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在静息和应激状态下,人类的肾血管传导率与下肢血管传导率或肌肉交感神经活动无关。

Renal vascular conductance is unrelated to leg vascular conductance or muscle sympathetic nerve activity at rest and during stress in humans.

机构信息

Human Cardiovascular Physiology Laboratory, Department of Human Health and Nutritional Sciences, College of Biological Science, University of Guelph, Ontario, Canada.

Human Performance and Health Research Laboratory, Department of Human Health and Nutritional Sciences, College of Biological Science, University of Guelph, Ontario, Canada.

出版信息

J Appl Physiol (1985). 2023 Jul 1;135(1):154-164. doi: 10.1152/japplphysiol.00673.2022. Epub 2023 Jun 8.

Abstract

The sympathetic nervous system is important for cardiovascular regulation, particularly during acute stress. Efferent sympathetic outflow can be regulated in an organ-dependent manner, but whether renal and leg vasoconstriction are associated at rest or during sympathetic stressors is unknown. Therefore, we sought to determine the relationships between muscle sympathetic nerve activity (MSNA), leg vascular conductance (LVC), and renal vascular conductance (RVC) at rest and during common laboratory-based sympathoexcitatory stimuli in a cohort of young healthy adults. Beat-to-beat arterial pressure (photoplethysmography), MSNA (microneurography), superficial femoral artery blood flow, and renal artery blood velocity (Doppler ultrasound) were measured at rest and during static handgrip exercise (30% maximal voluntary contraction), postexercise circulatory occlusion (PECO), and cold stress (hand in 3.8 ± 1.3°C water) in 37 young healthy adults (16 females, 21 males). At rest, RVC was unrelated to LVC ( = -0.11, = 0.55) or MSNA burst frequency (ρ = -0.22, = 0.26). Static handgrip, PECO, and cold stress each induced an increase in mean arterial pressure and MSNA and a reduction in RVC (all < 0.001). LVC was unaltered during stress (all ≥ 0.16), with the exception of a reduction during the second minute of cold stress ( = 0.03). During stress, changes in RVC were not associated with changes in LVC (handgrip: = -0.24, = 0.21; PECO: ρ = -0.04, = 0.82; cold stress: r = -0.17, = 0.38) or MSNA (handgrip: ρ = -0.14, = 0.48; PECO: = 0.27, = 0.15; cold stress: = -0.27, = 0.16). Furthermore, MSNA was not associated with LVC at rest or during stress (all ≥ 0.12). The present findings highlight the differential control of regional sympathetic vasoconstriction at rest and during stress in young healthy humans. The sympathetic nervous system plays a critical role in cardiovascular regulation at rest and during stress. We demonstrate that renal artery vascular conductance is unrelated to superficial femoral artery vascular conductance or muscle sympathetic nerve activity at rest or during laboratory-based sympathetic stressors in young healthy adults. These findings support the concept of differential control of peripheral sympathetic outflow at rest and during stress in humans.

摘要

交感神经系统对心血管调节很重要,尤其是在急性应激期间。传出交感神经输出可以以器官依赖的方式进行调节,但是在静息状态或在交感神经应激期间,肾血管和腿部血管收缩是否相关尚不清楚。因此,我们试图确定在一组年轻健康成年人中,静息状态下和常见的实验室诱发的交感兴奋刺激期间,肌肉交感神经活动(MSNA)、腿部血管传导(LVC)和肾血管传导(RVC)之间的关系。使用光体积描记法测量心率动脉血压、微神经记录测量 MSNA、股浅动脉血流和多普勒超声测量肾动脉血流速度。在 37 名年轻健康成年人(16 名女性,21 名男性)中,在静息状态下和进行等长握力运动(30%最大自主收缩)、运动后循环闭塞(PECO)和冷应激(手浸入 3.8±1.3°C 水中)时进行了测量。在静息状态下,RVC 与 LVC 无关( = -0.11, = 0.55)或 MSNA 爆发频率无关(ρ= -0.22, = 0.26)。等长握力、PECO 和冷应激均引起平均动脉压和 MSNA 升高,RVC 降低(均 <0.001)。在应激期间,LVC 没有变化(均 ≥0.16),只有在冷应激的第二分钟时有所减少( = 0.03)。在应激期间,RVC 的变化与 LVC 的变化无关(握力: = -0.24, = 0.21;PECO:ρ= -0.04, = 0.82;冷应激:r= -0.17, = 0.38)或 MSNA 的变化无关(握力:ρ= -0.14, = 0.48;PECO: = 0.27, = 0.15;冷应激: = -0.27, = 0.16)。此外,MSNA 在静息状态或应激期间与 LVC 无关(均 ≥0.12)。本研究结果强调了年轻健康人群在静息和应激期间局部交感神经血管收缩的差异控制。交感神经系统在静息和应激期间对心血管调节起着至关重要的作用。我们证明,在年轻健康成年人中,肾动脉血管传导在静息或基于实验室的交感神经应激期间与股浅动脉血管传导或肌肉交感神经活动无关。这些发现支持在静息和应激期间,人类外周交感神经传出的差异控制概念。

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