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由甘氨酸和损伤引起的延髓腹侧面离散区域的血压下降。

Fall in blood pressure produced from discrete regions of the ventral surface of the medulla by glycine and lesions.

作者信息

Guertzenstein P G, Silver A

出版信息

J Physiol. 1974 Oct;242(2):489-503. doi: 10.1113/jphysiol.1974.sp010719.

Abstract
  1. In cats anaesthetized with pentobarbitone sodium, atropinized by i.v. atropine methyl nitrate and artificially ventilated, experiments were carried out (a) to localize the site where glycine acts on the ventral surface of the medulla when, on topical application through paired Perspex rings caudal to the trapezoid bodies, it produces a fall in arterial blood pressure, (b) to compare the effects of uni- and bilateral application, and (c) to study the blood pressure effects produced by electrolytic lesions of the glycine-sensitive areas.2. Blood pressure fell only a little on unilateral application of glycine through one of the Perspex rings, but a pronounced fall occurred on its bilateral application. The fall was too large to be explained by two minimal responses added together. Thus the application of glycine to one side potentiated the depressor effect of glycine applied to the other side.3. By moving the paired Perspex rings rostrally or caudally to different positions on the medulla and determining for each position the effectiveness of glycine, the glycine-sensitive areas were found to be restricted to a 1.5 mm wide strip situated 1-2.5 mm caudal to the trapezoid bodies. By making electrolytic lesions within the limits of this strip the glycine-sensitive areas were found to be not wider than 1.5 mm in the mediolateral direction and to be situated about 4 mm lateral to the mid line. Histologically, such lesions involved the cells of the parvicellular part of the lateral reticular nucleus.4. Placing an electrode, with a diameter of 1 mm, under light pressure on the glycine-sensitive area produced a short-lasting steep rise in blood pressure. The same effect was produced when a current was passed through the electrode to destroy the underlying tissue, but after its destruction the passage of current no longer produced the pressor effect.5. Once the glycine-sensitive area of one side was destroyed, glycine applied to the destroyed area through one of the Perspex rings no longer produced its small depressor effect, but when applied to the intact area of the other side, a pronounced fall in blood pressure occurred. Thus unilateral destruction had the same effect as unilateral glycine application. It potentiated the depressor effect of glycine applied to the other side.6. Following unilateral destruction of the glycine-sensitive area there was only a small fall in blood pressure; following its bilateral destruction blood pressure fell to a low level.7. It is concluded that the cells in the small circumscribed glycine-sensitive areas on the ventral surface of the medulla may play a key role in the maintenance of arterial blood pressure and that the cells of one side are sufficient for this function.
摘要
  1. 在戊巴比妥钠麻醉、经静脉注射硝酸甲基阿托品进行阿托品化并人工通气的猫身上进行了实验:(a) 当通过位于梯形体尾侧的一对有机玻璃环局部应用甘氨酸,使其动脉血压下降时,定位甘氨酸作用于延髓腹侧面的部位;(b) 比较单侧和双侧应用的效果;(c) 研究甘氨酸敏感区电解损伤所产生的血压效应。

  2. 通过其中一个有机玻璃环单侧应用甘氨酸时,血压仅略有下降,但双侧应用时则出现明显下降。这种下降幅度太大,无法用两个最小反应相加来解释。因此,一侧应用甘氨酸可增强另一侧应用甘氨酸的降压效果。

  3. 将一对有机玻璃环向头端或尾端移动到延髓上的不同位置,并确定每个位置甘氨酸的作用效果,发现甘氨酸敏感区局限于位于梯形体尾侧1 - 2.5毫米处的一条1.5毫米宽的条带。通过在该条带范围内进行电解损伤,发现甘氨酸敏感区在内外侧方向上不超过1.5毫米,且位于中线外侧约4毫米处。组织学检查显示,此类损伤累及外侧网状核小细胞部的细胞。

  4. 将一个直径为1毫米的电极在轻压下置于甘氨酸敏感区,可使血压出现短暂的急剧上升。当电流通过电极破坏其下方组织时也会产生同样的效果,但在组织破坏后,电流通过不再产生升压效应。

  5. 一旦一侧的甘氨酸敏感区被破坏,通过其中一个有机玻璃环将甘氨酸应用于被破坏区域时,不再产生其轻微的降压效果,但当应用于另一侧的完整区域时,则会出现明显的血压下降。因此,单侧破坏与单侧应用甘氨酸具有相同的效果。它增强了应用于另一侧的甘氨酸的降压效果。

  6. 单侧破坏甘氨酸敏感区后,血压仅略有下降;双侧破坏后,血压降至低水平。

  7. 得出的结论是,延髓腹侧面小的局限性甘氨酸敏感区中的细胞可能在维持动脉血压中起关键作用,且一侧的细胞对于该功能就足够了。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a372/1330679/b6fa4bce4b18/jphysiol00918-0224-a.jpg

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