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大鼠左右颈迷走神经刺激的不同血流动力学和呼吸反应。

Differential hemodynamic and respiratory responses to right and left cervical vagal nerve stimulation in rats.

作者信息

Stauss Harald M

机构信息

Department of Health and Human Physiology, The University of Iowa, Iowa City, Iowa

出版信息

Physiol Rep. 2017 Apr;5(7). doi: 10.14814/phy2.13244.


DOI:10.14814/phy2.13244
PMID:28400500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5392529/
Abstract

Neuromodulation through vagal nerve stimulation (VNS) is currently explored for a variety of clinical conditions. However, there are no established VNS parameters for animal models of human diseases, such as hypertension. Therefore, the aim of this study was to assess hemodynamic and respiratory responses to right- or left-sided cervical VNS in a hypertensive rat model. Anesthetized stroke-prone spontaneously hypertensive rats were instrumented for arterial blood pressure and heart rate monitoring and left- or right-sided VNS Cervical VNS was applied through bipolar coil electrodes. Stimulation parameters tested were 3 V and 6 V, 2 Hz to 20 Hz stimulation frequency, and 50 sec to 20 msec pulse duration. Each combination of stimulation parameters was applied twice with altered polarity, that is, anode and cathode in the cranial and caudal position. Respiration rate was derived from systolic blood pressure fluctuations. In general, cervical VNS caused bradycardia, hypotension, and tachypnea. These responses were more pronounced with left-sided than with right-sided VNS and depended on the stimulation voltage, stimulation frequency, and pulse duration, but not on the polarity of stimulation. Furthermore, the results suggest that at low stimulation frequencies (<5 Hz) and short pulse durations (<0.5 msec) primarily larger A-fibers are activated, while at longer pulse durations (>0.5 msec) smaller B-fibers are also recruited. In conclusion, in rats left-sided cervical VNS causes greater cardio-respiratory responses than right-sided VNS and at lower stimulation frequencies (e.g., 5 Hz), longer pulse durations (>0.5 msec) seem to be required to consistently recruit B-fibers in addition to A-fibers.

摘要

目前正在探索通过迷走神经刺激(VNS)进行神经调节以治疗多种临床病症。然而,对于人类疾病(如高血压)的动物模型,尚无既定的VNS参数。因此,本研究的目的是评估高血压大鼠模型中右侧或左侧颈迷走神经刺激的血流动力学和呼吸反应。对麻醉的易中风自发性高血压大鼠进行仪器植入,以监测动脉血压和心率,并进行左侧或右侧颈迷走神经刺激。通过双极线圈电极施加颈迷走神经刺激。测试的刺激参数为3V和6V、2Hz至20Hz的刺激频率以及50秒至20毫秒的脉冲持续时间。每种刺激参数组合以改变的极性(即,阳极和阴极处于头端和尾端位置)应用两次。呼吸频率由收缩压波动得出。一般而言,颈迷走神经刺激会导致心动过缓、低血压和呼吸急促。这些反应在左侧颈迷走神经刺激时比右侧更明显,并且取决于刺激电压、刺激频率和脉冲持续时间,而不取决于刺激的极性。此外,结果表明,在低刺激频率(<5Hz)和短脉冲持续时间(<0.5毫秒)时,主要激活较大的A纤维,而在较长脉冲持续时间(>0.5毫秒)时,较小的B纤维也会被募集。总之,在大鼠中,左侧颈迷走神经刺激比右侧颈迷走神经刺激引起更大的心肺反应,并且在较低刺激频率(例如5Hz)下,除了A纤维外,似乎需要更长的脉冲持续时间(>0.5毫秒)才能持续募集B纤维。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/e3932d952ef5/PHY2-5-e13244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/3a78ee03fec8/PHY2-5-e13244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/a13b97842968/PHY2-5-e13244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/e3932d952ef5/PHY2-5-e13244-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/3a78ee03fec8/PHY2-5-e13244-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/a13b97842968/PHY2-5-e13244-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b20/5392529/e3932d952ef5/PHY2-5-e13244-g003.jpg

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[7]
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[8]
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[9]
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[10]
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本文引用的文献

[1]
Chronic vagal nerve stimulation prevents high-salt diet-induced endothelial dysfunction and aortic stiffening in stroke-prone spontaneously hypertensive rats.

Am J Physiol Heart Circ Physiol. 2016-5-20

[2]
Vagus Nerve Stimulation for the Treatment of Heart Failure: The INOVATE-HF Trial.

J Am Coll Cardiol. 2016-4-4

[3]
Contrasting effects of afferent and efferent vagal nerve stimulation on insulin secretion and blood glucose regulation.

Physiol Rep. 2016-2

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Autonomic regulation therapy via left or right cervical vagus nerve stimulation in patients with chronic heart failure: results of the ANTHEM-HF trial.

J Card Fail. 2014-11

[5]
Chronic vagal stimulation for the treatment of low ejection fraction heart failure: results of the NEural Cardiac TherApy foR Heart Failure (NECTAR-HF) randomized controlled trial.

Eur Heart J. 2015-2-14

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J Diabetes Sci Technol. 2014-5

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Can vagus nerve stimulation halt or ameliorate rheumatoid arthritis and lupus?

Lipids Health Dis. 2011-1-24

[8]
The chemical neuroanatomy of vagus nerve stimulation.

J Chem Neuroanat. 2010-12-16

[9]
Treatment of refractory epilepsy in adult patients with right-sided vagus nerve stimulation.

Epilepsy Res. 2010-5-21

[10]
Right-sided vagus nerve stimulation in humans: an effective therapy?

Epilepsy Res. 2008-12

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