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β-内啡肽对呼吸和循环的中枢性抑制作用。

beta-Endorphin central depression of respiration and circulation.

作者信息

Moss I R, Scarpelli E M

出版信息

J Appl Physiol Respir Environ Exerc Physiol. 1981 May;50(5):1011-6. doi: 10.1152/jappl.1981.50.5.1011.

Abstract

Beta-Endorphin was injected into cerebrospinal fluid of lightly anesthetized dogs. Its effects on ventilation (V), tidal volume (VT), respiratory frequency (f), preinspiratory occlusion pressure (P500), and respiratory timing of unoccluded and occluded breaths were studied during CO2 rebreathing. Blood pressure and heart rate (HR) were monitored throughout the study. beta-Endorphin produced 1) early (approximately 15 min) but temporary depression of VT-PCO2 and P500-PCO2 responses; 2) progressive hypoventilation during spontaneous breathing and progressive depression of V-PCO2 and f-PCO2 responses, which were maximal at about 75 min, followed by gradual recovery; 3) progressive hypotension and bradycardia starting at about 15 min and reaching maximal effect at about 105 min. Increased expiratory time (TE) accounted for the changes in f. TE increased in unoccluded breaths and during both preinspiratory and inflation occlusion. After vagotomy, beta-endorphin produced insignificant effect on f, TE, and HR. Naloxone itself increased P500-PCO2 response; when given during beta-endorphin effect, it reversed the hypotension, bradycardia, V-PCO2, and f-PCO2 responses and facilitated the P500-PCO2 and VT-PCO2 responses. We conclude that beta-endorphin effect is produced by both depression of specific central cardiovascular and respiratory control units and facilitation of central vagal projections.

摘要

将β-内啡肽注入轻度麻醉犬的脑脊液中。在二氧化碳重复呼吸过程中,研究了其对通气(V)、潮气量(VT)、呼吸频率(f)、吸气前阻断压(P500)以及未阻断和阻断呼吸的呼吸时间的影响。在整个研究过程中监测血压和心率(HR)。β-内啡肽产生了以下影响:1)早期(约15分钟)但短暂地抑制VT-PCO2和P500-PCO2反应;2)在自主呼吸过程中逐渐出现通气不足,以及V-PCO2和f-PCO2反应逐渐受到抑制,在约75分钟时达到最大程度,随后逐渐恢复;3)从约15分钟开始逐渐出现低血压和心动过缓,在约105分钟时达到最大效应。呼气时间(TE)的增加解释了f的变化。在未阻断呼吸以及吸气前和充气阻断期间,TE均增加。切断迷走神经后,β-内啡肽对f、TE和HR产生的影响不显著。纳洛酮本身增加了P500-PCO2反应;在β-内啡肽起作用期间给予纳洛酮,它可逆转低血压、心动过缓、V-PCO2和f-PCO2反应,并促进P500-PCO2和VT-PCO2反应。我们得出结论,β-内啡肽的作用是通过抑制特定的中枢心血管和呼吸控制单元以及促进中枢迷走神经投射来产生的。

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