Julien C, Zhang Z Q, Barrès C
Département de Physiologie et Pharmacologie Clinique, Centre National de la Recherche Scientifique, Unité de Recherche Associée 1483, Faculté de Pharmacie, Lyon, France.
J Auton Nerv Syst. 1993 Jan;42(1):1-10. doi: 10.1016/0165-1838(93)90336-s.
In both chronically sympathectomized (SNX) and sinoaortic denervated (SAD) rats, removal of vasoconstrictor influences decreases mean arterial pressure (MAP) and its variability in parallel. This study examined if this decrease in arterial pressure lability is solely a result of decreasing vascular tone. In conscious 14-week-old male sympathectomized (guanethidine at 1-13 weeks of age) and sinoaortic denervated (2 weeks before study) rats, arterial pressure was recorded beat-to-beat during 30-min consecutive periods; control; ganglionic blockade in sinoaortic denervated rats and angiotensin converting enzyme inhibition plus vasopressin antagonism in sympathectomized rats; and restoration of the initial arterial pressure with continuous infusions of phenylephrine and angiotensin II. Sympathectomized and, even more, sinoaortic denervated rats had increased pressure variability. Neural or humoral blockade markedly reduced arterial pressure and its liability in both groups of rats and subsequent restoration of the arterial pressure with vasoconstrictor infusions returned lability to levels either slightly above (sympathectomy) or below (sinoaortic denervation) control values. In basal conditions, an increased frequency of occurrence of depressor episodes was evidenced in sympathectomized rats whereas a variable ratio of pressor to depressor events was observed in sinoaortic denervated rats. During vasoconstrictor infusions, blood pressure lability was mainly due to depressor events in both groups of rats. It is concluded that the background vascular tone provided by endogenous pressor systems is necessary for the expression of the depressor component of blood pressure lability in sinoaortic denervated and in sympathectomized rats. The study also suggests that in sympathectomized rats, humoral influences act to limit rather than enhance blood pressure lability, whereas in sinoaortic denervated rats, the sympathetic nervous system may directly generate part of the lability.
在慢性去交感神经(SNX)大鼠和去窦弓神经(SAD)大鼠中,去除血管收缩影响会使平均动脉压(MAP)及其变异性同时降低。本研究探讨了动脉压不稳定性的降低是否仅仅是血管张力降低的结果。在清醒的14周龄雄性去交感神经(1 - 13周龄给予胍乙啶)和去窦弓神经(研究前2周)大鼠中,连续30分钟逐搏记录动脉压;对照;去窦弓神经大鼠进行神经节阻断,去交感神经大鼠进行血管紧张素转换酶抑制加血管加压素拮抗;并用去氧肾上腺素和血管紧张素II持续输注恢复初始动脉压。去交感神经大鼠,尤其是去窦弓神经大鼠的压力变异性增加。神经或体液阻断显著降低了两组大鼠的动脉压及其不稳定性,随后用血管收缩剂输注恢复动脉压使不稳定性恢复到略高于(去交感神经)或低于(去窦弓神经)对照值的水平。在基础状态下,去交感神经大鼠出现降压发作的频率增加,而去窦弓神经大鼠则观察到升压与降压事件的可变比例。在血管收缩剂输注期间,两组大鼠的血压不稳定性主要归因于降压事件。结论是,内源性升压系统提供的背景血管张力对于去窦弓神经和去交感神经大鼠血压不稳定性的降压成分的表达是必要的。该研究还表明,在去交感神经大鼠中,体液影响起到限制而非增强血压不稳定性的作用,而在去窦弓神经大鼠中,交感神经系统可能直接产生部分不稳定性。