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动脉压力感受反射对男性肌肉交感神经活动的调节:静息血压的影响。

Arterial baroreflex regulation of muscle sympathetic single-unit activity in men: influence of resting blood pressure.

机构信息

Human Health and Nutritional Sciences, University of Guelph, Guelph, Ontario, Canada.

NeuroV̇ASQ̇-Integrative Physiology Laboratory, Faculty of Physical Education, University of Brasília, Brasília, Brazil.

出版信息

Am J Physiol Heart Circ Physiol. 2020 Apr 1;318(4):H937-H946. doi: 10.1152/ajpheart.00700.2019. Epub 2020 Mar 6.

Abstract

The arterial baroreflex has dominant control over multiunit muscle sympathetic nerve activity (MSNA) burst occurrence, but whether this extends to all single units or is influenced by resting blood pressure status is unclear. In 22 men (32 ± 8 yr), we assessed 68 MSNA single units during sequential bolus injections of nitroprusside and phenylephrine (modified Oxford). Sympathetic baroreflex sensitivity (sBRS) was quantified as the weighted negative linear regression slope between diastolic blood pressure (DBP) and single-unit spike firing probability and multiple spike firing. Strong negative linear relationships ( ≥ -0.50) between DBP and spike firing probability were observed in 63/68 (93%) single units (-2.27 ± 1.27%·cardiac cycle·mmHg [operating range, 18 ± 8 mmHg]). In contrast, only 45/68 (66%) single units had strong DBP-multiple spike firing relationships (-0.13 ± 0.18 spikes·cardiac cycle·mmHg [operating range, 14 ± 7 mmHg]). Participants with higher resting DBP (65 ± 3 vs. 77 ± 3 mmHg, < 0.001) had similar spike firing probability sBRS (low vs. high, -2.08 ± 1.08 vs. -2.46 ± 1.42%·cardiac cycle·mmHg, = 0.33), but a smaller sBRS operating range (20 ± 6 vs. 16 ± 9 mmHg, = 0.01; 86 ± 24 vs. 52 ± 25% of total range, < 0.001) and a higher proportion of single units without arterial baroreflex control outside this range [6/31 (19%) vs. 21/32 (66%), < 0.001]. Participants with higher resting DBP also had fewer single units with arterial baroreflex control of multiple spike firing (79 vs. 53%, = 0.04). The majority of MSNA single units demonstrate strong arterial baroreflex control over spike firing probability during pharmacological manipulation of blood pressure. Changes in single-unit sBRS operating range and control of multiple spike firing may represent altered sympathetic recruitment patterns associated with the early development of hypertension. Muscle sympathetic single units can be differentially controlled during stress. In contrast, we demonstrate that 93% of single units maintain strong arterial baroreflex control during pharmacological manipulation of blood pressure. Interestingly, the operating range and proportion of single units that lose arterial baroreflex control outside of this range are influenced by resting blood pressure levels. Altered single unit, but not multiunit, arterial baroreflex control may represent changes in sympathetic recruitment patterns in early stage development of hypertension.

摘要

动脉压力感受反射对肌肉交感神经活动(MSNA)爆发的发生具有主导控制作用,但这是否扩展到所有单个单位,或者是否受到静息血压状态的影响尚不清楚。在 22 名男性(32 ± 8 岁)中,我们在硝普钠和苯肾上腺素(改良牛津)的序贯推注期间评估了 68 个 MSNA 单个单位。交感神经压力反射敏感性(sBRS)被量化为舒张压(DBP)与单个单位尖峰发射概率和多个尖峰发射之间的加权负线性回归斜率。在 63/68(93%)个单个单位中观察到 DBP 与尖峰发射概率之间存在很强的负线性关系(≥-0.50)(-2.27 ± 1.27%·心动周期·mmHg [工作范围,18 ± 8 mmHg])。相比之下,只有 45/68(66%)个单个单位具有很强的 DBP-多个尖峰发射关系(-0.13 ± 0.18 个尖峰·心动周期·mmHg [工作范围,14 ± 7 mmHg])。静息 DBP 较高的参与者(65 ± 3 对 77 ± 3 mmHg,<0.001)具有相似的尖峰发射概率 sBRS(低 vs. 高,-2.08 ± 1.08 对-2.46 ± 1.42%·心动周期·mmHg,=0.33),但 sBRS 工作范围较小(20 ± 6 对 16 ± 9 mmHg,=0.01;86 ± 24%对 52 ± 25%总范围,<0.001),并且在该范围内没有动脉压力反射控制的单个单位比例较高[6/31(19%)对 21/32(66%),<0.001]。静息 DBP 较高的参与者也有较少的单个单位具有动脉压力反射对多个尖峰发射的控制(79 对 53%,=0.04)。在血压药理学操作期间,大多数 MSNA 单个单位显示出对尖峰发射概率的强烈动脉压力反射控制。单个单位 sBRS 工作范围的变化和对多个尖峰发射的控制可能代表与高血压早期发展相关的交感神经募集模式的改变。在应激期间,肌肉交感神经单个单位可以得到不同的控制。相比之下,我们证明在血压药理学操作期间,93%的单个单位保持对尖峰发射概率的强烈动脉压力反射控制。有趣的是,单个单位失去该范围内动脉压力反射控制的工作范围和比例受到静息血压水平的影响。单个单位但不是多单位动脉压力反射控制的改变可能代表高血压早期发展中交感神经募集模式的变化。

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