Melton J E, Chae L O, Edelman N H
Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick 08903-0019.
J Appl Physiol (1985). 1993 Nov;75(5):2091-8. doi: 10.1152/jappl.1993.75.5.2091.
Previous studies suggested that phrenic motor output is largely refractory to afferent stimuli during gasping. We tested this concept by electrically stimulating the carotid sinus nerve (CSN) or the superior laryngeal nerve (SLN) of anesthetized peripherally chemodenervated vagotomized ventilated cats during eupnea or gasping induced by hypoxia. During eupnea, phrenic neurogram amplitude (PNA) increased by 110% during 30 s of supramaximal CSN stimulation, but burst frequency did not change. Progressive hypoxia caused gasping after arterial O2 content was reduced by 75%. During gasping, CSN stimulation caused premature onset of gasp in 12 of 13 trials, shortened intergasp interval [6.3 +/- 0.9 vs. 14.8 +/- 2.5 (SE) s], and resulted in a small (20%) but significant increase in PNA. Intensity of SLN stimulation was adjusted to abolish phrenic activity during the 30-s eupneic stimulation period. During gasping, SLN stimulation of the same intensity tended to delay onset of the next gasp, increased intergasp interval (16.9 +/- 1.9 vs. 13.3 +/- 1.2 s), and reduced PNA by 32%. Thus the respiratory burst pattern formation circuitry responds to afferent stimuli during gasping, albeit in a manner different from the eupneic response. These observations suggest that gasping is the output of a modified eupneic burst pattern formation circuit.
先前的研究表明,在喘息期间,膈神经运动输出对传入刺激大多具有不应性。我们通过在正常呼吸或低氧诱导的喘息期间,对麻醉的外周化学去神经支配、迷走神经切断且通气的猫的颈动脉窦神经(CSN)或喉上神经(SLN)进行电刺激,来验证这一概念。在正常呼吸期间,在30秒的超强CSN刺激过程中,膈神经电图幅度(PNA)增加了110%,但爆发频率没有变化。动脉血氧含量降低75%后,渐进性低氧导致喘息。在喘息期间,CSN刺激在13次试验中的12次中导致喘息提前发作,缩短了喘息间隔[6.3±0.9对14.8±2.5(SE)秒],并导致PNA有小幅(20%)但显著的增加。在30秒的正常呼吸刺激期内,调整SLN刺激强度以消除膈神经活动。在喘息期间,相同强度的SLN刺激往往会延迟下一次喘息的发作,增加喘息间隔(16.9±1.9对13.3±1.2秒),并使PNA降低32%。因此,呼吸爆发模式形成回路在喘息期间对传入刺激有反应,尽管其方式与正常呼吸反应不同。这些观察结果表明,喘息是一个经过修改的正常呼吸爆发模式形成回路的输出。