Pan L G, Forster H V, Ohtake P J, Lowry T F, Korducki M J, Forster A L
Department of Physiology, Medical College of Wisconsin, Milwaukee 53226, USA.
J Appl Physiol (1985). 1995 Oct;79(4):1120-8. doi: 10.1152/jappl.1995.79.4.1120.
It has been postulated that the so-called area S of the ventrolateral medulla (VLM) integrates peripheral chemoreceptor activity; thus cooling-induced dysfunction of neurons in this VLM area should functionally eliminate carotid chemoreceptor stimulation of breathing. Accordingly, carotid chemoreceptor denervation (CBD) should not alter the breathing effects of VLM neuronal dysfunction. To test this hypothesis in awake goats, chronically implanted thermodes were used to cool the VLM and thereby cause reversible neuronal dysfunction in all or portions of VLM areas M and S. Within 5 s after initiation of cooling approximately 60-100% of areas M and S in (P < 0.05) uniformly over conditions of eupnea, hypercapnia, and hypoxia. Between 10 and 20 s of cooling, the reduction in VI was approximately 10% greater (P < 0.05) during hypercapnia than during eupnea and hypoxia. For the remaining 10 s of cooling and for approximately 1 min after cooling, VI increased to and above control for all conditions. For all conditions, CBD accentuated the depression of VI during cooling, causing VI to decrease (P < 0.05) 10-40% more than before CBD. After CBD, the greatest effect on VI of cooling was again during hypercapnia. Thus the carotid bodies in intact goats appear to sense blood gas errors caused during VLM cooling to minimize the decreases in VI. We conclude that the data from this study do not support the concept that the VLM integrates carotid chemoreceptor activity.
据推测,延髓腹外侧(VLM)的所谓S区整合外周化学感受器活动;因此,冷却诱导的该VLM区域神经元功能障碍应在功能上消除颈动脉化学感受器对呼吸的刺激。相应地,颈动脉化学感受器去神经支配(CBD)不应改变VLM神经元功能障碍对呼吸的影响。为了在清醒山羊中验证这一假设,使用长期植入的热电极冷却VLM,从而在VLM区域M和S的全部或部分区域引起可逆的神经元功能障碍。在冷却开始后5秒内,在平静呼吸、高碳酸血症和低氧血症条件下,VLM区域M和S的大约60 - 100%(P < 0.05)均匀冷却。在冷却10至20秒期间,高碳酸血症期间VI的降低比平静呼吸和低氧血症期间大约大10%(P < 0.05)。在冷却的剩余10秒以及冷却后大约1分钟内,所有条件下VI均升高至对照水平及以上。对于所有条件,CBD加剧了冷却期间VI的降低,导致VI降低(P < 0.05),比CBD处理前多10 - 40%。CBD处理后,冷却对VI的最大影响同样出现在高碳酸血症期间。因此,完整山羊的颈动脉体似乎能感知VLM冷却期间引起的血气误差,以使VI的降低最小化。我们得出结论,本研究的数据不支持VLM整合颈动脉化学感受器活动这一概念。