Lioy F, Trzebski A
J Auton Nerv Syst. 1984 Mar;10(1):43-54. doi: 10.1016/0165-1838(84)90066-3.
Rats were anesthetized with urethane and the vagi, aortic and carotid sinus nerves were sectioned bilaterally. Hypocapnia was induced by artificial hyperventilation with 100% O2. Administration of 5% CO2 in O2, without alteration of the respiratory rate or tidal volume, induced significant increases in mean systemic arterial pressure ( mSAP ) in rats with intact central nervous system (CNS) and after midcollicular section (36 +/- 4 and 34 +/- 2 mm Hg, respectively; mean +/- S.E.). Smaller but significant increases in mSAP (17 +/- 3 mm Hg) were induced by inhalation of 5% CO2 after section of the spinal cord at the C4 level. Ganglionic blockade with hexamethonium completely abolished the pressor response to CO2. In hypocapnic (paCO2 15.5 +/- 0.7 mm Hg) apneic rats with intact CNS, after denervation of the peripheral chemoreceptors, inhalation of 1.5% CO2 in O2 increased paCO2 to 22.3 +/- 1.2 mm Hg and mSAP by 16 +/- 1 mm Hg, but the animals remained apneic for up to 45 min of continuous CO2 administration. Higher FICO2s induced further immediate increases in mSAP and, after delays of up to 6-7 min, also a resumption of central rhythmic respiratory activity (monitored by the intercostal muscles or phrenic nerve electrogram). The paCO2 threshold for this respiratory response was 25 +/- 1 mm Hg. When rhythmic respiratory activity resumed, a further slight increase in mSAP and the appearance of respiratory modulated oscillations of the SAP were observed in most animals. When, after a period of CO2 inhalation, 100% O2 was again administered to the animals mSAP fell immediately, reaching the control level within 20-30 s, while the respiratory activity, if present, disappeared only after 1.5-2 min. From these experiments we conclude that in the hypocapnic rat, after denervation of the peripheral chemoreceptors: (1) CO2 induces a neurogenic hypertensive response even in the absence of rhythmic respiratory activity; (2) the central chemosensitive sites appear to be located in the ponto-medullary region and in the spinal cord; and (3) the central mechanisms responsible for the pressor response have a lower CO2 threshold and a much shorter latency than those responsible for the initiation of the rhythmic respiratory activity.
用乌拉坦麻醉大鼠,双侧切断迷走神经、主动脉神经和颈动脉窦神经。通过用100%氧气进行人工过度通气诱导低碳酸血症。在氧气中给予5%二氧化碳,在不改变呼吸频率或潮气量的情况下,可使中枢神经系统(CNS)完整的大鼠和中脑水平横断后(分别为36±4和34±2 mmHg;平均值±标准误)的大鼠平均体动脉压(mSAP)显著升高。在C4水平脊髓横断后,吸入5%二氧化碳可使mSAP有较小但显著的升高(17±3 mmHg)。用六甲铵进行神经节阻断可完全消除对二氧化碳的升压反应。在中枢神经系统完整的低碳酸血症(动脉血二氧化碳分压[paCO2] 15.5±0.7 mmHg)呼吸暂停大鼠中,外周化学感受器去神经支配后,在氧气中吸入1.5%二氧化碳可使paCO2升高至22.3±1.2 mmHg,mSAP升高16±1 mmHg,但在持续给予二氧化碳长达45分钟的时间内动物仍保持呼吸暂停。更高的二氧化碳浓度(FICO2)可使mSAP立即进一步升高,并且在延迟长达6 - 7分钟后,还会恢复中枢节律性呼吸活动(通过肋间肌或膈神经电图监测)。这种呼吸反应的paCO2阈值为25±1 mmHg。当节律性呼吸活动恢复时,在大多数动物中观察到mSAP进一步轻微升高以及动脉血压(SAP)出现呼吸调制性振荡。在一段时间的二氧化碳吸入后,再次给动物吸入100%氧气时,mSAP立即下降,在20 - 30秒内达到对照水平,而呼吸活动(如果存在)仅在1.5 - 2分钟后消失。从这些实验中我们得出结论,在低碳酸血症大鼠中,外周化学感受器去神经支配后:(1)即使在没有节律性呼吸活动的情况下,二氧化碳也会诱导神经源性高血压反应;(2)中枢化学敏感部位似乎位于脑桥 - 延髓区域和脊髓中;(3)负责升压反应的中枢机制比负责启动节律性呼吸活动的机制具有更低的二氧化碳阈值和更短的潜伏期。