Medda B K, Koley J, Koley B
Department of Medicine, Medical College of Wisconsin, Milwaukee 53226, USA.
Jpn J Physiol. 1995;45(2):265-77. doi: 10.2170/jjphysiol.45.265.
In chloralose-anesthetized cats, rapid distension of the urinary bladder with warm (37 degrees C) normal saline (50-60 ml) causes an increase in blood pressure and contraction of the spleen. This response is due to peripheral vasoconstriction. In this experiment, the evidence of direct involvement of the spleen, as well as splenic and splanchnic sympathetic efferent activity on the viscerovascular reflexes, was investigated by pharmacological and electrophysiological (single unit preparation) means and analysis. The viscerovascular reflexes induced by urinary bladder distension remained unaffected by propranolol, but phentolamine, guanethidine sulfate, and hexamethonium completely antagonized the reflex vasopressor response. All these results with these blocking agents show that sympathetic nerves are actively involved in the reflex responses to distension of the urinary bladder with activation at the postganglionic level involving alpha-adrenoceptors and thereby the release of catecholamines. It is thus evident that the same mechanisms operate in the case of reflex elevation of blood pressure and contraction of the spleen. After bilateral denervation of the splanchnic sympathetic nerves, bladder distension failed to produce a reflex response. The efferent activity from the splanchnic and splenic sympathetic nerves in producing a reflex rise in blood pressure was recorded for direct evidence. The significant increase of asynchronous spontaneous discharge rate in the splanchnic and splenic sympathetic nerves was found along with a rise in blood pressure during bladder distension. On the basis of this study, it may be suggested that the spleen as well as splenic and splanchnic sympathetic nerves play an important role in the control of viscerovascular reflexes.
在使用水合氯醛麻醉的猫身上,用温热(37摄氏度)的生理盐水(50 - 60毫升)快速扩张膀胱会导致血压升高和脾脏收缩。这种反应是由于外周血管收缩所致。在本实验中,通过药理学和电生理学(单单位制备)方法及分析,研究了脾脏以及脾和内脏交感传出活动直接参与内脏血管反射的证据。膀胱扩张诱导的内脏血管反射不受普萘洛尔影响,但酚妥拉明、硫酸胍乙啶和六甲铵完全拮抗了反射性升压反应。这些阻断剂的所有这些结果表明,交感神经积极参与对膀胱扩张的反射反应,在节后水平激活涉及α - 肾上腺素能受体,从而释放儿茶酚胺。因此,很明显,血压反射性升高和脾脏收缩的情况中存在相同的机制。在内脏交感神经双侧去神经支配后,膀胱扩张未能产生反射反应。记录了内脏和脾交感神经在产生反射性血压升高时的传出活动以获取直接证据。发现在膀胱扩张期间,内脏和脾交感神经的异步自发放电率显著增加,同时血压升高。基于这项研究,可能表明脾脏以及脾和内脏交感神经在控制内脏血管反射中起重要作用。