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在血压正常而非高血压大鼠中,对中脑运动区和外周感觉传入神经同时刺激的升压反应减弱。

The Pressor Response to Concurrent Stimulation of the Mesencephalic Locomotor Region and Peripheral Sensory Afferents Is Attenuated in Normotensive but Not Hypertensive Rats.

作者信息

Liang Nan, Iwamoto Gary A, Downey Ryan M, Mitchell Jere H, Smith Scott A, Mizuno Masaki

机构信息

Department of Health Care Sciences, University of Texas Southwestern Medical Center, Dallas, TX, United States.

Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

出版信息

Front Physiol. 2019 Feb 13;10:95. doi: 10.3389/fphys.2019.00095. eCollection 2019.

Abstract

Central command (CC) and the exercise pressor reflex (EPR) regulate blood pressure during exercise. We previously demonstrated that experimental stimulation of the CC and EPR pathways independently contribute to the exaggerated pressor response to exercise in hypertension. It is known that CC and EPR modify one another functionally. Whether their interactive relationship is altered in hypertension, contributing to the generation of this potentiated blood pressure response, remains unknown. To address this issue, the pressor response to activation of the CC pathway with and without concurrent stimulation of the EPR pathway, and vice versa, was examined in normotensive Wistar Kyoto (WKY) and spontaneously hypertensive (SHR) rats. In decerebrated, paralyzed animals, activation of the CC pathway was evoked by electrical stimulation of the mesencephalic locomotor region (MLR; 20-50 μA in 10-μA steps). Electrical stimulation of the sciatic nerve (SN, 3, 5, and 10 × motor threshold; MT) was used to activate hindlimb afferents known to carry EPR sensory information. In both WKY and SHR, the algebraic sum of the pressor responses to individual stimulation of the MLR and SN were greater than when both inputs were stimulated simultaneously. Although the blood pressure response to a constant level of SN stimulation was not significantly affected by concurrent MLR stimulation at variable intensities, the pressor response to a constant level of MLR simulation was significantly attenuated by concurrent SN stimulation in WKY but not in SHR. These findings suggest the interactive relationship between CC and the EPR is inhibitory in nature in both WKY and SHR. However, the neural occlusion between these central and peripheral pressor mechanisms is attenuated in hypertension.

摘要

中枢指令(CC)和运动升压反射(EPR)在运动过程中调节血压。我们之前证明,对CC和EPR通路的实验性刺激独立地导致了高血压患者运动时过度的升压反应。已知CC和EPR在功能上相互影响。它们的交互关系在高血压中是否发生改变,从而导致这种增强的血压反应的产生,仍然未知。为了解决这个问题,我们在正常血压的Wistar Kyoto(WKY)大鼠和自发性高血压(SHR)大鼠中,研究了在有或没有同时刺激EPR通路的情况下,激活CC通路时的升压反应,反之亦然。在去大脑、麻痹的动物中,通过电刺激中脑运动区(MLR;20 - 50 μA,以10 μA步长递增)来诱发CC通路的激活。电刺激坐骨神经(SN,3、5和10倍运动阈值;MT)用于激活已知携带EPR感觉信息的后肢传入神经。在WKY和SHR中,对MLR和SN单独刺激的升压反应的代数和大于同时刺激这两种输入时的反应。尽管在不同强度下同时进行MLR刺激时,对恒定水平的SN刺激的血压反应没有显著影响,但在WKY中,同时进行SN刺激会显著减弱对恒定水平的MLR刺激的升压反应,而在SHR中则不会。这些发现表明,在WKY和SHR中,CC和EPR之间的交互关系本质上是抑制性的。然而,在高血压中,这些中枢和外周升压机制之间的神经阻滞减弱。

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