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在家兔中,动脉内注射缓激肽和其他化学试剂诱发后肢感觉感受器产生的心血管和呼吸化学反射。

Cardiovascular and respiratory chemoreflexes from the hindlimb sensory receptors evoked by intra-arterial injection of bradykinin and other chemical agents in the rabbit.

作者信息

Tallarida G, Baldoni F, Peruzzi G, Brindisi F, Raimondi G, Sangiorgi M

出版信息

J Pharmacol Exp Ther. 1979 Feb;208(2):319-29.

PMID:762667
Abstract

Intra-arterial injections of bradykinin into the hindlimb of the rabbit cause two types of cardiovascular reflex effects displayed in succession. The first-type effects appear early and are of inhibitory nature, being represented by systemic hypotension, contralateral hindlimb vasodilation and bradycardia; the second-type effects appear later and are excitatory in nature, consisting of hypertension, hindlimb vasoconstriction and tachycardia and occur closely associated with behavioral manifestations typical of the reaction to pain. Both the depressor and pressor effects are accompanied by hyperventilation. Analogous biphasic reflex responses may be caused by intraarterial injections of potassium ions. On the contrary, hypertonic solutions (NaCl, glucose) usually only produce second-type excitatory responses. No significant cardiocirculatory reflex effects are induced by even high doses of serotonin, nicotine, adenosine, adenosine triphosphate, adrenalin, noradrenalin, angiotensin, vasopressin and oxytocin. General anesthesia greatly inhibits the pressor reflexes and potentiates the depressor responses (to bradykinin and K ions) but does not appear to be a necessary condition for provoking depressor reflexes by chemical stimulation of somatic afferents. Both chemoreflex responses are prevented by sectioning the somatic nerves of the injected limb. Denervation of sinoaortic areas and of cardiopulmonary receptors by bilateral cervical vagotomy or complete removal of the skin from the injected limb does not prevent either type of chemoreflex response. These depressor and pressor chemoreflexes have been ascribed to activation of two functionally distinct types of sensory receptors in the skeletal muscle, differently sensitive to chemical substances and selectively concerned with different patterns of cardiocirculatory reflex response.

摘要

向兔后肢动脉内注射缓激肽会引发两种相继出现的心血管反射效应。第一类效应出现较早,具有抑制性质,表现为全身性低血压、对侧后肢血管舒张和心动过缓;第二类效应出现较晚,具有兴奋性质,包括高血压、后肢血管收缩和心动过速,且与典型的疼痛反应行为表现密切相关。降压和升压效应均伴有过度通气。动脉内注射钾离子也可能引发类似的双相反射反应。相反,高渗溶液(氯化钠、葡萄糖)通常仅产生第二类兴奋反应。即使高剂量的血清素、尼古丁、腺苷、三磷酸腺苷、肾上腺素、去甲肾上腺素、血管紧张素、血管加压素和催产素也不会诱发明显的心血管反射效应。全身麻醉会极大地抑制升压反射并增强降压反应(对缓激肽和钾离子),但似乎不是通过化学刺激躯体传入神经引发降压反射的必要条件。切断注射肢体的躯体神经可阻止两种化学反射反应。通过双侧颈迷走神经切断术去神经支配窦主动脉区域和心肺感受器,或完全去除注射肢体的皮肤,均不能阻止任何一种化学反射反应。这些降压和升压化学反射归因于骨骼肌中两种功能不同的感觉受体的激活,它们对化学物质的敏感性不同,并分别与不同模式的心血管反射反应相关。

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