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氟烷对胰腺F细胞反射和神经激活的抑制作用比戊巴比妥小。

Halothane is less suppressive than pentobarbital on reflex and neural activation of pancreatic F-cell.

作者信息

Havel P J, Paquette T L, Taborsky G J

出版信息

Am J Physiol. 1986 Jul;251(1 Pt 1):E111-6. doi: 10.1152/ajpendo.1986.251.1.E111.

Abstract

To determine the suitability of halothane anesthesia for studies of parasympathetic control of the endocrine pancreas in dogs, we assessed the effect of halothane on reflex, direct neural, and direct chemical activation of the parasympathetic input to the islet. Levels or output of pancreatic polypeptide (PP), an islet hormone under predominant cholinergic influence, were used as an indicator of the degree of parasympathetic activation and its potential suppression by anesthesia. Reflex stimulation of the parasympathetic nervous system by 2-deoxy-D-glucose (2-DG) in dogs anesthetized with halothane (0.8%) caused a fourfold increase in plasma PP levels, equivalent to the response in conscious dogs. In contrast, 2-DG at this dose and at a threefold higher dose did not alter PP levels in dogs anesthetized with pentobarbital (30 mg/kg iv), suggesting that halothane at this dose is not suppressive and that pentobarbital is very suppressive on reflex activation of the parasympathetic nerves to the pancreas. Bilateral electrical stimulation of the cervical vagi in halothane-anesthetized dogs elicited a sixfold increase in the pancreatic output of PP. The same stimulation caused only a twofold increase of PP output in pentobarbital-anesthetized dogs. These data suggests that halothane is also less inhibitory than pentobarbital on either peripheral neurotransmission or pancreatic F-cell responsiveness. The effect of direct activation of the F-cell by bethanechol did not differ between the two anesthesias. Therefore, the attenuated PP response to vagal stimulation in pentobarbital-anesthetized dogs is probably due to an action of pentobarbital on peripheral neurotransmission, perhaps at the intrapancreatic parasympathetic ganglia.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为了确定氟烷麻醉是否适合用于犬内分泌胰腺副交感神经控制的研究,我们评估了氟烷对胰岛副交感神经输入的反射性、直接神经和直接化学激活的影响。胰腺多肽(PP)是一种主要受胆碱能影响的胰岛激素,其水平或分泌量被用作副交感神经激活程度及其可能被麻醉抑制的指标。用氟烷(0.8%)麻醉的犬,通过2-脱氧-D-葡萄糖(2-DG)反射性刺激副交感神经系统,可使血浆PP水平增加四倍,与清醒犬的反应相当。相比之下,此剂量及三倍高剂量的2-DG并未改变戊巴比妥(30mg/kg静脉注射)麻醉犬的PP水平,这表明该剂量的氟烷无抑制作用,而戊巴比妥对胰腺副交感神经的反射性激活有很强的抑制作用。在氟烷麻醉的犬中,双侧颈迷走神经电刺激可使胰腺PP分泌量增加六倍。同样的刺激在戊巴比妥麻醉的犬中仅使PP分泌量增加两倍。这些数据表明,氟烷对外周神经传递或胰腺F细胞反应性的抑制作用也比戊巴比妥小。两种麻醉状态下,氨甲酰甲胆碱对F细胞的直接激活作用无差异。因此,戊巴比妥麻醉犬对迷走神经刺激的PP反应减弱可能是由于戊巴比妥对外周神经传递的作用,可能作用于胰腺内的副交感神经节。(摘要截短于250字)

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