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中枢和动脉化学感受器在大鼠胃张力和运动对低氧、高碳酸血症和低碳酸血症反应中的作用

Role of the central and arterial chemoreceptors in the response of gastric tone and motility to hypoxia, hypercapnia and hypocapnia in rats.

作者信息

Kimura A, Sato A, Sato Y, Trzebski A

机构信息

Department of Autonomic Nervous System, Tokyo Metropolitan Institute of Gerontology, Japan.

出版信息

J Auton Nerv Syst. 1993 Oct;45(1):77-85. doi: 10.1016/0165-1838(93)90363-y.

Abstract

The contribution of autonomic nerve activity to stomach tone and motility during central and arterial chemoreceptor excitation or inhibition was analyzed in urethane anesthetized, artificially ventilated rats. Systemic severe hypoxia at end-tidal O2 concentration (FETO2) 6% and systemic hypercapnia at end-tidal CO2 concentration (FETCO2) 6%, 8% and 10% applied for 1 min produced a significant depression in gastric tone and motility. Hypocapnia at 3% FETCO2 increased gastric tone and motility. Hypoxia co-activated both the sympathetic and the vagal efferent gastric nerve branches. Hypercapnia augmented only sympathetic gastric efferent nerve activity but not vagal efferent nerve activity. Hypocapnia slightly increased vagal nerve activity to the stomach. Bilateral denervation of the arterial chemoreceptors significantly attenuated the inhibitory gastric response to hypoxia. Similar attenuation of hypoxia-induced depression of gastric tone and motility was produced by bilateral gastric sympathectomy but not by vagotomy. In contrast, the inhibitory effect of severe hypercapnia and the facilitatory effect of hypocapnia upon gastric tone and motility were unaffected by arterial chemoreceptor denervation, by severance of gastric sympathetic branches or by gastric vagal denervation. Hyperoxia at 90% FETO2 had no effect on the gastric nerve activities, gastric tone or motility. It is concluded that in the rat hypoxia co-activates sympathetic and vagal efferent nerve activities to the stomach via an arterial chemoreceptor reflex, and that hypercapnia activates sympathetic gastric nerve activity via central chemoreceptors. Hypocapnia activates efferent vagal gastric nerve activity. All chemical stimuli except that of hyperoxia have a significant local effect on the gastric tone and motility.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

在氨基甲酸乙酯麻醉、人工通气的大鼠中,分析了中枢和动脉化学感受器兴奋或抑制期间自主神经活动对胃张力和运动的影响。终末潮气氧浓度(FETO2)为6%时的全身性严重缺氧以及终末潮气二氧化碳浓度(FETCO2)为6%、8%和10%时持续1分钟的全身性高碳酸血症均使胃张力和运动显著降低。FETCO2为3%时的低碳酸血症增加了胃张力和运动。缺氧共同激活了交感神经和迷走神经传出胃神经分支。高碳酸血症仅增强了交感神经传出胃神经活动,而未增强迷走神经传出神经活动。低碳酸血症使迷走神经对胃的活动略有增加。双侧切断动脉化学感受器可显著减弱对缺氧的胃抑制反应。双侧胃交感神经切除术也产生了类似的缺氧诱导的胃张力和运动抑制减弱,但迷走神经切断术则未产生此效果。相反,严重高碳酸血症的抑制作用和低碳酸血症对胃张力和运动的促进作用不受动脉化学感受器去神经支配、胃交感神经分支切断或胃迷走神经去神经支配的影响。FETO2为90%时的高氧对胃神经活动、胃张力或运动无影响。结论是,在大鼠中,缺氧通过动脉化学感受器反射共同激活交感神经和迷走神经传出神经对胃的活动,高碳酸血症通过中枢化学感受器激活交感神经胃神经活动。低碳酸血症激活迷走神经传出胃神经活动。除高氧外,所有化学刺激对胃张力和运动均有显著的局部影响。(摘要截断于250字)

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