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中枢儿茶酚胺能神经元在脑循环中的作用。

A role of the central catecholamine neuron in cerebral circulation.

作者信息

Yokote H, Itakura T, Nakai K, Kamei I, Imai H, Komai N

出版信息

J Neurosurg. 1986 Sep;65(3):370-5. doi: 10.3171/jns.1986.65.3.0370.

Abstract

The effect of the central catecholaminergic neurons on the cerebral microcirculation was investigated by means of a unilateral intracerebral injection of 6-hydroxydopamine (6-OHDA) which produced the degeneration of catecholamine (CA) nerve terminals. Subsequent observation with CA histofluorescence revealed an absence of CA fibers in the vicinity of the 6-OHDA injection site. A significant increase in regional cerebral blood flow (rCBF), measured by the hydrogen clearance method, was demonstrated in the CA-depleted cortex under normocapnia as compared with rCBF in the control cortex (CA-depleted cortex 47.0 +/- 2.8 ml/100 gm/min; control cortex 38.5 +/- 3.5 ml/100 gm/min; p less than 0.005). The increased rCBF in the cortex treated with 6-OHDA was suppressed by the iontophoretic replacement of noradrenaline (NA) to the CA-depleted cortex. An iontophoretic replacement of 10(-5) M dopamine (DA) mildly suppressed the increased rCBF in the 6-OHDA-treated cortex. The CO2 reactivity in the CA-depleted cortex was significantly lower than that of the control cortex (CA-depleted cortex 2.13% +/- 0.6%/mm Hg; control cortex 3.53% +/- 0.70%/mm Hg). No change was noticeable in the cerebral glucose metabolism in the CA-depleted cortex in an investigation based on tritiated (3H)-deoxyglucose uptake. It is suggested that the 6-OHDA-induced change in cerebral blood flow (CBF) is not secondary to alterations in cerebral metabolic rate, and that the central NA neuron system innervating intraparenchymal blood vessels regulates CBF through a direct vasoconstrictive effect on the cerebral blood vessels. The central DA neuron system may modulate the cerebral circulation as a mild vasoconstrictor.

摘要

通过单侧脑内注射6-羟基多巴胺(6-OHDA)来研究中枢儿茶酚胺能神经元对脑微循环的影响,该注射导致儿茶酚胺(CA)神经末梢变性。随后通过CA组织荧光观察发现,6-OHDA注射部位附近没有CA纤维。与对照皮质的局部脑血流量(rCBF)相比,在正常碳酸血症下,用氢清除法测量显示,CA缺失皮质中的rCBF显著增加(CA缺失皮质47.0±2.8 ml/100 gm/min;对照皮质38.5±3.5 ml/100 gm/min;p<0.005)。用去甲肾上腺素(NA)离子电渗替代到CA缺失皮质中,可抑制6-OHDA处理皮质中增加的rCBF。用10(-5) M多巴胺(DA)离子电渗替代可轻度抑制6-OHDA处理皮质中增加的rCBF。CA缺失皮质中的二氧化碳反应性显著低于对照皮质(CA缺失皮质2.13%±0.6%/mmHg;对照皮质3.53%±0.70%/mmHg)。在基于氚化(3H)-脱氧葡萄糖摄取的研究中,CA缺失皮质中的脑葡萄糖代谢没有明显变化。提示6-OHDA诱导的脑血流量(CBF)变化并非继发于脑代谢率的改变,并且支配实质内血管的中枢NA神经元系统通过对脑血管的直接血管收缩作用来调节CBF。中枢DA神经元系统可能作为一种轻度血管收缩剂调节脑循环。

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