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胎儿和新生小牛肾上腺髓质的发育

The development of the adrenal medulla of the foetal and new-born calf.

作者信息

Comline R S, Silver M

出版信息

J Physiol. 1966 Mar;183(2):305-40. doi: 10.1113/jphysiol.1966.sp007868.

Abstract
  1. The output of adrenaline and noradrenaline from the adrenal medulla during asphyxia, stimulation of the splanchnic nerves or the intra-arterial injection of acetylcholine, has been investigated in foetal and new-born calves up to 3 weeks of age.2. Between 180 days' gestation and term ( approximately 281 days) the response of the foetal adrenal gland of the calf to asphyxia appeared to be independent of its nerve supply and the discharge consisted largely of noradrenaline. A similar type of discharge was obtained after the intra-arterial injection of acetylcholine, but stimulation of the splanchnic nerves resulted in only a small discharge of both adrenaline and noradrenaline.3. Rapid changes occurred in the response of the adrenal medulla to all forms of stimulation during the first 24 hr after birth. For the first 4-6 hr the adrenal medulla was hypersensitive; thereafter the response rapidly declined and a variable period of depressed excitability followed. The changes affected the output of noradrenaline rather than that of adrenaline and were more pronounced during asphyxia or after the intraarterial injection of acetylcholine. Within 24 hr of birth the amount of noradrenaline released in response to either form of stimulation was less than 25% of that found immediately after birth.4. During the hypersensitive phase immediately after birth splanchnic nerve activity appeared to potentiate the direct effect of asphyxia on the noradrenaline cells since the maximum output of noradrenaline was attained more rapidly and at a higher P(O2) if the splanchnic nerves were intact.5. The non-nervous direct response of the adrenal medulla to asphyxia decreased rapidly after birth and disappeared within 24 hr. It did not reappear at any age and was a feature of foetal life.6. The recovery of the response to acetylcholine occurred between 3 and 8 days after birth with a return of the high level of noradrenaline secretion; no similar increase in the output of adrenaline occurred at this stage.7. The response to asphyxia was not restored to the level found in the new-born calf until 2-3 weeks after birth. At this time the effect on the adrenal medulla appeared to be mediated almost entirely by the splanchnic nerves.8. The effects of chloralose and pentobarbitone anaesthesia on the changes in the nervous response to asphyxia after birth were compared. Essentially the same pattern of changes was found with both anaesthetics although the absolute level of discharge under chloralose was greater and a considerably larger amount of adrenaline was secreted at 3 weeks of age.9. At certain ages stimulation of the splanchnic nerves enhanced the response of the adrenal medulla to subsequent injections of acetylcholine. The noradrenaline output was only significantly increased by this procedure during the period of depressed excitability whereas the adrenaline discharge was always increased throughout the first 3 weeks of life.10. The changes in adrenaline and noradrenaline content of the adrenal glands during the 3-week period after birth were investigated. The noradrenaline concentration was low immediately after birth during the hypersensitive phase and increased during the period of reduced sensitivity. The output of this amine was thus inversely related to its content in the adrenal gland. A similar relation did not occur with adrenaline, the concentration of which remained relatively constant during the first 3 weeks of life.
摘要
  1. 对出生至3周龄的新生小牛,研究了窒息、刺激内脏神经或动脉内注射乙酰胆碱时肾上腺髓质肾上腺素和去甲肾上腺素的分泌情况。

  2. 在妊娠180天至足月(约281天)期间,小牛胎儿肾上腺对窒息的反应似乎与其神经供应无关,且分泌主要为去甲肾上腺素。动脉内注射乙酰胆碱后也得到类似的分泌类型,但刺激内脏神经仅导致肾上腺素和去甲肾上腺素少量分泌。

  3. 出生后最初24小时内,肾上腺髓质对所有刺激形式的反应发生了快速变化。最初4 - 6小时,肾上腺髓质高度敏感;此后反应迅速下降,随后是一段可变的兴奋性降低期。这些变化影响去甲肾上腺素的分泌而非肾上腺素的分泌,在窒息或动脉内注射乙酰胆碱后更为明显。出生后24小时内,对任何一种刺激形式释放的去甲肾上腺素量均少于出生后立即测得量的25%。

  4. 在出生后立即的高敏期,内脏神经活动似乎增强了窒息对去甲肾上腺素细胞的直接作用,因为如果内脏神经完整,去甲肾上腺素的最大分泌量能更快达到且在较高的氧分压下达到。

  5. 肾上腺髓质对窒息的非神经直接反应在出生后迅速下降,并在24小时内消失。它在任何年龄都不再出现,是胎儿期的一个特征。

  6. 对乙酰胆碱反应的恢复在出生后3至8天出现,同时去甲肾上腺素分泌水平恢复到较高水平;在此阶段肾上腺素分泌量没有类似增加。

  7. 对窒息的反应直到出生后2至3周才恢复到新生小牛的水平。此时对肾上腺髓质的作用似乎几乎完全由内脏神经介导。

  8. 比较了水合氯醛和戊巴比妥麻醉对出生后神经对窒息反应变化的影响。两种麻醉剂下发现的变化模式基本相同,尽管水合氯醛麻醉下的绝对分泌水平更高,且在3周龄时分泌的肾上腺素量显著增加。

  9. 在特定年龄,刺激内脏神经增强了肾上腺髓质对随后注射乙酰胆碱的反应。仅在兴奋性降低期,该操作才使去甲肾上腺素分泌量显著增加,而在出生后的前3周内肾上腺素分泌量始终增加。

  10. 研究了出生后3周内肾上腺中肾上腺素和去甲肾上腺素含量的变化。出生后高敏期内去甲肾上腺素浓度较低,在敏感性降低期增加。因此这种胺的分泌与其在肾上腺中的含量呈负相关。肾上腺素则没有类似关系,其浓度在出生后的前3周内保持相对恒定。

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