Vardhan A, Kachroo A, Sapru H N
Section of Neurological Surgery, UMDNJ-New Jersey Medical School, Newark 07103.
Brain Res. 1993 Jul 30;618(1):23-31. doi: 10.1016/0006-8993(93)90424-l.
Stimulation of cardio-pulmonary vagal afferent C fiber endings by right atrial injections of phenylbiguanide (PBG, 40 micrograms/kg) elicited apnea, bradycardia and hypotension. These responses were abolished by bilateral vagotomy low in the neck. Stimulation of neurons in a specific nucleus tractus solitarius site (0.5 mm rostral, 0.5 mm lateral and 0.5 mm deep with reference to the calamus scriptorius) by injections of L-glutamate produced responses similar to those following the stimulation of cardio-pulmonary vagal afferent C fiber endings by PBG. Inhibition of neurons in this NTS site by injections of muscimol abolished the responses to PBG. Specific blockade of NMDA receptors by microinjections of AP-7 (100 pmol) or non-NMDA receptors (KA and AMPA) by injections of DNQX (10-25 pmol) into this NTS site did not block the responses to PBG. Microinjections of kynurenic acid (1-4 nmol) into this NTS site blocked the responses to right atrial injections of PBG. These results indicate that: (1) blockade of either NMDA receptors or non-NMDA receptors (KA and AMPA) alone in the above-mentioned NTS site does not abolish the responses to the stimulation of cardio-pulmonary vagal afferent C fiber endings; (2) it is necessary to block NMDA as well as non-NMDA receptors in this NTS site for abolishing the responses to the stimulation of these nerve endings.
经右心房注射苯乙双胍(PBG,40微克/千克)刺激心肺迷走传入C纤维末梢,可引发呼吸暂停、心动过缓和低血压。这些反应可被双侧颈部低位迷走神经切断术消除。向孤束核特定部位(相对于书写区,在其嘴侧0.5毫米、外侧0.5毫米和深部0.5毫米处)注射L-谷氨酸刺激神经元,产生的反应与PBG刺激心肺迷走传入C纤维末梢后的反应相似。向该孤束核部位注射蝇蕈醇抑制神经元,可消除对PBG的反应。向该孤束核部位微量注射AP-7(100皮摩尔)特异性阻断NMDA受体,或注射DNQX(10 - 25皮摩尔)阻断非NMDA受体(KA和AMPA),均不能阻断对PBG的反应。向该孤束核部位微量注射犬尿喹啉酸(1 - 4纳摩尔)可阻断对右心房注射PBG的反应。这些结果表明:(1)在上述孤束核部位单独阻断NMDA受体或非NMDA受体(KA和AMPA),并不能消除对心肺迷走传入C纤维末梢刺激的反应;(2)要消除对这些神经末梢刺激的反应,必须在该孤束核部位同时阻断NMDA受体和非NMDA受体。