Howard Florey Laboratories, Florey Institute of Neuroscience and Mental Health, University of Melbourne, Parkville 3010, Victoria, Australia.
J Physiol. 2014 Apr 1;592(7):1677-86. doi: 10.1113/jphysiol.2013.268573. Epub 2014 Jan 13.
We investigated a neural reflex that controls the strength of inflammatory responses to immune challenge - the inflammatory reflex. In anaesthetized rats challenged with intravenous lipopolysaccharide (LPS, 60 μg kg(-1)), we found strong increases in plasma levels of the key inflammatory mediator tumour necrosis factor α (TNFα) 90 min later. Those levels were unaffected by previous bilateral cervical vagotomy, but were enhanced approximately 5-fold if the greater splanchnic sympathetic nerves had been cut. Sham surgery had no effect, and plasma corticosterone levels were unaffected by nerve sections, so could not explain this result. Electrophysiological recordings demonstrated that efferent neural activity in the splanchnic nerve and its splenic branch was strongly increased by LPS treatment. Splenic nerve activity was dependent on inputs from the splanchnic nerves: vagotomy had no effect on the activity in either nerve. Together, these data demonstrate that immune challenge with this dose of LPS activates a neural reflex that is powerful enough to cause an 80% suppression of the acute systemic inflammatory response. The efferent arm of this reflex is in the splanchnic sympathetic nerves, not the vagi as previously proposed. As with other physiological responses to immune challenge, the afferent pathway is presumptively humoral: the present data show that vagal afferents play no measurable part. Because inflammation sits at the gateway to immune responses, this reflex could play an important role in immune function as well as inflammatory diseases.
我们研究了一种控制免疫挑战引起的炎症反应强度的神经反射——炎症反射。在接受静脉内脂多糖 (LPS,60μg/kg(-1)) 挑战的麻醉大鼠中,我们发现 90 分钟后血浆中关键炎症介质肿瘤坏死因子 α (TNFα) 的水平显著增加。这些水平不受先前双侧颈迷走神经切断术的影响,但如果较大的内脏交感神经被切断,则增强约 5 倍。假手术没有影响,神经节段对血浆皮质酮水平没有影响,因此不能解释这一结果。电生理记录表明,LPS 处理强烈增加了内脏神经和其脾脏分支的传出神经活动。脾神经活动依赖于内脏神经的输入:迷走神经切断术对两条神经中的活动均无影响。综上所述,这些数据表明,这种剂量的 LPS 免疫挑战激活了一种神经反射,其强大到足以导致急性全身炎症反应抑制 80%。该反射的传出臂位于内脏交感神经中,而不是以前提出的迷走神经。与其他免疫挑战的生理反应一样,传入途径假定是体液的:目前的数据表明,迷走神经传入在可测量的部分中没有作用。由于炎症位于免疫反应的门户,因此这种反射可能在免疫功能以及炎症性疾病中发挥重要作用。