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精氨酸加压素诱导的肾交感神经活动抑制所涉及的中枢神经系统机制。

Central nervous system mechanisms involved in inhibition of renal sympathetic nerve activity induced by arginine vasopressin.

作者信息

Suzuki S, Takeshita A, Imaizumi T, Hirooka Y, Yoshida M, Ando S, Nakamura M

机构信息

Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

出版信息

Circ Res. 1989 Nov;65(5):1390-9. doi: 10.1161/01.res.65.5.1390.

Abstract

Previous studies have suggested that intravenous infusion of arginine vasopressin (AVP) inhibits sympathetic nerve activity (SNA) in rabbits by its action at the brainstem. This study aimed to determine, first, whether this action of AVP depended on functioning baroreflex mechanisms. The second aim was to determine the role of the nucleus tractus solitarii (NTS) in mediating this action of AVP. Experiments were performed in rabbits anesthetized with alpha-chloralose. Intravenous infusions of AVP (1, 3, and 10 mU/kg/min) resulted in progressive inhibition of renal SNA in rabbits with intact arterial baroreceptors and vagal afferents as well as in rabbits with sinoaortic denervation and bilateral vagotomy. The magnitudes of renal SNA inhibition evoked with AVP were comparable in the two groups. Renal SNA inhibition evoked with AVP at doses of 1 and 3 mU/kg/min in rabbits after sinoaortic denervation and vagotomy was totally blocked by chemical lesions with kainic acid of the bilateral NTS or the area postrema. Lesions of the NTS or the area postrema markedly attenuated (by about 60%) but did not totally block the response evoked with AVP at a dose of 10 mU/kg/min. AVP microinjected directly into the NTS did not evoke changes in renal SNA or arterial pressure, whereas AVP microinjected into the area postrema suppressed renal SNA. These results suggest that intravenous AVP at lower doses inhibited renal SNA by causing excitation of the NTS neurons, and this action of AVP did not depend on functioning baroreflex mechanisms. The second suggestion is that the NTS was unlikely to be the site where AVP directly interacted but instead received a neural connection, presumably from the area postrema, where AVP might directly interact.

摘要

先前的研究表明,静脉输注精氨酸加压素(AVP)可通过其在脑干的作用抑制兔的交感神经活动(SNA)。本研究旨在首先确定AVP的这一作用是否依赖于正常运作的压力反射机制。第二个目的是确定孤束核(NTS)在介导AVP这一作用中的作用。实验在使用α-氯醛糖麻醉的兔身上进行。静脉输注AVP(1、3和10 mU/kg/分钟)导致动脉压力感受器和迷走神经传入完整的兔以及经窦主动脉去神经支配和双侧迷走神经切断的兔的肾SNA逐渐受到抑制。两组中AVP引起的肾SNA抑制程度相当。在经窦主动脉去神经支配和迷走神经切断的兔中,以1和3 mU/kg/分钟的剂量输注AVP引起的肾SNA抑制被双侧NTS或最后区用 kainic 酸进行化学损伤完全阻断。NTS或最后区的损伤显著减弱(约60%)但并未完全阻断以10 mU/kg/分钟的剂量输注AVP所引起的反应。直接微量注射到NTS的AVP未引起肾SNA或动脉血压的变化,而微量注射到最后区的AVP抑制了肾SNA。这些结果表明,较低剂量的静脉AVP通过引起NTS神经元兴奋来抑制肾SNA,且AVP的这一作用不依赖于正常运作的压力反射机制。第二个推测是,NTS不太可能是AVP直接相互作用的部位,而是可能从最后区接受神经连接,AVP可能在最后区直接相互作用。

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