Wallois F, Macron J M, Duron B
Laboratoire de Neurophysiologie, CNRS URA 1331, Faculté de Médecine, Université de Picardie, Amiens, France.
Respir Physiol. 1995 Sep;101(3):239-55. doi: 10.1016/0034-5687(95)00025-9.
We studied the activity of 50 slow-adapting receptors (SAR), 13 rapidly-adapting receptors (RAR) and 3 expiratory modulated receptors in the different phases of sneeze in tracheostomized and non-tracheostomized anaesthetized cats. SAR activity increased progressively during the first phase of the preparatory inspiration in parallel to integrated diaphragmatic activity. During the second phase of the preparatory inspiration, SAR increased their discharge frequency; higher threshold SAR and RAR were recruited. During the compressive phase, discharge of SAR kept stable or increased slightly in parallel to an increase in transpulmonary pressure, while expiratory modulated receptors were activated. During the expulsive phase, only RAR were activated. Increase in transpulmonary pressure at the end of the inspiration phase of sneeze shortened expiratory duration and increased the rate of rise of expiratory muscle activity. Increase in transpulmonary pressure at the end of the compressive phase further shortened expiratory duration. These results suggest: first, a facilitatory effect on the triggering of the second phase of the preparatory inspiration from SAR; second, a modulation of the early stage of expiration by SAR, RAR and expiratory modulated receptors during the compressive phase; third, a permissive effect on a rapid expulsive thrust by SAR which can be further limited by RAR; fourth, a facilitatory effect on the triggering of inspiratory activity that follows the expiratory thrust by RAR. Both SAR and RAR might participate in the occurrence of successive sneeze in an attack and in the increased frequency of sneezing. Our results suggest that complex convergent inputs from nasal and vagal receptors, which alter the respiratory rhythm and rhythmogenesis, modulate finely the sneeze reflex.
我们研究了50个慢适应感受器(SAR)、13个快适应感受器(RAR)和3个呼气调制感受器在气管切开和未气管切开的麻醉猫打喷涕不同阶段的活动。在准备吸气的第一阶段,SAR的活动与膈肌综合活动平行逐渐增加。在准备吸气的第二阶段,SAR增加其放电频率;较高阈值的SAR和RAR被募集。在压缩阶段,SAR的放电保持稳定或略有增加,同时跨肺压增加,而呼气调制感受器被激活。在呼气阶段,只有RAR被激活。打喷涕吸气阶段结束时跨肺压的增加缩短了呼气持续时间,并增加了呼气肌活动的上升速率。压缩阶段结束时跨肺压的增加进一步缩短了呼气持续时间。这些结果表明:第一,SAR对准备吸气第二阶段的触发有促进作用;第二,在压缩阶段,SAR、RAR和呼气调制感受器对呼气早期有调制作用;第三,SAR对快速呼气推力有允许作用,而RAR可进一步限制该作用;第四,RAR对呼气推力后吸气活动的触发有促进作用。SAR和RAR都可能参与一次发作中连续打喷涕的发生以及打喷涕频率的增加。我们的结果表明,来自鼻腔和迷走神经感受器的复杂汇聚输入改变呼吸节律和节律发生,精细地调制打喷涕反射。