Road J D, Osborne S, Wakai Y
Department of Medicine, University of British Columbia, Vancouver, Canada.
J Appl Physiol (1985). 1993 Jan;74(1):68-72. doi: 10.1152/jappl.1993.74.1.68.
The immediate effects of phrenic afferent nerve activation on ventilation have been shown to be both excitatory and inhibitory. Long-lasting inhibitory effects on respiratory motoneuron output have been reported after stimulation of afferent nerves from limb muscles. However, whether respiratory muscle afferent nerves can produce this effect is unknown. We therefore hypothesized that activation of phrenic afferent nerves may produce a prolonged decrease of respiratory motoneuron output. Six alpha-chloralose-anesthetized dogs were studied after vagotomy and bilateral carotid sinus nerve section. The dogs were paralyzed, and end-tidal CO2 was controlled by mechanical ventilation. The proximal end of the cut thoracic phrenic nerve was electrically stimulated for 1 min at intensities that produced activation of thin-fiber afferents. The contralateral efferent phrenic integrated electroneurogram (ENG) was recorded. During stimulation, phrenic ENG activity increased. ENG activity was recorded during recovery and reached a peak decrease compared with control of 19 +/- 11% (SD) 9.0 +/- 6 min after stimulation and returned to control after 30 min. A qualitatively similar response was seen after stimulation of the gastrocnemius nerve. We conclude that activation of thin-fiber afferents in the phrenic nerve can produce a delayed and prolonged decrease of respiratory motoneuron output similar to that of limb muscle afferent nerves.
膈传入神经激活对通气的即时效应已被证明既有兴奋性又有抑制性。刺激来自肢体肌肉的传入神经后,已报道对呼吸运动神经元输出有持久的抑制作用。然而,呼吸肌传入神经是否能产生这种效应尚不清楚。因此,我们假设膈传入神经的激活可能会导致呼吸运动神经元输出的长期减少。对6只经α-氯醛糖麻醉、已进行迷走神经切断术和双侧颈动脉窦神经切断术的狗进行了研究。这些狗被麻痹,呼气末二氧化碳通过机械通气进行控制。在能激活细纤维传入神经的强度下,对切断的胸段膈神经近端进行1分钟的电刺激。记录对侧传出膈神经整合肌电图(ENG)。刺激期间,膈神经ENG活动增加。在恢复过程中记录ENG活动,与对照相比,刺激后9.0±6分钟达到峰值下降,为19±11%(标准差),30分钟后恢复到对照水平。刺激腓肠神经后也观察到了定性相似的反应。我们得出结论,膈神经中细纤维传入神经的激活可产生与肢体肌肉传入神经类似的、延迟且持久的呼吸运动神经元输出减少。