Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota.
Department of Nutrition and Exercise Physiology, University of Missouri, Columbia, Missouri.
Am J Physiol Regul Integr Comp Physiol. 2020 Jan 1;318(1):R173-R181. doi: 10.1152/ajpregu.00257.2019. Epub 2019 Nov 20.
We examined the contribution of the carotid chemoreceptors to insulin-mediated increases in muscle sympathetic nerve activity (MSNA) in healthy humans. We hypothesized that reductions in carotid chemoreceptor activity would attenuate the sympathoexcitatory response to hyperinsulinemia. Young, healthy adults (9 male/9 female, 28 ± 1 yr, 24 ± 1 kg/m) completed a 30-min euglycemic baseline followed by a 90-min hyperinsulinemic (1 mU·kg fat-free mass·min), euglycemic infusion. MSNA (microneurography of the peroneal nerve) was continuously measured. The role of the carotid chemoreceptors was assessed at baseline and during hyperinsulinemia via ) acute hyperoxia, ) low-dose dopamine (1-4 µg·kg·min), and ) acute hyperoxia + low-dose dopamine. MSNA burst frequency increased from baseline during hyperinsulinemia ( < 0.01). Acute hyperoxia had no effect on MSNA burst frequency at rest ( = 0.74) or during hyperinsulinemia ( = 0.83). The insulin-mediated increase in MSNA burst frequency ( = 0.02) was unaffected by low-dose dopamine ( = 0.60). When combined with low-dose dopamine, acute hyperoxia had no effect on MSNA burst frequency at rest ( = 0.17) or during hyperinsulinemia ( = 0.85). Carotid chemoreceptor desensitization in young, healthy men and women does not attenuate the sympathoexcitatory response to hyperinsulinemia. Our data suggest that the carotid chemoreceptors do not contribute to acute insulin-mediated increases in MSNA in young, healthy adults.
我们研究了颈动脉化学感受器在健康人体中对胰岛素介导的肌肉交感神经活动(MSNA)增加的贡献。我们假设颈动脉化学感受器活性的降低会减弱对高胰岛素血症的交感神经兴奋反应。年轻健康的成年人(9 名男性/9 名女性,28±1 岁,24±1kg/m2)完成了 30 分钟的正常血糖基线期,随后进行了 90 分钟的高胰岛素血症(1mU·kg 去脂体重·min)和正常血糖输注。持续测量腓神经的微神经图。通过急性高氧、低剂量多巴胺(1-4μg·kg·min)和急性高氧+低剂量多巴胺在基线期和高胰岛素血症期间评估颈动脉化学感受器的作用。MSNA 爆发频率在高胰岛素血症期间从基线增加(<0.01)。急性高氧对静息时(=0.74)或高胰岛素血症期间(=0.83)的 MSNA 爆发频率没有影响。低剂量多巴胺(=0.60)对胰岛素介导的 MSNA 爆发频率增加(=0.02)没有影响。当与低剂量多巴胺联合使用时,急性高氧对静息时(=0.17)或高胰岛素血症期间(=0.85)的 MSNA 爆发频率没有影响。在年轻健康的男性和女性中,颈动脉化学感受器脱敏不会减弱对高胰岛素血症的交感神经兴奋反应。我们的数据表明,颈动脉化学感受器不会导致年轻健康成年人急性胰岛素介导的 MSNA 增加。
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