPY. Both sympathetic stimulation and exogenous NPY inhibit cardiac vagal effects by acting on postganglionic vagal nerves. Because the supply of neuropeptides to nerve terminals is by axonal transport, it might be expected that repeated stimulation of cardiac sympathetic nerves would deplete the sympathetic neural factor, proposed to be NPY. In all 11 dogs of this study, repeated episodes of stimulating the cardiac sympathetic nerve (16 Hz for 1 minute each) had a diminishing effect in attenuating cardiac vagal action. However, the episodes of sympathetic stimulation did not show diminishing effectiveness in increasing heart rate. Exogenous NPY had similar inhibitory effects on vagal action whether given at the beginning or the end of the episodes of sympathetic stimulation. Transmural stimulation of sympathetic nerves around rabbit ear arteries produced effects that are also mimicked by NPY. These are prolonged potentiation of contractions evoked by injection of norepinephrine or by brief bursts of transmural stimulation. Repeated stimulations in this case also had diminishing abilities to evoke such potentiations. Both sets of observations are consistent with repeated stimulation of sympathetic nerves causing depletion of a nonadrenergic transmitter, possibly NPY.

摘要

神经肽Y(NPY)与去甲肾上腺素一起储存在整个心血管系统的交感神经中,在人类和其他动物的交感神经系统激活时释放。在麻醉犬的心脏交感神经受到刺激后,迷走神经对心率的作用会在较长时间内减弱。注射NPY后也会出现这种心脏迷走神经作用的减弱。交感神经刺激和外源性NPY均通过作用于迷走神经节后神经来抑制心脏迷走神经效应。由于神经肽是通过轴突运输供应到神经末梢的,因此可以预期,反复刺激心脏交感神经会耗尽被认为是NPY的交感神经因子。在本研究的所有11只犬中,反复刺激心脏交感神经(每次16Hz,持续1分钟)对减弱心脏迷走神经作用的效果逐渐减弱。然而,交感神经刺激发作在增加心率方面并未显示出效果减弱。无论在交感神经刺激发作开始时还是结束时给予外源性NPY,其对迷走神经作用的抑制效果相似。对兔耳动脉周围交感神经进行透壁刺激所产生的效应也可被NPY模拟。这些效应包括注射去甲肾上腺素或短暂透壁刺激诱发的收缩的延长增强。在这种情况下,反复刺激诱发这种增强的能力也逐渐减弱。这两组观察结果均与反复刺激交感神经导致一种非肾上腺素能递质(可能是NPY)耗竭一致。

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