Franchini K G, Cestari I A, Krieger E M
Hypertension Unit, Heart Institute, University of Sao Paulo, Brazil.
Am J Physiol. 1994 Mar;266(3 Pt 2):H1055-61. doi: 10.1152/ajpheart.1994.266.3.H1055.
The objective of the present study was to analyze whether the hypoxemia produced by chemoreceptor elimination influences the arterial pressure level after sinoaortic denervation (SAD) in rats. Hypoxemia and hypercapnia were observed in acute (1 day) and chronic (20 days) SAD rats [arterial PO2 (PaO2) = 65 +2- 1.6 and 71 +2- 2.2 mmHg and arterial PCO2 (PaCO2) = 46 +/- 1.3 and 37 +/- 1.8 mmHg, respectively] compared with control rats (PaO2 = 85 +/- 1.6 mmHg, PaCO2 = 31 +/- 1.07 mmHg). Increasing inspired PO2 (PIO2) from 138 mmHg (room air) to 155 mmHg restored the PaO2 of SAD rats to control levels (acute = 81 +/- 2.21 mmHg, chronic = 85 +/- 2.35 mmHg). PaO2. restoration produced pronounced elevation of mean arterial pressure (MAP) of acute (from 121 +/- 4 to 147 +/- 3.5 mmHg) and chronic (from 121 +/- 3 to 134 +/- 3.5 mmHg) SAD rats. Progressive stepwise increase of PIO2 (from 138 to 175, 210, and 235 mmHg) produced no additional elevation of MAP of acute (113 +/- 4, 137 +/- 5, 143 +/- 5, and 147 +/- 5 mmHg) and chronic (111 +/- 3.6, 131 +/- 7.4, 130 +/- 8.7, and 130 +/- 7 mmHg) SAD rats. Otherwise, the arterial pressure of control rats remained unchanged to progressive stepwise increase of PIO2 (118 +/- 5, 117 +/- 4, 118 +/- 4, 116 +/- 4 mmHg). These data suggest that the elimination of chemoreceptors in SAD rats produces hypoxemia responsible for hypotensive influences that counteract the pressor effects produced by baroreceptor elimination.
本研究的目的是分析化学感受器消除所产生的低氧血症是否会影响大鼠去窦主动脉神经(SAD)后的动脉压水平。与对照大鼠(动脉血氧分压[PaO2]=85±1.6mmHg,动脉血二氧化碳分压[PaCO2]=31±1.07mmHg)相比,在急性(1天)和慢性(20天)SAD大鼠中观察到低氧血症和高碳酸血症(急性SAD大鼠的PaO2=65±2-1.6mmHg,PaCO2=46±1.3mmHg;慢性SAD大鼠的PaO2=71±2-2.2mmHg,PaCO2=37±1.8mmHg)。将吸入氧分压(PIO2)从138mmHg(室内空气)提高到155mmHg可使SAD大鼠的PaO2恢复到对照水平(急性=81±2.21mmHg,慢性=85±2.35mmHg)。PaO2的恢复使急性(从121±4mmHg升高到147±3.5mmHg)和慢性(从121±3mmHg升高到134±3.5mmHg)SAD大鼠的平均动脉压(MAP)显著升高。PIO2的逐步递增(从138mmHg升高到175mmHg、210mmHg和235mmHg)并未使急性(113±4mmHg、137±5mmHg、143±5mmHg和147±5mmHg)和慢性(111±3.6mmHg、131±7.4mmHg、130±8.7mmHg和130±7mmHg)SAD大鼠的MAP进一步升高。否则,对照大鼠的动脉压在PIO2逐步递增时保持不变(118±5mmHg、117±4mmHg、118±4mmHg、116±4mmHg)。这些数据表明,SAD大鼠化学感受器的消除会产生低氧血症,其具有降压作用,可抵消压力感受器消除所产生的升压效应。