Meessen N E, van der Grinten C P, Folgering H T, Luijendijk S C
Department of Pulmonology, University Hospital Maastricht, University of Limburg, Netherlands.
Respir Physiol. 1993 May;92(2):151-66. doi: 10.1016/0034-5687(93)90035-9.
We studied tonic inspiratory activity (TIA) induced by continuous negative airway pressure (CNAP) in anaesthetized, spontaneously breathing cats. TIA in the diaphragm and parasternal intercostal muscles (ICM) was quantified in response to tracheal pressure (PTR) = -0.3 to -1.2 kPa. To differentiate between reflexes from rapidly adapting receptors (RARs), slowly adapting receptors (SARs) and C-fiber endings different temperatures of the vagus nerves (TVG) were used between 4 and 37 degrees C. At PTR = -1.2 kPa mean TIA values were 41% and 62% of peak inspiratory EMG activity of control breaths for the diaphragm and ICM, respectively. After vagotomy and for TVG < 6 degrees C CNAP did not induce TIA anymore. Changes in inspiratory and expiratory time during vagal cooling down to 4 degrees C confirmed the selective block of conductance in vagal afferents of the three types of lung receptors. We conclude that CNAP-induced TIA results from stimulation of RARs. Our data strongly indicate that stimulation of SARs suppresses TIA, whereas C-fiber endings are not involved in TIA at all. The results suggest that part of the hyperinflation in bronchial asthma may be caused by TIA in response to mechanical stimulation of RARs.
我们研究了在麻醉的、自主呼吸的猫中,持续气道负压(CNAP)诱导的吸气张力活动(TIA)。在气管压力(PTR)=-0.3至-1.2kPa的情况下,对膈肌和胸骨旁肋间肌(ICM)中的TIA进行了量化。为了区分来自快速适应感受器(RARs)、慢速适应感受器(SARs)的反射以及C纤维末梢,使用了4至37摄氏度之间不同温度的迷走神经(TVG)。在PTR=-1.2kPa时,膈肌和ICM的平均TIA值分别为对照呼吸峰值吸气肌电图活动的41%和62%。迷走神经切断术后,对于TVG<6摄氏度,CNAP不再诱导TIA。在将迷走神经冷却至4摄氏度的过程中,吸气和呼气时间的变化证实了三种类型肺感受器的迷走传入神经传导被选择性阻断。我们得出结论,CNAP诱导的TIA是由RARs的刺激引起的。我们的数据强烈表明,SARs的刺激会抑制TIA,而C纤维末梢根本不参与TIA。结果表明,支气管哮喘中的部分肺过度充气可能是由对RARs机械刺激的TIA引起的。