Hudgel D W, Kressin N A, Nielsen A M, Bisgard G E
Respir Physiol. 1986 May;64(2):203-11. doi: 10.1016/0034-5687(86)90042-3.
Previous studies in anesthetized or decerebrate cats and rabbits and awake man have shown conflicting results regarding a potential role for beta-adrenergic receptors in carotid body function. Therefore, we sought to clarify the role of beta-adrenergic receptor activity in carotid body function by assessing: the ventilatory response to intravenous isoproterenol infusion in awake and anesthetized carotid body intact and carotid body denervated goats, the effect of propranolol on the ventilatory response to isocapnic hypoxemia, and carotid sinus nerve chemoreceptor discharge rate response to isoproterenol and hypoxia. Isoproterenol increased ventilation to a similar degree in carotid body intact and denervated awake and anesthetized goats. This ventilatory increase was blocked by propranolol. Propranolol did not alter the hypoxic ventilatory response. Although ventilation increased, carotid sinus nerve chemoreceptor discharge rate was not altered by isoproterenol infusion or bolus IV injection in anesthetized goats. Hypoxia did increase carotid sinus nerve discharge rate. In this study, beta-adrenergic stimulation of ventilation did not occur via the carotid body, and beta-adrenergic blockade did not affect the carotid body hypoxic ventilatory response. Therefore, we found no evidence of functional beta-adrenergic activity within the carotid body of the goat.
先前针对麻醉或去脑的猫、兔以及清醒人类开展的研究,在β-肾上腺素能受体于颈动脉体功能中潜在作用方面呈现出相互矛盾的结果。因此,我们试图通过评估以下内容来阐明β-肾上腺素能受体活性在颈动脉体功能中的作用:清醒及麻醉状态下颈动脉体完整和颈动脉体去神经支配的山羊对静脉输注异丙肾上腺素的通气反应、普萘洛尔对等碳酸血症性低氧通气反应的影响,以及颈动脉窦神经化学感受器对异丙肾上腺素和低氧的放电频率反应。异丙肾上腺素在颈动脉体完整和去神经支配的清醒及麻醉山羊中使通气增加的程度相似。这种通气增加被普萘洛尔阻断。普萘洛尔未改变低氧通气反应。尽管通气增加,但在麻醉山羊中,异丙肾上腺素输注或静脉推注并未改变颈动脉窦神经化学感受器的放电频率。低氧确实增加了颈动脉窦神经放电频率。在本研究中,β-肾上腺素能对通气的刺激并非通过颈动脉体发生,且β-肾上腺素能阻断并未影响颈动脉体的低氧通气反应。因此,我们未发现山羊颈动脉体内存在功能性β-肾上腺素能活性的证据。