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心房利钠肽与心脏副交感神经功能之间的相互作用。

The interaction between atrial natriuretic peptide and cardiac parasympathetic function.

作者信息

Atchison D J, Ackermann U

机构信息

Department of Physiology, University of Toronto, Canada.

出版信息

J Auton Nerv Syst. 1993 Jan;42(1):81-8. doi: 10.1016/0165-1838(93)90344-t.

Abstract

We have demonstrated previously that atrial natriuretic peptide (ANP) inhibits hypotension-induced reflex tachycardia via a parasympathetic mechanism. The present study further defines that parasympathetic mechanism. We tested the hypothesis that ANP, during vagus nerve stimulation, acts as a physiological antagonist to interfere with alpha 1-adrenoceptor modulation of efferent cardiac vagal action. Sprague Dawley rats were divided into five groups, each group receiving a different infusion. Infusates included one of vehicle (Ringer's solution; RS), an alpha 1-adrenoceptor agonist (phenylephrine; PE), a combination of agonist and either a known alpha 1-adrenoceptor antagonist (prazosin; PE+PRZ) or the putative physiologic antagonist, ANP (PE+ANP). The fifth group received all three drugs, PE+PRZ+ANP. Under Inactin anesthesia (100 mg/kg i.p.), efferent autonomic input to the heart was surgically interrupted. Animals were also adrenalectomized to limit the effects of circulating catecholamines. We then monitored each group for the change in heart rate (delta HR) in response to efferent vagus nerve stimulation at various frequencies (2 Hz, 5 Hz, 10 Hz). Infusion of PE significantly (P < 0.01 by ANOVA) attenuated the magnitude of delta HR when compared to the RS group. This attenuation of vagally-induced bradycardia was eliminated by the addition of the alpha 1-adrenoceptor antagonist, prazosin (PE+PRZ group). The PE+ANP group responded with results similar to those of the PE+PRZ group. There was no difference between delta HR responses of the PE+PRZ+ANP group and the PE+PRZ group.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

我们之前已经证明,心房利钠肽(ANP)通过副交感神经机制抑制低血压诱导的反射性心动过速。本研究进一步明确了该副交感神经机制。我们测试了以下假设:在迷走神经刺激期间,ANP作为一种生理性拮抗剂,干扰传出性心脏迷走神经活动的α1-肾上腺素能受体调节。将Sprague Dawley大鼠分为五组,每组接受不同的输注。输注液包括一种溶媒(林格氏液;RS)、一种α1-肾上腺素能受体激动剂(去氧肾上腺素;PE)、激动剂与已知的α1-肾上腺素能受体拮抗剂(哌唑嗪;PE+PRZ)或假定的生理性拮抗剂ANP(PE+ANP)的组合。第五组接受所有三种药物,即PE+PRZ+ANP。在Inactin麻醉(腹腔注射100mg/kg)下,通过手术中断心脏的传出自主神经输入。动物也进行了肾上腺切除术,以限制循环儿茶酚胺的影响。然后,我们监测每组在不同频率(2Hz、5Hz、10Hz)的传出迷走神经刺激下心率的变化(ΔHR)。与RS组相比,输注PE显著(方差分析,P<0.01)减弱了ΔHR的幅度。添加α1-肾上腺素能受体拮抗剂哌唑嗪(PE+PRZ组)消除了迷走神经诱导的心动过缓的这种减弱。PE+ANP组的反应结果与PE+PRZ组相似。PE+PRZ+ANP组和PE+PRZ组的ΔHR反应之间没有差异。(摘要截短于250字)

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