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交感神经刺激对豚鼠窦房结的影响。

Effects of sympathetic nerve stimulation on the sino-atrial node of the guinea-pig.

作者信息

Choate J K, Edwards F R, Hirst G D, O'Shea J E

机构信息

Department of Zoology, University of Melbourne, Parkville, Victoria, Australia.

出版信息

J Physiol. 1993 Nov;471:707-27. doi: 10.1113/jphysiol.1993.sp019924.

Abstract
  1. The effects of sympathetic nerve stimulation on the generation of pacemaker action potentials, recorded from the sino-atrial node of the guinea-pig, were determined by using intracellular recording techniques. 2. Trains of stimuli applied to the right stellate ganglion led to an increase in heart rate after a delay of a few seconds. During the initial phase of the tachycardia the rate of discharge of pacemaker action potentials increased and the rate of diastolic depolarization increased, but both the peak diastolic potential and the maximum rate of rise of the action potentials were reduced. During the later phase of the tachycardia the peak diastolic potential, the amplitude of the action potentials, the maximum rate of rise and the rate of repolarization of the action potentials were increased. 3. When membrane potential recordings were made from sino-atrial node cells, in which beating had been abolished by adding the organic calcium antagonist nifedipine, sympathetic nerve stimulation initiated excitatory junction potentials (EJPs) which had time courses similar to those of the tachycardias recorded from beating preparations. 4. Although both the tachycardias produced by either sympathetic nerve stimulation or added noradrenaline were largely abolished by beta-adrenoceptor antagonists, the membrane potential changes recorded during the responses to sympathetic nerve stimulation or added noradrenaline were different. Bath-applied noradrenaline caused a tachycardia which was associated with an increase in the amplitudes of pacemaker action potentials, an increase in the peak diastolic potential and a shortening in the duration of pacemaker action potentials. 5. The addition of agents which cause the accumulation of cyclic AMP in the cytoplasm of the cells produced a tachycardia which was associated with a similar sequence of changes in the membrane potentials to those produced by added noradrenaline; again the membrane potential changes produced by these agents differed from those produced by sympathetic nerve stimulation. 6. The results are discussed in relation to the idea that neurally released noradrenaline activates a set of receptors which cause tachycardia by increasing inward current flow during diastole, whereas added noradrenaline activates a set of receptors that are linked to a cyclic AMP-dependent pathway which modifies the properties of some of the voltage-dependent channels involved in pacemaking activity.
摘要
  1. 运用细胞内记录技术,确定了交感神经刺激对豚鼠窦房结所记录的起搏动作电位产生的影响。2. 施加于右侧星状神经节的一串刺激,在延迟数秒后导致心率增加。在心动过速的初始阶段,起搏动作电位的发放频率增加,舒张期去极化速率增加,但舒张期电位峰值和动作电位最大上升速率均降低。在心动过速的后期阶段,舒张期电位峰值、动作电位幅度、最大上升速率和动作电位复极化速率均增加。3. 当从已通过添加有机钙拮抗剂硝苯地平而停止跳动的窦房结细胞进行膜电位记录时,交感神经刺激引发了兴奋性突触后电位(EJP),其时间进程与从跳动标本记录的心动过速相似。4. 尽管交感神经刺激或添加去甲肾上腺素所产生的心动过速在很大程度上都被β-肾上腺素能受体拮抗剂消除,但在对交感神经刺激或添加去甲肾上腺素的反应过程中记录到的膜电位变化是不同的。浴加去甲肾上腺素引起心动过速,这与起搏动作电位幅度增加、舒张期电位峰值增加以及起搏动作电位持续时间缩短有关。5. 添加能导致细胞胞质中环状AMP积累的试剂会产生心动过速,其膜电位变化序列与添加去甲肾上腺素所产生的相似;同样,这些试剂所产生的膜电位变化与交感神经刺激所产生的不同。6. 讨论了这些结果与以下观点的关系:神经释放的去甲肾上腺素激活一组受体从而通过增加舒张期内向电流来引起心动过速,而添加的去甲肾上腺素激活一组与环状AMP依赖性途径相关的受体,该途径改变了一些参与起搏活动的电压依赖性通道的特性。

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