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人类肌肉交感神经活动中的异步动作电位放电。

Asynchronous action potential discharge in human muscle sympathetic nerve activity.

机构信息

Neurovascular Research Laboratory, School of Kinesiology, University of Western Ontario, London, Ontario, Canada.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.

出版信息

Am J Physiol Heart Circ Physiol. 2019 Oct 1;317(4):H754-H764. doi: 10.1152/ajpheart.00258.2019. Epub 2019 Aug 2.

Abstract

What strategies are employed by the sympathetic system to communicate with the circulation? Muscle sympathetic nerve activity (MSNA) occurs in bursts of synchronous action potential (AP) discharge, yet whether between-burst asynchronous AP firing exists remains unknown. Using multiunit microneurography and a continuous wavelet transform to isolate APs, we studied AP synchronicity within human MSNA. Asynchronous APs were defined as those which occurred between bursts. quantified AP synchronicity in eight individuals at baseline (BSL), -10 mmHg lower body negative pressure (LBNP), -40 mmHg LBNP, and end-expiratory apnea (APN). At BSL, 33 ± 12% of total AP activity was asynchronous. Asynchronous discharge was unchanged from BSL (67 ± 37 AP/min) to -10 mmHg LBNP (69 ± 33 AP/min), -40 mmHg LBNP (83 ± 68 AP/min), or APN (62 ± 39 AP/min). Across all conditions, asynchronous AP probability and frequency decreased with increasing AP size. examined the impact of the ganglia on AP synchronicity by using nicotinic blockade (trimethaphan). The largest asynchronous APs were derecruited from BSL (11 ± 4 asynchronous AP clusters) to the last minute of the trimethaphan infusion with visible bursts (7 ± 2 asynchronous AP clusters). However, the 6 ± 2 smallest asynchronous AP clusters could not be blocked by trimethaphan and persisted to fire 100 ± 0% asynchronously without forming bursts. Nonnicotinic ganglionic mechanisms affect some, but not all, asynchronous activity. The fundamental behavior of human MSNA contains between-burst asynchronous AP discharge, which accounts for a considerable amount of BSL activity. Historically, sympathetic nerve activity destined for the blood vessels supplying skeletal muscle (MSNA) has been characterized by spontaneous bursts formed by synchronous action potential (AP) discharge. However, this study found a considerable amount (~30% during baseline) of sympathetic AP discharge to fire asynchronously between bursts of human MSNA. Trimethaphan infusion revealed that nonnicotinic ganglionic mechanisms contribute to some, but not all, asynchronous discharge. Asynchronous sympathetic AP discharge represents a fundamental behavior of MSNA.

摘要

交感神经系统采用哪些策略与循环系统进行通讯?肌肉交感神经活动 (MSNA) 以同步动作电位 (AP) 放电的爆发形式发生,但爆发之间是否存在异步 AP 放电尚不清楚。本研究使用多单位微神经记录和连续小波变换来分离 AP,以研究人类 MSNA 中的 AP 同步性。异步 AP 定义为爆发之间发生的 AP。我们在 8 名个体的基线 (BSL) 、-10mmHg 下体负压 (LBNP) 、-40mmHg LBNP 和呼气末暂停 (APN) 时,量化了 AP 同步性。BSL 时,总 AP 活动的 33±12%为异步。从 BSL 时(67±37 AP/min)到 -10mmHg LBNP 时(69±33 AP/min)、-40mmHg LBNP 时(83±68 AP/min)或 APN 时(62±39 AP/min),异步放电没有变化。在所有条件下,随着 AP 大小的增加,异步 AP 的概率和频率降低。我们通过使用烟碱型受体阻滞剂(三甲噻酚)检查了神经节对 AP 同步性的影响。最大的异步 AP 在三甲噻酚输注的最后一分钟从 BSL 被去募集(11±4 个异步 AP 簇),可见爆发(7±2 个异步 AP 簇)。然而,6±2 个最小的异步 AP 簇不能被三甲噻酚阻断,并持续 100±0%的异步放电而不形成爆发。非烟碱型神经节机制影响一些,但不是全部,异步活动。人类 MSNA 的基本行为包含爆发之间的异步 AP 放电,这占 BSL 活动的相当一部分。从历史上看,供应骨骼肌的血管的交感神经活动(MSNA)的特征是由同步 AP 放电形成的自发爆发。然而,这项研究发现,在人类 MSNA 的爆发之间,相当一部分(基线时约 30%)交感神经 AP 放电以异步方式发生。三甲噻酚输注显示,非烟碱型神经节机制有助于一些,但不是全部,异步放电。异步交感神经 AP 放电代表 MSNA 的基本行为。

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