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由压力感受性反射迷走性心动过缓的中脑导水管周围灰质介导的抑制靶点。

Target site of inhibition mediated by midbrain periaqueductal gray matter of baroreflex vagal bradycardia.

作者信息

Inui K, Nosaka S

机构信息

Department of Psychiatry, Mie University School of Medicine, Japan.

出版信息

J Neurophysiol. 1993 Dec;70(6):2205-14. doi: 10.1152/jn.1993.70.6.2205.

DOI:10.1152/jn.1993.70.6.2205
PMID:7907131
Abstract
  1. Both electrical and chemical stimulation of the midbrain periaqueductal gray matter (PAG) inhibit baroreflex vagal bradycardia (BVB). The present study was designed to determine the target site of this inhibition about which little is known. Electrical stimulation of the PAG, in particular of its dorsal portion, markedly suppressed BVB provoked by electrical stimulation of the aortic depressor nerve (ADN; percentage of inhibition = 91.0 +/- 9.7%, mean +/- SD; n = 64). To identify the target site of the inhibition, several types of experiments were conducted in rats under chloralose-urethan anesthesia. 2. The inhibition was exclusively of central origin because inhibition of BVB by stimulation of the PAG was unchanged after transection of the spinal cord at the C1 level. According to Wall's method, we examined whether PAG stimulation affects BVB presynaptically by modulating the excitability of ADN terminals in the nucleus tractus solitarius (NTS). However, excitability changes of ADN terminals by the PAG stimulation were not demonstrated. 3. Vagal bradycardia evoked by microinjection of glutamate into the nucleus ambiguus (NA) region was markedly suppressed by the PAG (percentage of inhibition = 85.9 +/- 9.1%; n = 9), an indication that vagal cardiac preganglionic neurons at this site were subject to the inhibitory action of the PAG. Basal vagal tone due to ongoing preganglionic neuronal activity was also subject to inhibitory control by the PAG because basal heart rate was increased by stimulation of the PAG after either C1 transection or NTS lesion. 4. We found that PAG stimulation suppressed ADN-induced field potentials in the NA region (37.7 +/- 13.8% relative to the control; n = 9) but only slightly in the NTS region (95.8 +/- 15.2%; n = 16). In addition, unitary recordings revealed that ADN-evoked unitary responses of neurons in the NA region were suppressed by PAG stimulation, whereas NTS baroreceptor neurons, either ADN responsive or nonresponsive, were scarcely inhibited by PAG stimulation. 5. These findings suggest that the PAG inhibited BVB mainly at the vagal preganglionic cell level and not at the NTS interneuron level. The conclusion is in harmony with our previous reports that the target site of hypothalamic inhibition of BVB in rats is also the preganglionic neurons and that hypothalamic inhibition of BVB is mediated predominantly by the PAG.
摘要
  1. 对中脑导水管周围灰质(PAG)进行电刺激和化学刺激均可抑制压力感受性反射性迷走神经心动过缓(BVB)。本研究旨在确定这种抑制作用的靶点,目前对此知之甚少。对PAG进行电刺激,尤其是对其背侧部分进行刺激,可显著抑制由主动脉减压神经(ADN)电刺激诱发的BVB(抑制百分比=91.0±9.7%,平均值±标准差;n=64)。为了确定抑制作用的靶点,在氯醛糖-乌拉坦麻醉的大鼠中进行了几种类型的实验。2. 这种抑制作用完全源于中枢,因为在C1水平横断脊髓后,刺激PAG对BVB的抑制作用不变。根据沃尔的方法,我们研究了PAG刺激是否通过调节孤束核(NTS)中ADN终末的兴奋性对BVB产生突触前影响。然而,未证实PAG刺激会改变ADN终末的兴奋性。3. 向疑核(NA)区域微量注射谷氨酸诱发的迷走神经心动过缓被PAG显著抑制(抑制百分比=85.9±9.1%;n=9),这表明该部位的迷走神经心脏节前神经元受到PAG的抑制作用。由于节前神经元持续活动导致的基础迷走神经张力也受到PAG的抑制性控制,因为在C1横断或NTS损伤后,刺激PAG会使基础心率增加。4. 我们发现,PAG刺激可抑制ADN在NA区域诱发的场电位(相对于对照组为37.7±13.8%;n=9),但在NTS区域仅轻微抑制(95.8±15.2%;n=16)。此外,单细胞记录显示,PAG刺激可抑制ADN在NA区域诱发的神经元单细胞反应,而NTS压力感受器神经元,无论对ADN有无反应,几乎不受PAG刺激的抑制。5. 这些发现表明,PAG主要在迷走神经节前细胞水平而非NTS中间神经元水平抑制BVB。这一结论与我们之前的报道一致,即大鼠下丘脑对BVB的抑制靶点也是节前神经元,且下丘脑对BVB的抑制主要由PAG介导。

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