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躯体感觉对迷走神经压力反射性心动过缓的抑制:传入神经机制

Somatosensory inhibition of vagal baroreflex bradycardia: afferent nervous mechanisms.

作者信息

Nosaka S, Murata K

机构信息

Department of Physiology, Mie University School of Medicine, Japan.

出版信息

Am J Physiol. 1989 Oct;257(4 Pt 2):R829-38. doi: 10.1152/ajpregu.1989.257.4.R829.

Abstract

Sensory receptors, afferent fibers, and spinal ascending pathways involved in somatosensory inhibition of baroreflex vagal bradycardia (BVB) were studied in chloralose-urethan-anesthetized rats. BVB was induced by electrical stimulation of the aortic depressor nerve (ADN). Among mechanical and thermal stimuli applied on a hindlimb, hot water (55 degrees C) immersion was most effective to inhibit BVB. Static hindlimb muscle contraction by ventral root stimulation also produced BVB inhibition that was abolished by muscle relaxation. These findings suggest that thermal nociceptors and muscle receptors, probably chemoreceptors, trigger BVB inhibition when activated. Furthermore, afferent fiber groups responsible for BVB inhibition due to sciatic nerve (ScN) or sural nerve (SU) stimulation were determined. BVB was largely inhibited by activation of A delta-fibers of the ScN or SU, but C-fiber contribution to BVB inhibition was also ascertained by means of selective C-fiber activation. Finally, courses of spinal pathways mediating ScN inhibition of BVB were localized as follows. First, ADN-vagal baroreflex arc of one side was interrupted by unilateral vagotomy. Then ScN inhibition of BVB provoked by the remaining reflex arc was analyzed after spinal cord hemisection at C1 and subsequent lesioning of the cord on the nonsectioned side. Regardless of whether the spinal cord was hemisectioned on any side with respect to the target reflex arc, stimulation of the ScN of either side still inhibited BVB, unless the lateral funiculus of nonsectioned side was extensively lesioned. In conclusion, the spinal BVB-inhibitory pathways are multifold, projecting to bilateral baroreflex vagal centers by crossing the midline at spinal or/and medullary levels.

摘要

在水合氯醛-氨基甲酸乙酯麻醉的大鼠中,研究了参与压力感受性反射迷走神经心动过缓(BVB)的躯体感觉抑制的感觉受体、传入纤维和脊髓上行通路。通过电刺激主动脉减压神经(ADN)诱发BVB。在施加于后肢的机械和热刺激中,热水(55摄氏度)浸泡对抑制BVB最有效。通过腹根刺激引起的静态后肢肌肉收缩也产生了BVB抑制,而这种抑制在肌肉松弛后消失。这些发现表明,热伤害感受器和肌肉受体(可能是化学感受器)在被激活时会触发BVB抑制。此外,还确定了由于坐骨神经(ScN)或腓肠神经(SU)刺激而导致BVB抑制的传入纤维组。ScN或SU的Aδ纤维激活可在很大程度上抑制BVB,但通过选择性C纤维激活也确定了C纤维对BVB抑制的作用。最后,介导ScN对BVB抑制作用的脊髓通路定位如下。首先,通过单侧迷走神经切断术中断一侧的ADN-迷走神经压力感受性反射弧。然后,在C1水平进行脊髓半横断并随后在未横断侧损伤脊髓后,分析剩余反射弧引起的ScN对BVB的抑制作用。无论脊髓相对于目标反射弧在任何一侧进行半横断,除非未横断侧的外侧索受到广泛损伤,否则刺激任一侧的ScN仍会抑制BVB。总之,脊髓BVB抑制通路是多方面的,通过在脊髓或/和延髓水平交叉中线投射到双侧压力感受性反射迷走神经中枢。

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