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麻醉和性别对肾化学和机械敏感刺激的交感传出和血液动力学反应的影响。

Impact of anesthesia and sex on sympathetic efferent and hemodynamic responses to renal chemo- and mechanosensitive stimuli.

机构信息

Renal-Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.

出版信息

J Neurophysiol. 2021 Aug 1;126(2):668-679. doi: 10.1152/jn.00277.2021. Epub 2021 Jul 14.

Abstract

Activation of renal sensory nerves by chemo- and mechanosensitive stimuli produces changes in efferent sympathetic nerve activity (SNA) and arterial blood pressure (ABP). Anesthesia and sex influence autonomic function and cardiovascular hemodynamics, but it is unclear to what extent anesthesia and sex impact SNA and ABP responses to renal sensory stimuli. We measured renal, splanchnic, and lumbar SNA and ABP in male and female Sprague-Dawley rats during contralateral renal infusion of capsaicin and bradykinin or during elevation in renal pelvic pressure. Responses were evaluated with a decerebrate preparation or Inactin, urethane, or isoflurane anesthesia. Intrarenal arterial infusion of capsaicin (0.1-30.0 μM) increased renal SNA, splanchnic SNA, or ABP but decreased lumbar SNA in the Inactin group. Intrarenal arterial infusion of bradykinin (0.1-30.0 μM) increased renal SNA, splanchnic SNA, and ABP but decreased lumbar SNA in the Inactin group. Elevated renal pelvic pressure (0-20 mmHg, 30 s) significantly increased renal SNA and splanchnic SNA but not lumbar SNA in the Inactin group. In marked contrast, SNA and ABP responses to every renal stimulus were severely blunted in the urethane and decerebrate groups and absent in the isoflurane group. In the Inactin group, the magnitude of SNA responses to chemo- and mechanosensory stimuli were not different between male and female rats. Thus, chemo- and mechanosensitive stimuli produce differential changes in renal, splanchnic, and lumbar SNA. Experimentally, future investigations should consider Inactin anesthesia to examine sympathetic and hemodynamic responses to renal sensory stimuli. The findings highlight the impact of anesthesia, and to a lesser extent sex, on sympathetic efferent and hemodynamic responses to chemosensory and mechanosensory renal stimuli. Sympathetic nerve activity (SNA) and arterial blood pressure (ABP) responses were present in Inactin-anesthetized rats but largely absent in decerebrate, isoflurane, or urethane preparations. Renal chemosensory stimuli differentially changed SNA: renal and splanchnic SNA increased, but lumbar SNA decreased. Future investigations should consider Inactin anesthesia to study SNA and hemodynamic responses to renal sensory nerve activation.

摘要

化学和机械敏感刺激激活肾感觉神经会引起传出交感神经活动(SNA)和动脉血压(ABP)的变化。麻醉和性别会影响自主功能和心血管血液动力学,但尚不清楚麻醉和性别在何种程度上影响肾感觉刺激的 SNA 和 ABP 反应。我们在雄性和雌性 Sprague-Dawley 大鼠中测量了对侧肾输注辣椒素和缓激肽或升高肾盂压力期间的肾、内脏和腰 SNA 和 ABP。使用去大脑制备或 Inactin、氨基甲酸乙酯或异氟醚麻醉评估反应。肾内动脉内输注辣椒素(0.1-30.0 μM)增加了 Inactin 组的肾 SNA、内脏 SNA 或 ABP,但降低了腰 SNA。肾内动脉内输注缓激肽(0.1-30.0 μM)增加了 Inactin 组的肾 SNA、内脏 SNA 和 ABP,但降低了腰 SNA。肾盂压力升高(0-20mmHg,30s)在 Inactin 组中显著增加了肾 SNA 和内脏 SNA,但没有增加腰 SNA。相比之下,在氨基甲酸乙酯和去大脑组中,对每种肾刺激的 SNA 和 ABP 反应严重减弱,而在异氟醚组中则不存在。在 Inactin 组中,雄性和雌性大鼠对化学和机械感觉刺激的 SNA 反应幅度没有差异。因此,化学和机械敏感刺激会导致肾、内脏和腰 SNA 产生不同的变化。在实验中,未来的研究应该考虑使用 Inactin 麻醉来检查对肾感觉刺激的交感神经和血液动力学反应。研究结果强调了麻醉的影响,在较小程度上还强调了性别对化学感觉和机械感觉肾刺激的交感传出和血液动力学反应的影响。在 Inactin 麻醉的大鼠中存在 SNA 和 ABP 反应,但在去大脑、异氟醚或氨基甲酸乙酯制剂中基本不存在。肾化学感觉刺激使 SNA 产生差异变化:肾和内脏 SNA 增加,而腰 SNA 减少。未来的研究应该考虑使用 Inactin 麻醉来研究肾感觉神经激活的 SNA 和血液动力学反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fc51/8409959/f441655f2045/jn-00277-2021r01.jpg

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