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神经和体液β-肾上腺素能受体刺激对猫骨骼肌动态肌源性微血管反应性的影响。

Influence of neural and humoral beta-adrenoceptor stimulation on dynamic myogenic microvascular reactivity in cat skeletal muscle.

作者信息

Grände P O

出版信息

Acta Physiol Scand. 1979 Aug;106(4):457-65. doi: 10.1111/j.1748-1716.1979.tb06426.x.

Abstract

Analysis of myogenic microvascular reactivity in terms of its recently described prominent dynamic component was performed before and during graded sympathetic stimulation and catecholamine infusion. Phenoxybenzamine and propranolol were used to differentiate between alpha- and beta-adrenoceptor effects. The study first confirmed previous findings of a beta-adrenergic inhibitory component in the neural control of microvascular resistance which attenuated the alpha-adrenergic constriction. The results concerning the interaction between adrenergic and myogenic control mechanisms corroborated the conclusion that the sympathoadrenal system, via its beta-adrenergic link, exerts effective inhibitory action on myogenic excitatory reactions. As regards the neural control, its beta-adrenergic component seemed to quite precisely compensate for the reinforcing effect on the myogenic constrictor response which results from increased vascular tone per se (in this case caused by alpha-adrenergic constriction), interpreted as a physical 'gain' effect inherent in the inverse fourth power relationship between radius and resistance. The latter complicating factor, which implies non-linearity in integrated peripheral resistance control, was thus revealed only after beta-blockade, but not on the vascular bed with intact adrenoceptors, where a given transmural pressure stimulus evoked an almost equally large myogenic constrictor response irrespective of the prevailing level of vascular tone. The beta-inhibitory action of blood-borne noradrenaline was similar to the neural one, whereas that of adrenaline was more effective, causing decline of myogenic reactivity below control.

摘要

在分级交感神经刺激和儿茶酚胺输注之前及期间,根据最近描述的突出动态成分对肌源性微血管反应性进行了分析。使用酚苄明和普萘洛尔来区分α和β肾上腺素能受体的作用。该研究首先证实了先前的发现,即在微血管阻力的神经控制中存在β肾上腺素能抑制成分,该成分减弱了α肾上腺素能收缩作用。关于肾上腺素能和肌源性控制机制之间相互作用的结果证实了这样的结论,即交感肾上腺系统通过其β肾上腺素能联系,对肌源性兴奋反应发挥有效的抑制作用。至于神经控制,其β肾上腺素能成分似乎相当精确地补偿了血管张力本身增加(在这种情况下由α肾上腺素能收缩引起)对肌源性收缩反应的增强作用,这被解释为半径与阻力之间反四次方关系中固有的物理“增益”效应。因此,只有在β受体阻断后才揭示了后一个复杂因素,该因素意味着外周阻力综合控制中的非线性,而在具有完整肾上腺素能受体的血管床上则未发现,在该血管床上,给定的跨壁压力刺激会引起几乎同样大的肌源性收缩反应,而与血管张力的当前水平无关。血源性去甲肾上腺素的β抑制作用与神经作用相似,而肾上腺素的作用更有效,导致肌源性反应性降至对照水平以下。

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