Hurt C M, Wang L, Xu J, Sterious W, Pelleg A
Department of Medicine, Likoff Cardiovascular Institute, Hahnemann University, Philadelphia, Pennsylvania 19102-1192.
Am J Physiol. 1994 Sep;267(3 Pt 2):H1093-7. doi: 10.1152/ajpheart.1994.267.3.H1093.
Extracellular ATP can act on chemosensitive vagal C-fiber nerve terminals in the lungs, thereby eliciting a pulmonary-cardiac depressor reflex. Previous studies have shown a right vagal dominance in afferent traffic elicited by intra-right atrial ATP. To elucidate the mechanism of this phenomenon, the following hypotheses were tested in a canine model. 1) Intra-right and intra-left pulmonary ATP elicit neural afferent traffic, which travels via the right and left vagus nerves, respectively. 2) Intra-right vs. intra-left pulmonary ATP causes similar suppression of sinus node automaticity. Data obtained in this study support both hypotheses and suggest that right vagal dominance in afferent neural traffic elicited by ATP is probably due to the action of ATP and/or its metabolites on nonpulmonary tissues.
细胞外ATP可作用于肺部的化学敏感迷走神经C纤维神经末梢,从而引发肺心抑制反射。先前的研究表明,右心房内ATP引发的传入信号存在右侧迷走神经优势。为阐明这一现象的机制,在犬类模型中对以下假设进行了测试。1)右肺和左肺内注入ATP会引发神经传入信号,分别通过右侧和左侧迷走神经传导。2)右肺与左肺内注入ATP对窦房结自律性的抑制作用相似。本研究获得的数据支持这两个假设,并表明ATP引发的传入神经信号中的右侧迷走神经优势可能是由于ATP和/或其代谢产物对非肺组织的作用。