McQueen D S
Br J Pharmacol. 1980 Jul;69(3):433-40. doi: 10.1111/j.1476-5381.1980.tb07032.x.
1 The effects of intracarotid (i.a.) injections of acetylcholine (ACh) and sodium cyanide (NaCN) on baroreceptor activity recorded from the sinus nerve have been investigated in cats anaesthetized with pentobarbitone.2 Two types of baroreceptor unit were recorded. The predominant type discharged at least 3 to 4 spikes per pulse wave at normal BP; they are referred to as ;polyspike' units and may have been associated with A fibres. The other type discharged a maximum of 1 to 3 spikes per pulse wave, even at high BP; they are referred to as ;few-spike' units and may have been from C fibres.3 NaCN had no direct effect on either type of baroreceptor unit, even when injected in high doses (2.04 to 5.1 mumol i.a.) which cause maximal chemoreceptor stimulation, and it is concluded that as far as the cat's carotid baroreceptors and chemoreceptors are concerned, NaCN is a specific chemoreceptor stimulant.4 ACh had no direct effect on polyspike baroreceptor units unless very high doses (1.83 mumol i.a.) were injected, when there was occasionally a transient slight increase in discharge. This effect appeared to be secondary to muscle contraction caused by ACh since it was not seen when an adequate neuromuscular-blocking dose of gallamine had been administered.5 ACh stimulated the few-spike type of baroreceptor unit, an effect which was dose-related and lasted for up to 3 s; the threshold dose for baroreceptor stimulation was higher than that needed to excite chemoreceptor units. The increased discharge also occurred during experiments in which gallamine had been administered. Only five of these units were recorded during the investigation, despite an intensive search for them.6 There was a delayed increase in baroreceptor sensitivity following the administration of ACh in doses (37 to 366 nmol i.a.) which had no immediate direct effect on polyspike baroreceptor discharge. The effect was evidently not secondary to changes in sympathetic nerve activity to the sinus region since it was observed during an experiment in which the ganglioglomerular nerves had been cut. Whether the increased sensitivity resulted from direct or indirect actions of ACh remains to be determined.7 It is concluded that low doses of ACh or other drugs with nicotinic properties are unlikely to evoke baroreceptor reflexes on intracarotid injection, although they may cause delayed changes in baroreceptor sensitivity. Higher doses of ACh do not directly affect baroreceptor polyspike (A fibre) units, but transient baroreflex changes might result from stimulation of baroreceptor few-spike (C fibre) units. It is most unlikely that NaCN has any direct effect on baroreceptor reflex activity when injected into the carotid artery in doses used to elicit chemoreceptor reflexes.
研究了在戊巴比妥麻醉的猫中,颈内动脉注射乙酰胆碱(ACh)和氰化钠(NaCN)对从窦神经记录的压力感受器活动的影响。
记录到两种类型的压力感受器单位。主要类型在正常血压下每个脉搏波至少发放3至4个峰电位;它们被称为“多峰”单位,可能与A纤维有关。另一种类型即使在高血压时每个脉搏波最多发放1至3个峰电位;它们被称为“少峰”单位,可能来自C纤维。
NaCN对两种类型的压力感受器单位均无直接影响,即使高剂量(颈内动脉注射2.04至5.1 μmol)注射时引起最大化学感受器刺激,并且得出结论,就猫的颈动脉压力感受器和化学感受器而言,NaCN是一种特异性化学感受器刺激剂。
ACh对多峰压力感受器单位无直接影响,除非注射非常高的剂量(颈内动脉注射1.83 μmol),此时偶尔会有放电的短暂轻微增加。这种效应似乎是ACh引起的肌肉收缩的继发效应,因为当给予足够的神经肌肉阻断剂量的加拉明时未观察到这种效应。
ACh刺激少峰型压力感受器单位,这种效应与剂量相关且持续长达3秒;压力感受器刺激的阈值剂量高于激发化学感受器单位所需的剂量。在给予加拉明的实验中也出现放电增加。尽管进行了深入寻找,但在研究期间仅记录到其中5个单位。
给予对多峰压力感受器放电无立即直接影响的剂量(颈内动脉注射37至366 nmol)的ACh后,压力感受器敏感性有延迟增加。该效应显然不是窦区交感神经活动变化的继发效应,因为在切断神经节球神经的实验中观察到了这种效应。ACh增加的敏感性是由其直接作用还是间接作用引起的仍有待确定。
得出结论,低剂量的ACh或其他具有烟碱特性的药物颈内动脉注射时不太可能引发压力感受器反射,尽管它们可能导致压力感受器敏感性的延迟变化。较高剂量的ACh不会直接影响压力感受器多峰(A纤维)单位,但刺激压力感受器少峰(C纤维)单位可能导致短暂的压力反射变化。当以用于引发化学感受器反射的剂量注入颈动脉时,NaCN极不可能对压力感受器反射活动有任何直接影响。