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生长抑素和心房利钠肽对气管张力的中枢作用。

Central effects of somatostatin and atrial natriuretic peptide on tracheal tone.

作者信息

Haxhiu M A, Deal E C, Van Lunteren E, Cherniack N S

机构信息

Department of Medicine, Case Western Reserve University, Cleveland, Ohio 44106.

出版信息

J Appl Physiol (1985). 1993 Dec;75(6):2353-9. doi: 10.1152/jappl.1993.75.6.2353.

Abstract

The effects of somatostatin and atrial natriuretic peptide applied topically to the ventral surface of the medulla (VMS) on tracheal tone and phrenic nerve activity (Phr) were studied in chloralose-anesthetized and paralyzed cats artificially ventilated with 7% CO2 in O2. Surface application of drugs to the chemosensitive areas of the VMS significantly decreased tracheal tension measured by changes in pressure in a balloon placed in a bypassed segment of the trachea (Ptseg). Application of somatostatin (9 cats) caused a mean decrease in Ptseg from 17.3 +/- 1.8 (SE) to 4.3 +/- 1.4 cmH2O (P < 0.01) and a reduction in Phr from 24.9 +/- 3.4 to 10.3 +/- 3.4 units (P < 0.05). Like somatostatin, application of atrial natriuretic peptide to the VMS (5 cats) produced tracheal relaxation (Ptseg decreased from 19.3 +/- 2.6 to 9.9 +/- 1.3 cmH2O, P < 0.01), but in contrast there was an insignificant reduction in Phr (from 18.5 +/- 3.6 to 16.1 +/- 3.8 units, P > 0.05). When parasympathetic activity was abolished by atropine methylnitrate and tracheal tone was restored with 5-hydroxytryptamine, somatostatin and atrial natriuretic peptide applied on the VMS had no effect on tracheal pressure, suggesting that observed changes were not caused by direct action of peptides on tracheal smooth muscle via the bloodstream or by facilitation of inhibitory pathways. Both somatostatin and atrial natriuretic peptide applications were associated with a slight but significant decrease in arterial blood pressure. These data suggest that somatostatin and atrial natriuretic peptide acting on the chemosensitive structure of the VMS may play significant roles in modulating para-sympathetic outflow to airway smooth muscle.

摘要

在以氯醛糖麻醉并麻痹、用含7%二氧化碳的氧气进行人工通气的猫身上,研究了将生长抑素和心房利钠肽局部应用于延髓腹侧面(VMS)对气管张力和膈神经活动(Phr)的影响。将药物局部应用于VMS的化学敏感区域,可显著降低通过置于气管旁路节段的气囊压力变化测量的气管张力(Ptseg)。应用生长抑素(9只猫)使Ptseg平均从17.3±1.8(标准误)降至4.3±1.4 cmH₂O(P<0.01),Phr从24.9±3.4降至10.3±3.4单位(P<0.05)。与生长抑素一样,将心房利钠肽应用于VMS(5只猫)可使气管松弛(Ptseg从19.3±2.6降至9.9±1.3 cmH₂O,P<0.01),但与之形成对比的是,Phr仅有不显著的降低(从18.5±3.6降至16.1±3.8单位,P>0.05)。当用硝酸甲基阿托品消除副交感神经活动并用5-羟色胺恢复气管张力时,应用于VMS的生长抑素和心房利钠肽对气管压力无影响,这表明观察到的变化并非由肽通过血流对气管平滑肌的直接作用或通过促进抑制性通路引起。应用生长抑素和心房利钠肽均与动脉血压轻微但显著的降低有关。这些数据表明,作用于VMS化学敏感结构的生长抑素和心房利钠肽可能在调节副交感神经向气道平滑肌的传出中起重要作用。

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