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颈上神经节独立于来自颈交感神经链的节前驱动,调节对低氧的通气反应。

The superior cervical ganglia modulate ventilatory responses to hypoxia independently of preganglionic drive from the cervical sympathetic chain.

作者信息

Getsy Paulina M, Coffee Gregory A, Hsieh Yee-Hsee, Lewis Stephen J

机构信息

Division of Pulmonology, Allergy and Immunology, Department of Pediatrics, Case Western Reserve University, Cleveland, Ohio.

Department of Physiology and Biophysics, Case Western Reserve University, Cleveland, Ohio.

出版信息

J Appl Physiol (1985). 2021 Aug 1;131(2):836-857. doi: 10.1152/japplphysiol.00216.2021. Epub 2021 Jul 1.

Abstract

Superior cervical ganglia (SCG) postganglionic neurons receive preganglionic drive via the cervical sympathetic chains (CSC). The SCG projects to structures like the carotid bodies (e.g., vasculature, chemosensitive glomus cells), upper airway (e.g., tongue, nasopharynx), and to the parenchyma and cerebral arteries throughout the brain. We previously reported that a hypoxic gas challenge elicited an array of ventilatory responses in sham-operated (SHAM) freely moving adult male C57BL6 mice and that responses were altered in mice with bilateral transection of the cervical sympathetic chain (CSCX). Since the CSC provides preganglionic innervation to the SCG, we presumed that mice with superior cervical ganglionectomy (SCGX) would respond similarly to hypoxic gas challenge as CSCX mice. However, while SCGX mice had altered responses during hypoxic gas challenge that occurred in CSCX mice (e.g., more rapid occurrence of changes in frequency of breathing and minute ventilation), SCGX mice displayed numerous responses to hypoxic gas challenge that CSCX mice did not, including reduced total increases in frequency of breathing, minute ventilation, inspiratory and expiratory drives, peak inspiratory and expiratory flows, and appearance of noneupneic breaths. In conclusion, hypoxic gas challenge may directly activate subpopulations of SCG cells, including subpopulations of postganglionic neurons and small intensely fluorescent (SIF) cells, independently of CSC drive, and that SCG drive to these structures dampens the initial occurrence of the hypoxic ventilatory response, while promoting the overall magnitude of the response. The multiple effects of SCGX may be due to loss of innervation to peripheral and central structures with differential roles in breathing control. We present data showing that the ventilatory responses elicited by a hypoxic gas challenge in male C57BL6 mice with bilateral superior cervical ganglionectomy are not equivalent to those reported for mice with bilateral transection of the cervical sympathetic chain. These data suggest that hypoxic gas challenge may directly activate subpopulations of superior cervical ganglia (SCG) cells, including small intensely fluorescent (SIF) cells and/or principal SCG neurons, independently of preganglionic cervical sympathetic chain drive.

摘要

颈上神经节(SCG)的节后神经元通过颈交感神经链(CSC)接受节前驱动。颈上神经节投射到诸如颈动脉体(如脉管系统、化学敏感的球细胞)、上呼吸道(如舌头、鼻咽)以及整个大脑的实质和脑动脉等结构。我们之前报道过,低氧气体刺激在假手术(SHAM)的自由活动成年雄性C57BL6小鼠中引发了一系列通气反应,并且在颈交感神经链双侧横断(CSCX)的小鼠中这些反应发生了改变。由于颈交感神经链为颈上神经节提供节前神经支配,我们推测双侧颈上神经节切除术(SCGX)的小鼠对低氧气体刺激的反应会与CSCX小鼠相似。然而,虽然SCGX小鼠在低氧气体刺激期间出现了CSCX小鼠中发生的反应改变(如呼吸频率和分钟通气量变化出现得更快),但SCGX小鼠表现出了许多CSCX小鼠没有的对低氧气体刺激的反应,包括呼吸频率、分钟通气量、吸气和呼气驱动、吸气和呼气峰值流量的总增加量减少,以及出现非平稳呼吸。总之,低氧气体刺激可能直接激活颈上神经节细胞的亚群,包括节后神经元亚群和小而强荧光(SIF)细胞,独立于颈交感神经链驱动,并且颈上神经节对这些结构的驱动会抑制低氧通气反应的最初发生,同时促进反应的总体幅度。SCGX的多种效应可能是由于对在呼吸控制中具有不同作用的外周和中枢结构的神经支配丧失所致。我们提供的数据表明,双侧颈上神经节切除的雄性C57BL6小鼠对低氧气体刺激引发的通气反应与颈交感神经链双侧横断的小鼠所报道的反应并不相同。这些数据表明,低氧气体刺激可能直接激活颈上神经节(SCG)细胞的亚群,包括小而强荧光(SIF)细胞和/或颈上神经节主要神经元,独立于节前颈交感神经链驱动。

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