Ghali Michael George Zaki, Marchenko Vitaliy
Department of Neurobiology & Anatomy, Drexel University College of Medicine, 2900 Queen Lane, Philadelphia, PA 19129, USA.
Respir Physiol Neurobiol. 2016 Oct;232:13-21. doi: 10.1016/j.resp.2016.05.009. Epub 2016 Jun 7.
Hypercapnia characterizes a variety of physiological and pathological states and must be compensated effectively by the respiratory, cardiovascular, renal, and intra- and extracellular pH buffering systems to maintain homeostasis. Several studies have examined the respiratory response to hypercapnia, but contemporaneous changes in respiratory frequency and tidal volume prevent investigating the pure influence on respiratory amplitude. Therefore, we sought to test the effect of hypercapnia on hypoglossal (XII) and phrenic nerve (PN) inspiratory (Insp) and XII pre-inspiratory (pre-I) activities in vagus-intact and vagus-denervated animals. Experiments were performed on six artificially-ventilated unanesthetized pre-collicular decerebrate Sprague-Dawley adult male rats. Vagotomy under normocapnic conditions effected the consistent appearance of significant XII pre-I and a greater increase in XII than PN Insp amplitude. In the vagus-intact state, administration of a hypercapnic (5% CO2, 95% O2) gas mixture resulted in a greater increase in XII than PN Insp activity. In the vagotomized state, hypercapnia caused a drastic increase in XII pre-I and significant non-differential increases in both XII and PN Insp activity. The increase in XII pre-I was significantly greater than hypercapnia-induced increases in XII and PN Insp discharges. Following vagotomy, duration and amplitude of XII pre-I are potently modulated by CO2 tension. Based on our results, we conclude that vagal afferents exert differential inhibition of PN Insp and XII pre-I/Insp motor outputs. The role of vagal control in orchestration and optimization of respiratory response to hypercapnia is discussed.
高碳酸血症是多种生理和病理状态的特征,必须通过呼吸、心血管、肾脏以及细胞内和细胞外的pH缓冲系统进行有效代偿,以维持体内稳态。多项研究已考察了对高碳酸血症的呼吸反应,但呼吸频率和潮气量的同时变化妨碍了对呼吸幅度的单纯影响进行研究。因此,我们试图测试高碳酸血症对完整迷走神经和去迷走神经动物舌下神经(XII)和膈神经(PN)吸气(Insp)及舌下神经吸气前(pre-I)活动的影响。实验在6只人工通气的未麻醉成年雄性斯普拉格-道利大鼠上进行,这些大鼠为中脑前离脑动物。在正常碳酸血症条件下切断迷走神经,导致舌下神经吸气前活动显著持续出现,且舌下神经吸气前活动的增加幅度大于膈神经吸气活动。在完整迷走神经状态下,给予高碳酸血症(5% CO₂,95% O₂)混合气体,舌下神经吸气前活动的增加幅度大于膈神经吸气活动。在去迷走神经状态下,高碳酸血症导致舌下神经吸气前活动急剧增加,舌下神经和膈神经吸气活动均出现显著的非差异性增加。舌下神经吸气前活动的增加幅度显著大于高碳酸血症诱导的舌下神经和膈神经吸气放电增加幅度。切断迷走神经后,舌下神经吸气前活动的持续时间和幅度受到CO₂张力的强烈调节。基于我们的结果,我们得出结论,迷走神经传入对膈神经吸气活动和舌下神经吸气前/吸气运动输出发挥差异性抑制作用。本文讨论了迷走神经控制在协调和优化对高碳酸血症的呼吸反应中的作用。