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常氧骨骼肌对全身低氧的代谢和循环反应。

Metabolic and circulatory responses of normoxic skeletal muscle to whole-body hypoxia.

作者信息

Bredle D L, Chapler C K, Cain S M

机构信息

Department of Physiology and Biophysics, University of Alabama, Birmingham 35294.

出版信息

J Appl Physiol (1985). 1988 Nov;65(5):2063-8. doi: 10.1152/jappl.1988.65.5.2063.

Abstract

Whole-body hypoxia may increase peripheral O2 demand because it increases catecholamine calorigenesis, an effect attributable to beta 2-adrenoceptors. We tested these possibilities by pump-perfusing innervated hindlimbs in eight dogs with autologous blood kept normoxic by a membrane oxygenator while ventilating the animals for 40 min with 9% O2 in N2 (NOB group). Similar periods of normoxic ventilation preceded and followed the hypoxic period. A second group (n = 8, beta B) was pretreated with the specific beta 2 blocker ICI 118,551. Hindlimb O2 uptake was elevated by 25 min of hypoxia in NOB, whereas whole-body O2 uptake was reduced. Limb O2 uptake remained elevated in recovery, but all effects on limb O2 uptake were absent in beta B. Hindlimb resistance and perfusion pressure increased in hypoxia in both groups, and there was little evidence of local escape from reflex vasoconstriction. These results clearly indicated that global hypoxia increased O2 demand in muscle when the local O2 supply was not limited and that beta 2-receptors were necessary for this response. Autoregulatory escape of limb muscle blood flow from centrally mediated vasoconstriction during whole-body hypoxia was also shown to be practically nil, if normoxia was maintained in the limb.

摘要

全身缺氧可能会增加外周氧需求,因为它会增加儿茶酚胺产热,这种效应归因于β2-肾上腺素能受体。我们通过对8只狗的支配后肢进行泵灌注来测试这些可能性,使用膜式氧合器使自体血保持常氧状态,同时用含9%氧气的氮气(NOB组)对动物进行40分钟的通气。在缺氧期之前和之后有相似时长的常氧通气。第二组(n = 8,βB组)用特异性β2阻滞剂ICI 118,551进行预处理。在NOB组中,缺氧25分钟后后肢氧摄取增加,而全身氧摄取减少。恢复过程中肢体氧摄取仍保持升高,但βB组中对肢体氧摄取的所有影响均未出现。两组在缺氧时后肢阻力和灌注压均升高,几乎没有证据表明存在局部逃避反射性血管收缩的情况。这些结果清楚地表明,当局部氧供应不受限时,全身性缺氧会增加肌肉中的氧需求,并且β2受体是这种反应所必需的。如果肢体维持常氧状态,还表明全身缺氧期间肢体肌肉血流从中央介导的血管收缩中的自动调节逃避实际上为零。

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