Smith F G, Klinkefus J M, Kopp U C, Robillard J E
Department of Pediatrics, University of Iowa College of Medicine, Iowa City.
Am J Physiol. 1990 Jan;258(1 Pt 2):F218-21. doi: 10.1152/ajprenal.1990.258.1.F218.
This study describes a technique for measuring efferent renal sympathetic nerve activity (RSNA) during the perinatal period. Experiments were carried out in four chronically instrumented fetal sheep (gestational age, 134-140 days) and 6 newborn lambs (postnatal age, 3-7 days). Surgery, performed under halothane anesthesia, consisted of routine catheter insertions and placement of a Doppler flow probe around the left renal artery. In addition, bipolar platinum electrodes were placed on a branch of the left renal postganglionic nerve. At least 24 h after surgery RSNA was measured in conscious fetal and newborn animals. RSNA was pulse synchronous, reduced with pressor agents, and completely inhibited during ganglionic blockade. Using this method, we have provided direct evidence of efferent renal sympathetic nerve traffic in utero and in the immediate postnatal period. This technique opens new avenues into the investigation of the role of the sympathetic nervous system during the perinatal period.
本研究描述了一种在围产期测量肾传出交感神经活动(RSNA)的技术。实验在4只长期植入仪器的胎羊(胎龄134 - 140天)和6只新生羔羊(出生后3 - 7天)身上进行。手术在氟烷麻醉下进行,包括常规导管插入以及在左肾动脉周围放置多普勒血流探头。此外,将双极铂电极置于左肾节后神经的一个分支上。术后至少24小时,在清醒的胎儿和新生动物身上测量RSNA。RSNA与脉搏同步,用升压药可使其降低,在神经节阻断期间完全被抑制。使用这种方法,我们提供了子宫内和出生后即刻肾传出交感神经活动的直接证据。这项技术为围产期交感神经系统作用的研究开辟了新途径。