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慢性迷走神经刺激可改善心力衰竭大鼠压力感受性反射神经环路功能。

Chronic vagal nerve stimulation improves baroreflex neural arc function in heart failure rats.

机构信息

Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, Japan; and

Department of Cardiovascular Dynamics, National Cerebral and Cardiovascular Center, Osaka, Japan; and.

出版信息

J Appl Physiol (1985). 2014 May 15;116(10):1308-14. doi: 10.1152/japplphysiol.00140.2014. Epub 2014 Mar 27.

Abstract

We tested whether 6-wk vagal stimulation (VS) treatment improved open-loop baroreflex function in rats after myocardial infarction (MI). The following three groups of Sprague-Dawley rats were examined: normal control (NC, n = 9), MI with no treatment (MI-NT, n = 8), and MI treated with VS (MI-VS, n = 7). Under anesthesia, a stepwise input ranging from 60 to 180 mmHg was imposed on isolated carotid sinus baroreceptor regions, while the responses in splanchnic sympathetic nerve activity (SNA) and arterial pressure (AP) were measured. The response range of percent SNA was greater in the MI-VS than in the MI-NT group (63.8 ± 4.9% vs. 33.1 ± 3.8%, P < 0.01). The slope of the AP response to percent SNA was not different between the MI-VS and MI-NT groups (0.611 ± 0.076 vs. 0.781 ± 0.057 mmHg/%). The difference in the response range of AP between the MI-VS and MI-NT groups did not reach statistical significance (40.7 ± 6.2 vs. 26.4 ± 3.5 mmHg). In conclusion, the 6-wk VS treatment significantly improved the baroreflex control of SNA, but the effect was limited for the baroreflex total-loop function due to the lack of significant improvement in the AP response to percent SNA.

摘要

我们测试了 6 周迷走神经刺激(VS)治疗是否能改善心肌梗死(MI)后大鼠的开环压力反射功能。检查了以下三组 Sprague-Dawley 大鼠:正常对照组(NC,n=9)、无治疗的 MI 组(MI-NT,n=8)和接受 VS 治疗的 MI 组(MI-VS,n=7)。在麻醉下,对分离的颈动脉窦压力感受器区域施加从 60 到 180mmHg 的逐步输入,同时测量内脏交感神经活动(SNA)和动脉压(AP)的反应。MI-VS 组的 SNA 反应幅度大于 MI-NT 组(63.8±4.9%比 33.1±3.8%,P<0.01)。AP 对 SNA 百分比反应的斜率在 MI-VS 和 MI-NT 组之间没有差异(0.611±0.076 比 0.781±0.057mmHg/%)。MI-VS 和 MI-NT 组之间的 AP 反应幅度差异没有达到统计学意义(40.7±6.2 比 26.4±3.5mmHg)。总之,6 周的 VS 治疗显著改善了 SNA 的压力反射控制,但由于对 SNA 百分比的 AP 反应没有显著改善,因此对压力反射总环功能的影响有限。

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