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犬肺迷走传入神经对气管平滑肌张力的相互作用

Reciprocal action of pulmonary vagal afferents on tracheal smooth muscle tension in dogs.

作者信息

Roberts A M, Coleridge H M, Coleridge J C

机构信息

Cardiovascular Research Institute, University of California, San Francisco 94143-0130.

出版信息

Respir Physiol. 1988 Apr;72(1):35-46. doi: 10.1016/0034-5687(88)90077-1.

Abstract

Tracheal smooth muscle usually relaxes when the lungs are transiently inflated, an effect attributed to inhibitory input from pulmonary stretch receptors (PSRs). Relaxation is often followed by contraction, however, and occasionally contraction is the sole response. We attempted to identify the afferents responsible for this reflex contraction. In anesthetized, artificially ventilated dogs with open chest we recorded transverse tension in an upper tracheal segment innervated only by the superior laryngeal nerves and periodically hyperinflated the lungs as the cervical vagus nerves were cooled. Hyperinflation usually evoked tracheal relaxation when vagal temperature was 37 degrees C, but contraction became more frequent as temperature decreased and was the sole response below 8 degrees C. We hypothesise that above 6 degrees C contraction was triggered by rapidly adapting receptors and lung C fibers, whereas below 6 degrees C only C fibers were involved. Contraction, which appeared to represent the bronchomotor counterpart of Head's paradoxical reflex, was abolished below 2 degrees C. Cooling alone without periodic hyperinflation increased baseline tracheal tension to a maximum at 7-8 degrees C; further cooling often decreased tension, sometimes to control levels. Cutting the pulmonary vagal branches abolished these effects. Our results indicate that PSRs and C fibers act reciprocally, one causing bronchodilation, the other bronchoconstriction, and that background activity in C fibers may contribute to bronchomotor tone, an effect unmasked by selectively blocking A fibers.

摘要

当肺部短暂充气时,气管平滑肌通常会松弛,这种效应归因于肺牵张感受器(PSR)的抑制性输入。然而,松弛之后常常会出现收缩,偶尔收缩是唯一的反应。我们试图确定引起这种反射性收缩的传入神经。在开胸的麻醉人工通气犬中,我们记录了仅由喉上神经支配的上段气管的横向张力,并在冷却颈迷走神经时定期使肺过度充气。当迷走神经温度为37℃时,肺过度充气通常会引起气管松弛,但随着温度降低,收缩变得更加频繁,并且在8℃以下收缩是唯一的反应。我们假设在6℃以上,收缩是由快速适应感受器和肺C纤维触发的,而在6℃以下仅涉及C纤维。这种收缩似乎代表了黑德反常反射的支气管运动对应物,在2℃以下消失。仅冷却而不进行定期肺过度充气会使基线气管张力在7 - 8℃时增加到最大值;进一步冷却通常会降低张力,有时会降至对照水平。切断肺迷走神经分支可消除这些效应。我们的结果表明,PSR和C纤维相互作用,一个引起支气管扩张,另一个引起支气管收缩,并且C纤维的背景活动可能有助于支气管运动张力,这种效应通过选择性阻断A纤维而被揭示出来。

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