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大鼠肾上腺髓质对刺激延髓下丘脑的升压反应:肾上腺素诱导的血管舒张和反射性心脏抑制的影响

Adrenomedullary pressor responses to stimulation of the rostral hypothalamus in the rat: influence of adrenaline-induced vasodilation and reflex cardioinhibition.

作者信息

Gauthier P

机构信息

Département de physiologie, Faculté de médecine, Université de Montréal, Québec, Canada.

出版信息

Can J Physiol Pharmacol. 1988 Mar;66(3):213-21. doi: 10.1139/y88-037.

Abstract

Electrical stimulation (100 Hz, 1 ms, 150 microA, 10 s) of the anterior hypothalamus in chloralose-anesthetized rats evoked a biphasic pressor response consisting of an initial sharp rise in arterial pressure at the onset of stimulation, followed by a second elevation after cessation of the stimulus. This response was accompanied by an increase in plasma noradrenaline and adrenaline levels. Peripheral sympathectomy with guanethidine selectively abolished the primary phase of the biphasic pressor response, while bilateral removal of the adrenal medulla eliminated only the secondary component. After alpha-adrenergic blockade with phentolamine, the primary phase of the stimulation-induced response was reduced while the secondary pressor component was blocked and replaced by a significant hypotension. The intravenous administration of sotalol enhanced the secondary pressor component without affecting the stimulation-induced plasma noradrenaline and adrenaline responses. After treatment with atropine, the secondary pressor effect was also potentiated, as the reflex bradycardia normally associated with the response was eliminated. A subsequent administration of sotalol in these rats further potentiated the secondary pressor component to stimulation. In rats treated with atropine and sotalol, the sympathetic vasomotor and the adrenomedullary pressor responses could be dissociated according to thresholds and stimulus frequency or current-response characteristics. The results suggest that in intact rats, adrenaline-induced vasodilation and reflex cardiac inhibition contribute to either reduce or mask the adrenomedullary component of the biphasic pressor response evoked by stimulation of the anterior hypothalamus. The study also raises the hypothesis of a dual regulation of both components of the sympathetic system in the anterior hypothalamic region.

摘要

在水合氯醛麻醉的大鼠中,对下丘脑前部进行电刺激(100赫兹,1毫秒,150微安,10秒)可诱发双相升压反应,该反应包括刺激开始时动脉压的初始急剧上升,随后在刺激停止后出现第二次升高。这种反应伴随着血浆去甲肾上腺素和肾上腺素水平的升高。用胍乙啶进行外周交感神经切除术选择性地消除了双相升压反应的初级阶段,而双侧切除肾上腺髓质仅消除了次级成分。用酚妥拉明进行α-肾上腺素能阻断后,刺激诱导反应的初级阶段减弱,而次级升压成分被阻断并被显著的低血压所取代。静脉注射索他洛尔增强了次级升压成分,而不影响刺激诱导的血浆去甲肾上腺素和肾上腺素反应。用阿托品治疗后,次级升压作用也增强,因为通常与该反应相关的反射性心动过缓被消除。随后在这些大鼠中注射索他洛尔进一步增强了对刺激的次级升压成分。在用阿托品和索他洛尔治疗的大鼠中,交感缩血管和肾上腺髓质升压反应可根据阈值、刺激频率或电流-反应特性而分离。结果表明,在完整的大鼠中,肾上腺素诱导的血管舒张和反射性心脏抑制有助于减少或掩盖刺激下丘脑前部诱发的双相升压反应的肾上腺髓质成分。该研究还提出了下丘脑前部区域交感神经系统两个成分双重调节的假说。

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