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异丙肾上腺素对猫颈动脉体化学感受器反应的增强作用

Augmentation of carotid body chemoreceptor responses by isoproterenol in the cat.

作者信息

Lahiri S, Pokorski M, Davies R O

出版信息

Respir Physiol. 1981 Jun;44(3):351-64. doi: 10.1016/0034-5687(81)90029-3.

Abstract

The effects of intravenous injections of isoproterenol (0.5-2 microgram) on the responses of carotid body chemoreceptor afferents and on integrated phrenic activity were investigated in twelve anesthetized and three decerebrate, unanesthetized cats. All animals were paralyzed and artificially ventilated. Isoproterenol stimulated carotid chemoreceptor activity and this stimulation was augmented by both hypoxia and hypercapnia. Following an injection of isoproterenol, the ratio of the minute phrenic activity relative to mean carotid chemoreceptor activity was increased. Thus, the stimulation of inspiratory phrenic output exceeded the stimulation of the chemoreceptor afferent input, and the peripheral chemoreflex activity does not account for the entire ventilatory response. To distinguish between a direct effect of isoproterenol and a possible secondary effect mediated via an increased venous return and an increased PaCO2, the latencies of the response of carotid chemoreceptors to both isoproterenol and hypercapnia were compared before and after carbonic anhydrase inhibition by acetazolamide. After acetazolamide, the latency of the response to hypercapnia increased from 3.5 sec to 8 sec whereas the latency of response to isoproterenol increased less, from 4.7 sec to 6.3 sec. Thus, isoproterenol stimulation was not mediated by CO2-H+. Propanolol, which blocked the systemic vascular effect, only partially blocked the chemoreceptor stimulation caused by isoproterenol, indicting that the effect of isoproterenol on chemoreceptor activity was not due to systemic cardiovascular changes.

摘要

在12只麻醉猫和3只去大脑未麻醉猫中,研究了静脉注射异丙肾上腺素(0.5 - 2微克)对颈动脉体化学感受器传入反应和膈神经综合活动的影响。所有动物均被麻痹并进行人工通气。异丙肾上腺素刺激颈动脉化学感受器活动,且这种刺激在低氧和高碳酸血症时均增强。注射异丙肾上腺素后,每分钟膈神经活动与平均颈动脉化学感受器活动的比值增加。因此,吸气性膈神经输出的刺激超过了化学感受器传入输入的刺激,并且外周化学感受性反射活动不能解释整个通气反应。为了区分异丙肾上腺素的直接作用和可能通过静脉回流量增加及动脉血二氧化碳分压(PaCO2)升高介导的继发作用,在使用乙酰唑胺抑制碳酸酐酶前后,比较了颈动脉化学感受器对异丙肾上腺素和高碳酸血症反应的潜伏期。使用乙酰唑胺后,对高碳酸血症反应的潜伏期从3.5秒增加到8秒,而异丙肾上腺素反应的潜伏期增加较少,从4.7秒增加到6.3秒。因此,异丙肾上腺素刺激不是由CO2 - H +介导的。普萘洛尔可阻断全身血管效应,但仅部分阻断异丙肾上腺素引起的化学感受器刺激,这表明异丙肾上腺素对化学感受器活动的影响并非由于全身心血管变化所致。

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