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神经循环反射对缺氧反应的研究进展。

Advancements in the neurocirculatory reflex response to hypoxia.

机构信息

Centre for Heart, Lung, and Vascular Health, School of Health and Exercise Sciences, University of British Columbia, Kelowna, British Columbia, Canada.

International Collaboration on Repair Discoveries, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Am J Physiol Regul Integr Comp Physiol. 2024 Jul 1;327(1):R1-R13. doi: 10.1152/ajpregu.00237.2023. Epub 2024 May 13.


DOI:10.1152/ajpregu.00237.2023
PMID:38738293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11380992/
Abstract

Hypoxia is a pivotal factor in the pathophysiology of various clinical conditions, including obstructive sleep apnea, which has a strong association with cardiovascular diseases like hypertension, posing significant health risks. Although the precise mechanisms linking hypoxemia-associated clinical conditions with hypertension remains incompletely understood, compelling evidence suggests that hypoxia induces plasticity of the neurocirculatory control system. Despite variations in experimental designs and the severity, frequency, and duration of hypoxia exposure, evidence from animal and human models consistently demonstrates the robust effects of hypoxemia in triggering reflex-mediated sympathetic activation. Both acute and chronic hypoxia alters neurocirculatory regulation and, in some circumstances, leads to sympathetic outflow and elevated blood pressures that persist beyond the hypoxic stimulus. Dysregulation of autonomic control could lead to adverse cardiovascular outcomes and increase the risk of developing hypertension.

摘要

缺氧是各种临床病症(包括阻塞性睡眠呼吸暂停)病理生理学的关键因素,后者与高血压等心血管疾病密切相关,带来重大健康风险。虽然与低氧血症相关的临床病症与高血压之间的具体关联机制尚不完全清楚,但有力的证据表明,缺氧会引起神经循环控制系统的可塑性。尽管实验设计、缺氧暴露的严重程度、频率和持续时间存在差异,但动物和人类模型的证据一致表明,低氧血症能强烈引发反射性交感神经激活。急性和慢性缺氧都会改变神经循环调节,在某些情况下,导致交感神经输出和血压升高,这些变化在缺氧刺激结束后仍持续存在。自主神经控制失调可能导致不良心血管后果,并增加高血压发病风险。

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引用本文的文献

[1]
Heart Rate Variability and Peripheral Oxygen Saturation Levels in Chronic Obstructive Pulmonary Disease.

Cureus. 2025-1-13

本文引用的文献

[1]
Mechanisms underlying the health benefits of intermittent hypoxia conditioning.

J Physiol. 2024-11

[2]
Paraventricular nucleus projections to the nucleus tractus solitarii are essential for full expression of hypoxia-induced peripheral chemoreflex responses.

J Physiol. 2023-10

[3]
The Interplay between Obstructive Sleep Apnea, Chronic Obstructive Pulmonary Disease, and Congestive Heart Failure: Time to Collectively Refer to Them as Triple Overlap Syndrome?

Medicina (Kaunas). 2023-7-27

[4]
Baroreflex resetting of human sympathetic action potential subpopulations during exercise.

J Neurophysiol. 2023-4-1

[5]
Is obstructive sleep apnea a circadian rhythm disorder?

J Sleep Res. 2023-8

[6]
Acute hypoxia elicits lasting reductions in the sympathetic action potential transduction of arterial blood pressure in males.

J Physiol. 2023-2

[7]
The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health.

J Am Coll Cardiol. 2022-12-20

[8]
Sympathetic and Vagal Nerve Activity in COPD: Pathophysiology, Presumed Determinants and Underappreciated Therapeutic Potential.

Front Physiol. 2022-6-23

[9]
Action potential amplitude and baroreflex resetting of action potential clusters mediate hypoxia-induced sympathetic long-term facilitation.

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[10]
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