Sabbatini Maurizio, Grossini Elena, Molinari Claudio, Mary David A S G, Vacca Giovanni, Cannas Mario
Department of Science and Technology Innovation, University of Eastern Piedmont, UPO, T. Michel, 11, Alessandria, 15121, Italia.
Department of Translational Medicine, University of Eastern Piedmont, UPO, Novara, Italia.
Exp Brain Res. 2017 Apr;235(4):1081-1095. doi: 10.1007/s00221-016-4819-x. Epub 2017 Jan 13.
Various hindbrain nuclei have been demonstrated to be involved in the control of the cardiovascular reflexes elicited by both non-noxious and noxious gastric distension, through parasympathetic and sympathetic activation. The different role played by the branches of autonomic nervous system in exerting these effects and their crosstalk in relation to low-/high-pressure distension rate has not been examined yet. Therefore, in the present work, monolateral and bilateral vagotomy and splanchnicotomy were performed in anesthetised rats to analyse the involvement of hindbrain nuclei in haemodynamic changes caused by gastric distension at high (80 mmHg) and low (15 mmHg) pressure. The analysis of c-Fos expression in neuronal areas involved in cardiovascular control allowed us to examine their recruitment in response to various patterns of gastric distension and the crosstalk between vagal and splanchnic systems. The results obtained show that the low-pressure (non-noxious) gastric distension increases both heart rate and arterial blood pressure. In addition, the vagus nerve and hindbrain nuclei, such as nucleus ambiguous, ventrolateral medulla and lateral reticular nucleus, appear to be primarily involved in observed responses. In particular, we have found that although vagus nerve plays a central role in exerting those cardiovascular reflex changes at low gastric distension, for its functional expression an intact splanchnic system is mandatory. Hence, the absence of splanchnic input attenuates pressor responses or turns them into depressor responses. Instead at high-pressure (noxious) gastric distension, the splanchnic nerve represents the primary component in regulating the reflex cardiovascular effects.
多种后脑核已被证明通过副交感神经和交感神经的激活,参与由非伤害性和伤害性胃扩张引起的心血管反射的控制。自主神经系统各分支在发挥这些作用时所起的不同作用,以及它们在与低/高压力扩张速率相关方面的相互作用尚未得到研究。因此,在本研究中,对麻醉大鼠进行单侧和双侧迷走神经切断术及内脏神经切断术,以分析后脑核在高(80 mmHg)和低(15 mmHg)压力下胃扩张引起的血流动力学变化中的作用。通过分析参与心血管控制的神经元区域中c-Fos的表达,我们能够研究它们对各种胃扩张模式的反应以及迷走神经和内脏神经系统之间的相互作用。获得的结果表明,低压(非伤害性)胃扩张会增加心率和动脉血压。此外,迷走神经和后脑核,如疑核、延髓腹外侧和外侧网状核,似乎主要参与了观察到的反应。特别是,我们发现,虽然迷走神经在低胃扩张时发挥这些心血管反射变化中起核心作用,但其功能表达需要完整的内脏系统。因此,内脏输入的缺失会减弱升压反应或将其转变为降压反应。相反,在高压(伤害性)胃扩张时,内脏神经是调节反射性心血管效应的主要成分。