Hajduczok G, Chapleau M W, Abboud F M
Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242.
Proc Natl Acad Sci U S A. 1988 Oct;85(19):7399-403. doi: 10.1073/pnas.85.19.7399.
The arterial baroreceptors are known to be sensitive to changes in pressure but there are no known sensors in the cardiovascular system for changes in flow. We tested the hypothesis that changes in flow at constant pressure alter carotid sinus multi-unit nerve activity. In anesthetized dogs with vascularly isolated carotid sinuses, increases in flow at constant pressure resulted in increases in carotid sinus nerve activity in relation to the increase in flow. The increased activity during flow was not caused by an increase in strain of the sinus wall but was directly related to the increase in shear stress (36.6 +/- 11.7% increase in activity per dyne/cm2; 1 dyne = 0.1 MN). The pressure threshold of single baroreceptor units was determined during a slow pressure ramp with and without flow. Flow caused a significant decrease in pressure threshold from 81.1 +/- 6.1 mmHg (1 mmHg = 1.333 x 10(2) Pa) in the absence of flow to 69.3 +/- 5.7 mmHg with flow. We conclude that there are arterial "rheoreceptors" in the carotid sinus that respond to flow at constant pressure and strain. The results with single baroreceptor units indicate also that baroreceptors may be sensitized by increases in flow. Thus, changes in flow per se in addition to changes in arterial pressure may be important determinants of reflex circulatory adjustments.
已知动脉压力感受器对压力变化敏感,但心血管系统中尚无已知的流量变化传感器。我们检验了以下假设:在恒定压力下流量的变化会改变颈动脉窦多单位神经活动。在血管隔离颈动脉窦的麻醉犬中,恒定压力下流量增加导致颈动脉窦神经活动随流量增加而增加。流量增加期间活动增加并非由窦壁应变增加引起,而是与剪切应力增加直接相关(每达因/平方厘米活动增加36.6±11.7%;1达因=0.1毫牛)。在有流量和无流量的缓慢压力斜坡过程中测定单个压力感受器单位的压力阈值。流量导致压力阈值从无流量时的81.1±6.1毫米汞柱(1毫米汞柱=1.333×10²帕)显著降至有流量时的69.3±5.7毫米汞柱。我们得出结论,颈动脉窦中存在对恒定压力和应变下的流量作出反应的动脉“流量感受器”。单个压力感受器单位的结果还表明,流量增加可能会使压力感受器敏感化。因此,除动脉压力变化外,流量本身的变化可能是反射性循环调节的重要决定因素。