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迷走神经和交感神经传出纤维的交互性和非交互性作用的控制:中枢诱导反应的研究

Control of reciprocal and non-reciprocal action of vagal and sympathetic efferents: study of centrally induced reactions.

作者信息

Koizumi K, Kollai M

出版信息

J Auton Nerv Syst. 1981 Apr;3(2-4):483-501. doi: 10.1016/0165-1838(81)90082-5.

Abstract

The mechanism of control of reciprocal and non-reciprocal action between parasympathetic and sympathetic nerves was investigated. Simultaneous recordings were made from both vagal and sympathetic nerves innervating the heart of responses evoked by hypothalamic stimulation in chloralose-anesthetized dogs. Four patterns of responses could be elicited by repetitive stimulations of various sites within the hypothalamus: (1) A reciprocal pattern of cardiac vagal and sympathetic discharges accompanied by a rise in blood pressure, heart rate and a 2 to 8-fold increase in muscle blood flow. The vagal activity completely ceased, while sympathetic discharges were greatly augmented. These changes occurred quickly and often lasted throughout the stimulation, preventing baroreceptor reflex from breaking through. This pattern is similar to the cardiovascular component of the "defense reaction". (2) A reciprocal pattern of discharges accompanied by a depressor response and bradycardia; the vagal discharges increased while those of the sympathetic efferents decreased. (3) A non-reciprocal pattern of response in which activity of the two efferents increased. The blood pressure was elevated and heart rate decreased. (4) A non-reciprocal pattern of action of the two efferents in which discharges of both nerves were depressed; the blood pressure decreased and heart rate increased. Factors affecting these responses patterns were found to be: (a) secondarily occurring reflex responses due to baroreceptor activation or deactivation. These baroreceptor-related reactions always showed reciprocal changes between vagal and sympathetic nerve activity; (b) the level of tonic activity of the autonomic nerves, e.g. during a high level of tonic activity inhibitory action became less effective while the excitatory effect was greater. Thus central states maintaining influenced the pattern of reaction and the relationship between activity in these two efferent nerves. Single pulse stimulations of the hypothalamic regions from which different patterns were evoked, when stimulated repetitively, yielded patterns which were basically reciprocal and biphasic; in vagus efferents an inhibitory phase was followed by an excitation of tonic activity, while in sympathetic an excitation was followed by an inhibition. The degree and duration of these excitatory and inhibitory phases differed, depending on the site of stimulation, but only to a minor degree, and the basic pattern remained unchanged. The implication of these findings is that the hypothalamus can organized both reciprocal and non-reciprocal patterns of activity in the two autonomic limbs in response to varied afferent stimuli. Probably only subtle changes in the central states or influences on neurons of the autonomic system suffice to result in different response pattern. No pattern of response is fixed within the central control complex.

摘要

研究了副交感神经和交感神经之间相互作用与非相互作用的控制机制。在水合氯醛麻醉的犬中,同时记录支配心脏的迷走神经和交感神经对下丘脑刺激所诱发反应的情况。通过重复刺激下丘脑内的不同部位,可引出四种反应模式:(1)心脏迷走神经和交感神经放电呈相互模式,伴有血压升高、心率加快以及肌肉血流量增加2至8倍。迷走神经活动完全停止,而交感神经放电大幅增强。这些变化迅速发生,且常常在整个刺激过程中持续存在,从而阻止压力感受器反射的突破。这种模式类似于“防御反应”的心血管成分。(2)放电呈相互模式,伴有降压反应和心动过缓;迷走神经放电增加,而交感传出神经放电减少。(3)反应呈非相互模式,即两种传出神经的活动均增加。血压升高,心率下降。(4)两种传出神经的作用呈非相互模式,即两根神经的放电均受到抑制;血压下降,心率增加。发现影响这些反应模式的因素有:(a)由于压力感受器激活或失活而继发的反射反应。这些与压力感受器相关的反应总是在迷走神经和交感神经活动之间呈现相互变化;(b)自主神经的紧张性活动水平,例如在紧张性活动水平较高时,抑制作用变得不那么有效,而兴奋作用则更强。因此,维持的中枢状态影响反应模式以及这两种传出神经活动之间的关系。对能引出不同模式的下丘脑区域进行单脉冲刺激,当重复刺激时,产生的模式基本上是相互的且呈双相性;在迷走神经传出纤维中,先是抑制相,随后是紧张性活动的兴奋,而在交感神经中,先是兴奋,随后是抑制。这些兴奋相和抑制相的程度和持续时间因刺激部位而异,但差异较小,基本模式保持不变。这些发现的意义在于,下丘脑能够根据不同的传入刺激,在两个自主神经分支中组织相互和非相互的活动模式。可能只有中枢状态的细微变化或对自主神经系统神经元的影响,就足以导致不同的反应模式。在中枢控制复合体中,没有固定的反应模式。

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