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延髓腹侧面脑脊液pH值变化及全身性高碳酸血症对中枢诱发的内脏警觉/防御反应的调节作用。

Modulation of the centrally-evoked visceral alerting/defence response by changes in CSF pH at the ventral surface of the medulla oblongata and by systemic hypercapnia.

作者信息

Marshall J M

出版信息

Pflugers Arch. 1986 Jul;407(1):46-54. doi: 10.1007/BF00580719.

Abstract

In the present study on nine cats, repeated tests were made of the effects of superfusion of the ventral surface of the medulla oblongata with acid or alkaline CSF. Only two animals showed slight hyperventilation, tachycardia, mesenteric vasoconstriction and variable changes in hindlimb vascular conductance when the ventral surface was superfused with acid CSF; alkaline CSF produced opposite effects. These changes are qualitatively similar to, but much smaller than, published results which support the idea that the central chemoreceptor areas for CO2 are near the surface of the ventral medulla. But, in accord with those who have disputed this idea, the remaining 7 animals showed no response to superfusion with acid or alkaline CSF. Yet, all 9 animals showed marked hyperventilation in response to inhalation of 5% or 8% CO2. These findings accord with the view that chemosensitive structures on the ventral medulla represent part, but not all of the central chemosensitive mechanism for CO2. Inhalation of CO2 also induced bradycardia, mesenteric vasodilatation and either vasodilatation or vasoconstriction in hindlimb, attributable to a predominance of the direct myocardial depressant and local vasodilator effects of CO2, over the increase in sympathetic activity produced by central hypercapnia. But, despite the different effects of acid CSF and inhaled CO2 on baselines, they produced comparable effects on the visceral altering/defence response evoked by electrical stimulation in the ventral amygdalo-hypothalamic pathway viz, the magnitude of the characteristic hindlimb dilatation was reduced while that of the mesenteric constriction was increased.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在本项针对九只猫的研究中,对延髓腹侧表面用酸性或碱性脑脊液进行反复灌流的效果进行了测试。当延髓腹侧表面用酸性脑脊液灌流时,只有两只动物出现了轻微的通气过度、心动过速、肠系膜血管收缩以及后肢血管传导性的变化不定;碱性脑脊液则产生相反的效果。这些变化在性质上与已发表的结果相似,但程度要小得多,那些结果支持二氧化碳的中枢化学感受器区域靠近延髓腹侧表面这一观点。但是,与那些对这一观点提出质疑的人一致的是,其余七只动物对酸性或碱性脑脊液灌流没有反应。然而,所有九只动物在吸入5%或8%的二氧化碳时都出现了明显的通气过度。这些发现与这样一种观点相符,即延髓腹侧的化学敏感结构代表了二氧化碳中枢化学敏感机制的一部分,但并非全部。吸入二氧化碳还会诱发心动过缓、肠系膜血管舒张以及后肢血管舒张或收缩,这归因于二氧化碳直接的心肌抑制和局部血管舒张作用,超过了中枢高碳酸血症所产生的交感神经活动增加。但是,尽管酸性脑脊液和吸入的二氧化碳对基线有不同的影响,但它们对腹侧杏仁核 - 下丘脑通路电刺激所诱发的内脏改变/防御反应产生了相当的影响,即特征性后肢扩张的幅度减小,而肠系膜收缩的幅度增加。(摘要截短至250字)

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