Makale M T, King G L
Department of Physiology, Armed Forces Radiobiology Research Institute, Bethesda, Maryland 20889-5145.
Am J Physiol. 1993 Nov;265(5 Pt 2):R1092-9. doi: 10.1152/ajpregu.1993.265.5.R1092.
To investigate the plasticity of the emetic response to irradiation, five groups of ferrets (with the appropriate controls) had either the vagal or the splanchnic nerves transected and either were immediately irradiated under urethan anesthesia or were irradiated in a conscious state at 0.5-4, 4-9, and 24 h and 7 days after nerve transection. All the ferrets used in this study had the left carotid artery and the right jugular vein catheterized several hours before irradiation so that blood pressures could be monitored. In ferrets that were irradiated while anesthetized, bilateral abdominal vagotomy performed immediately before 6-Gy irradiation prevented emesis. Acute bilateral abdominal splanchnicectomy markedly reduced emesis in such cases but had no statistically significant effect in conscious ferrets. The incidence of emesis in conscious controls laparotomized 0.5-4 h before irradiation was 50% after 2 Gy and 100% after 6 Gy. Intact conscious controls were tested with 10 Gy only and showed a 100% incidence of emesis after this dose. Bilateral abdominal vagotomy, performed on ferrets 4-9 h before 8-Gy irradiation of conscious animals, markedly reduced the incidence of radiation-induced emesis. When performed 24 h before irradiation, it abolished emesis. In contrast, vagotomy was ineffective when performed 7 days before irradiation. The data suggest that, after 2-8 Gy, the vagi are the major emetic pathway in conscious ferrets and the splanchnic nerves may, under certain conditions, constitute second or alternate pathways.
为研究对辐射催吐反应的可塑性,五组雪貂(配有适当对照)分别切断迷走神经或内脏神经,然后在氨基甲酸乙酯麻醉下立即进行辐射,或在神经切断后0.5 - 4小时、4 - 9小时、24小时和7天在清醒状态下进行辐射。本研究中使用的所有雪貂在辐射前数小时均已插入左颈动脉和右颈静脉导管,以便监测血压。在麻醉状态下接受辐射的雪貂中,在6 Gy辐射前立即进行双侧腹部迷走神经切断可防止呕吐。在这种情况下,急性双侧腹部内脏切除术可显著减少呕吐,但对清醒雪貂无统计学显著影响。在辐射前0.5 - 4小时接受剖腹手术的清醒对照中,2 Gy辐射后呕吐发生率为50%,6 Gy辐射后为100%。完整的清醒对照仅用10 Gy进行测试,该剂量后呕吐发生率为100%。在清醒动物8 Gy辐射前4 - 9小时对雪貂进行双侧腹部迷走神经切断,可显著降低辐射诱导呕吐的发生率。在辐射前24小时进行迷走神经切断,则可消除呕吐。相比之下,在辐射前7天进行迷走神经切断则无效。数据表明,在2 - 8 Gy后,迷走神经是清醒雪貂的主要催吐途径,在内脏神经在某些情况下可能构成次要或替代途径。