Bereiter D A
Section of Neurobiology, Brown University/Rhode Island Hospital, Providence 02903.
J Auton Nerv Syst. 1989 Aug;27(3):181-92. doi: 10.1016/0165-1838(89)90112-4.
The importance of cervical spinal pathways on the adrenal secretion of catecholamines was assessed in chloralose-anesthetized cats. Partial transections of the upper cervical spinal cord were made ipsilateral (n = 21) or contralateral (n = 10) to the adrenal vein sampling catheter. Ipsilateral cuts evoked an immediate increase in the adrenal secretion of epinephrine that remained elevated at 60 min (+89.7 +/- 27.0 ng/min, P less than 0.001) and increased the epinephrine/norepinephrine secretory ratio from 1.99 +/- 0.4 to 5.02 +/- 0.6 by 60 min (P less than 0.01) indicating a preferential augmentation of the secretion of epinephrine. The magnitude of the increase in secretion of epinephrine was well correlated with the cross-sectional area of the ipsilateral cut (rs = 0.681, P less than 0.01). In contrast, partial transections of similar size made contralateral to the adrenal vein sample evoked significantly smaller increases in the adrenal secretion of epinephrine by 60 min (+12.7 +/- 4.8 ng/min) and were not correlated with the cross-sectional area of the cut. The region of transection common to those experiments that caused the greatest increase in the secretion of catecholamines included the deep laminae (laminae V-VII) within the central gray matter as well as a portion of the dorsal columns. Transections restricted to the dorsolateral and lateral funiculi caused small and inconsistent changes in the adrenal secretion of catecholamines. Ipsilateral and contralateral cuts evoked similar effects on peripheral concentrations of catecholamines, on plasma adrenocorticotropin and on plasma angiotensin II, suggesting that the facilitatory effect of ipsilateral cuts on the adrenal secretion of catecholamines was not the result of a humoral mechanism. Arterial pressure and heart rate increased equally by 1 min and returned to prestimulus values by 5 min after transections of the ipsilateral or of the contralateral cervical cord. Electrical stimulation of the ipsilateral cervical spinal cord, caudal to the level of transection, decreased the secretion of epinephrine and arterial pressure by 1 min (-30.5 +/- 9.0%. P less than 0.05) suggesting the presence of an active inhibitory mechanism that persisted after transection. The results indicated that transections of pathways ipsilateral, but not contralateral, to the adrenal medulla that traverse the upper cervical spinal cord evoke a persistent increase in the adrenal secretion of epinephrine, whereas other indices of neuroendocrine or autonomic function do not reflect this tonic influence.(ABSTRACT TRUNCATED AT 400 WORDS)
在水合氯醛麻醉的猫身上评估了颈脊髓通路对肾上腺儿茶酚胺分泌的重要性。在上颈脊髓进行部分横断,横断部位与肾上腺静脉采样导管同侧(n = 21)或对侧(n = 10)。同侧横断引起肾上腺素的肾上腺分泌立即增加,60分钟时仍保持升高(+89.7±27.0 ng/分钟,P<0.001),到60分钟时肾上腺素/去甲肾上腺素分泌比值从1.99±0.4增加到5.02±0.6(P<0.01),表明肾上腺素分泌优先增加。肾上腺素分泌增加的幅度与同侧横断的横截面积密切相关(rs = 0.681,P<0.01)。相比之下,在肾上腺静脉采样对侧进行的类似大小的部分横断,60分钟时引起肾上腺素的肾上腺分泌增加明显较小(+12.7±4.8 ng/分钟),且与横断面积无关。那些导致儿茶酚胺分泌增加最大的实验中共同的横断区域包括中央灰质内的深层板层(板层V - VII)以及部分背柱。局限于背外侧和外侧索的横断引起肾上腺儿茶酚胺分泌的微小且不一致的变化。同侧和对侧横断对儿茶酚胺外周浓度、血浆促肾上腺皮质激素和血浆血管紧张素II产生类似影响,表明同侧横断对肾上腺儿茶酚胺分泌的促进作用不是体液机制的结果。同侧或对侧颈髓横断后1分钟动脉压和心率均同等增加,5分钟后恢复到刺激前值。在横断水平以下对同侧颈脊髓进行电刺激,1分钟时肾上腺素分泌和动脉压降低(-30.5±9.0%,P<0.05),表明存在横断后持续存在的主动抑制机制。结果表明,穿过上颈脊髓的、与肾上腺髓质同侧而非对侧的通路横断会引起肾上腺肾上腺素分泌持续增加,而神经内分泌或自主功能的其他指标并未反映这种紧张性影响。(摘要截断于400字)