Hanley D F, Wilson D A, Feldman M A, Traystman R J
Department of Anesthesiology/Critical Care Medicine, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.
Am J Physiol. 1988 Apr;254(4 Pt 2):H742-50. doi: 10.1152/ajpheart.1988.254.4.H742.
Neurohypophysial blood flow responses to hypoxic hypoxia were studied under conditions of vagotomy, carotid sinus denervation, and combined vagotomy and carotid sinus denervation. Arterial O2 tension was lowered from 128 +/- 3 to 31 +/- 1 Torr, whereas pH and arterial CO2 tension remained constant. Denervation of either carotid sinus or aortic arch chemoreceptors alone does not attenuate the dilation of neurohypophysial vessels that accompanies hypoxic hypoxia. Combined denervation, however, completely blocks this response for the neurohypophysis but not for any other brain region studied. Hypoxic hypoxia resulted in an increase in plasma vasopressin (AVP) from approximately 8 to approximately 40 pg/ml. This increase occurred in the intact, vagotomy, and carotid sinus-denervation conditions. This neurosecretory response was also completely inhibited by combined denervation. For most brain regions peripheral chemoreceptors are not involved in the blood flow response; however, the response of the neurohypophysis appears to be mediated via these chemoreceptors, presumably by altering the neuroeffector activity to this region. In addition our data suggest a temporal relationship between neurohypophysial vasodilation and neurosecretion of AVP.
在迷走神经切断、颈动脉窦去神经支配以及迷走神经切断与颈动脉窦去神经支配联合作用的条件下,研究了神经垂体对低氧性缺氧的血流反应。动脉血氧分压从128±3 Torr降至31±1 Torr,而pH值和动脉血二氧化碳分压保持恒定。单独切断颈动脉窦或主动脉弓化学感受器的神经支配并不会减弱低氧性缺氧时神经垂体血管的扩张。然而,联合去神经支配完全阻断了神经垂体的这种反应,但对所研究的任何其他脑区则没有影响。低氧性缺氧导致血浆血管加压素(AVP)从约8 pg/ml增加至约40 pg/ml。这种增加在完整、迷走神经切断和颈动脉窦去神经支配的情况下均会出现。这种神经分泌反应也被联合去神经支配完全抑制。对于大多数脑区,外周化学感受器不参与血流反应;然而,神经垂体的反应似乎是通过这些化学感受器介导的,大概是通过改变对该区域的神经效应器活动来实现的。此外,我们的数据表明神经垂体血管舒张与AVP的神经分泌之间存在时间关系。