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肺外周的局部迷走神经反应。

Local vagal responses in the lung periphery.

作者信息

Gertner A, Bromberger-Barnea B, Kelly L, Traystman R, Menkes H

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1984 Oct;57(4):1079-88. doi: 10.1152/jappl.1984.57.4.1079.

DOI:10.1152/jappl.1984.57.4.1079
PMID:6094402
Abstract

In previous work we studied responses to ozone (O3) in the lung periphery of anesthetized male mongrel dogs. O3 (0.1 ppm) delivered locally to the lung periphery through a bronchoscope wedged in a segmental airway increased collateral resistance (Rcs) 31.5 +/- 5%. Bilateral cervical vagotomy or pretreatment with atropine aerosol prevented these responses to O3. In the present study we asked two questions. First, is the vagus necessary for responses to 0.1 ppm O3 because it maintains base-line tone? Second, are physiological responses to O3 administered through a bronchoscope localized to the challenged region? To answer the first question, we increased base-line Rcs (38.4 +/- 11.8%) by administering an acetylcholinesterase inhibitor, neostigmine (aerosol), through the bronchoscope. Following neostigmine, O3 exposure increased Rcs (55.8 +/- 18.4%) only if the vagi were intact. To answer the second question, we introduced two bronchoscopes simultaneously into different regions of the lung. When O3 was delivered through one bronchoscope, responses were detected only in the exposed region. However, when the whole left lung was exposed to O3, the responses were also detected in the right lung, but only when the vagi were intact. We conclude that the lung has the capacity to respond to localized oxidant insult with vagally mediated responses limited to the region that is challenged. However, when a larger area is exposed, vagally mediated responses become generalized and affect both lungs.

摘要

在之前的研究中,我们研究了麻醉的雄性杂种犬肺外周对臭氧(O₃)的反应。通过楔入节段性气道的支气管镜将O₃(0.1 ppm)局部递送至肺外周,可使侧支阻力(Rcs)增加31.5±5%。双侧颈迷走神经切断术或用阿托品气雾剂预处理可防止对O₃的这些反应。在本研究中,我们提出了两个问题。第一,迷走神经对于对0.1 ppm O₃的反应是否必要,因为它维持基线张力?第二,通过支气管镜给予O₃的生理反应是否局限于受挑战区域?为了回答第一个问题,我们通过支气管镜给予乙酰胆碱酯酶抑制剂新斯的明(气雾剂),使基线Rcs增加(38.4±11.8%)。给予新斯的明后,仅在迷走神经完整时,O₃暴露才会使Rcs增加(55.8±18.4%)。为了回答第二个问题,我们同时将两个支气管镜插入肺的不同区域。当通过一个支气管镜给予O₃时,仅在暴露区域检测到反应。然而,当整个左肺暴露于O₃时,仅在迷走神经完整时,右肺也会检测到反应。我们得出结论,肺有能力以迷走神经介导的反应对局部氧化损伤作出反应,这种反应仅限于受挑战的区域。然而,当更大面积暴露时,迷走神经介导的反应会变得全身性,并影响双侧肺。

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