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猫的延髓分离制备:动脉化学感受器反射与肾交感神经活动的呼吸调节

Split medulla preparation in the cat: arterial chemoreceptor reflex and respiratory modulation of the renal sympathetic nerve activity.

作者信息

Kubin L, Trzebski A, Lipski J

出版信息

J Auton Nerv Syst. 1985 Feb-Mar;12(2-3):211-25. doi: 10.1016/0165-1838(85)90062-1.

Abstract

The study was undertaken in order to assess the changes in sympathetic output in a split medulla preparation of the cat which, as shown earlier, has impaired respiratory rhythm generation. The effects of medullary midsagittal sections on renal sympathetic nerve firing were investigated in chloralose anesthetized, paralyzed and artificially ventilated cats. Recordings of phrenic and recurrent laryngeal nerve activity served as indices of central respiratory rhythm generation. Sections, 5 mm deep from the dorsal medullary surface and extending 6 mm rostrally and 3 mm caudally to the obex, did not produce any significant changes in heart rate, blood pressure or tonic renal sympathetic nerve firing levels. They decreased or abolished, however, the respiratory rhythmicity in renal sympathetic nerve which paralleled the reduction of inspiratory discharges in phrenic and recurrent laryngeal nerves, and abolished the carotid body chemoreceptor-sympathetic reflex. The inspiratory activity remaining after the sections could still be enhanced by chemoreceptor stimulation. The inhibitory baroreceptor and pulmonary stretch receptor sympathetic reflexes, and the central excitatory effect of CO2 on renal sympathetic nerve firing were not altered. The effects of electrical stimulation within the midsagittal plane of the medulla have shown that descending pathways from the medullary inspiratory neurons (or their medullary collaterals) do not participate in the facilitation of spinal preganglionic neurons during inspiration and in relaying the pulmonary stretch receptor inhibitory sympathetic reflex. A region located close to the obex was identified from which excitatory responses in renal sympathetic nerves, compatible with the response obtained by carotid sinus nerve stimulation, could be evoked. It is concluded that a lesion in the midline of the lower medulla at the level of the obex selectively destroys cells or pathways which relay the carotid body chemoreceptor-sympathetic reflex.

摘要

进行这项研究是为了评估猫的延髓分离制备中交感神经输出的变化,如先前所示,该制备中呼吸节律产生受损。在氯醛糖麻醉、麻痹并人工通气的猫中,研究了延髓矢状中切对肾交感神经放电的影响。膈神经和喉返神经活动的记录作为中枢呼吸节律产生的指标。从延髓背表面向下5毫米深处、向吻侧延伸6毫米、向尾侧延伸3毫米至闩部的切片,并未使心率、血压或肾交感神经紧张性放电水平产生任何显著变化。然而,它们降低或消除了肾交感神经的呼吸节律性,这与膈神经和喉返神经吸气放电的减少平行,并消除了颈动脉体化学感受器 - 交感反射。切片后剩余的吸气活动仍可通过化学感受器刺激增强。抑制性压力感受器和肺牵张感受器交感反射以及二氧化碳对肾交感神经放电的中枢兴奋作用未改变。延髓矢状面内电刺激的效应表明,延髓吸气神经元(或其延髓侧支)的下行通路在吸气期间不参与脊髓节前神经元的易化以及肺牵张感受器抑制性交感反射的传递。确定了一个靠近闩部的区域,从该区域可诱发肾交感神经的兴奋性反应,这与通过颈动脉窦神经刺激获得的反应一致。得出的结论是,闩部水平下延髓中线的损伤选择性地破坏了传递颈动脉体化学感受器 - 交感反射的细胞或通路。

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