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猫对迷走神经刺激和乙酰胆碱的肺血管舒张反应。

Pulmonary vasodilator responses to vagal stimulation and acetylcholine in the cat.

作者信息

Nandiwada P A, Hyman A L, Kadowitz P J

出版信息

Circ Res. 1983 Jul;53(1):86-95. doi: 10.1161/01.res.53.1.86.

Abstract

Responses to vagal stimulation and acetylcholine were investigated in the feline pulmonary vascular bed under conditions of controlled pulmonary blood flow and constant left atrial pressure. Under baseline conditions, electrical stimulation of vagal efferent fibers increases lobar arterial pressure. However, when vasoconstrictor tone was increased, a depressor response was unmasked. The pressor response under baseline conditions and the depressor response under enhanced tone conditions were blocked by phenoxybenzamine and atropine. These data suggest that, in the cat, the vagus is composed of efferent fibers from both the sympathetic and parasympathetic systems. After treatment with 6-hydroxydopamine to destroy the integrity of the sympathetic system, vagal stimulation caused significant frequency-dependent decreases in lobar arterial pressure when lobar vascular tone was increased by infusion of a stable prostaglandin endoperoxide analog or ventilatory hypoxia. Injections of acetylcholine also caused significant dose-related decreases in lobar arterial pressure when lobar vascular resistance was elevated. Depressor responses to vagal stimulation and acetylcholine in 6-hydroxydopamine-treated animals were blocked by atropine and enhanced by physostigmine. Decreases in lobar arterial pressure in response to vagal stimulation in 6-hydroxydopamine-treated animals with enhanced tone were blocked by hexamethonium, whereas responses to injected acetylcholine were not altered by the ganglionic blocking agent. Decreases in lobar arterial pressure in response to vagal stimulation and acetylcholine were similar when the lung was ventilated and when the left lower lobe bronchus was obstructed. In addition, responses to vagal stimulation were similar when systemic arterial pressure was decreased to the level of pressure in the perfused lobar artery. Responses to acetylcholine were not altered after treatment with 5,8,11,14-eicosatetraynoic acid, a lipoxygenase inhibitor. The present data suggest that the feline pulmonary vascular bed is functionally innervated by cholinergic nerves and that vagal stimulation dilates the pulmonary vascular bed by releasing acetylcholine which acts on muscarinic receptors in pulmonary vessels.

摘要

在控制肺血流量和恒定左心房压力的条件下,对猫肺血管床对迷走神经刺激和乙酰胆碱的反应进行了研究。在基线条件下,迷走神经传出纤维的电刺激会增加叶动脉压。然而,当血管收缩张力增加时,会出现降压反应。基线条件下的升压反应和增强张力条件下的降压反应均被酚苄明和阿托品阻断。这些数据表明,在猫中,迷走神经由交感神经系统和副交感神经系统的传出纤维组成。在用6-羟基多巴胺破坏交感神经系统的完整性后,当通过输注稳定的前列腺素内过氧化物类似物或通气性低氧增加叶血管张力时,迷走神经刺激会导致叶动脉压出现明显的频率依赖性降低。当叶血管阻力升高时,注射乙酰胆碱也会导致叶动脉压出现明显的剂量相关性降低。在6-羟基多巴胺处理的动物中,对迷走神经刺激和乙酰胆碱的降压反应被阿托品阻断,并被毒扁豆碱增强。六甲铵可阻断6-羟基多巴胺处理的动物在增强张力时对迷走神经刺激的叶动脉压降低反应,而神经节阻断剂对注射乙酰胆碱的反应无影响。当肺通气和左下叶支气管阻塞时,对迷走神经刺激和乙酰胆碱的叶动脉压降低反应相似。此外,当全身动脉压降至灌注叶动脉的压力水平时,对迷走神经刺激的反应相似。用脂氧合酶抑制剂5,8,11,14-二十碳四烯酸处理后,对乙酰胆碱的反应未改变。目前的数据表明,猫肺血管床在功能上受胆碱能神经支配,迷走神经刺激通过释放作用于肺血管中M受体的乙酰胆碱使肺血管床扩张。

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