DiBona G F, Sawin L L, Jones S Y
Department of Internal Medicine, University of Iowa College of Medicine, Iowa City 52242, USA.
Am J Physiol. 1996 Jul;271(1 Pt 2):R84-90. doi: 10.1152/ajpregu.1996.271.1.R84.
Anatomic and neurophysiological methods were used to identify functionally specific subgroups of renal sympathetic nerve fibers. The distribution of diameters of the predominating unmyelinated fibers showed a major mode at 1.1 microns and a minor mode at 1.6 microns. The conduction velocity was 2.10 +/- 0.10 m/s, consistent with unmyelinated C fibers. Analysis of strength-duration relationships during renal nerve stimulation showed that both rheobase and chronaxie values for renal blood flow were greater than those for urinary flow rate and were independent of stimulation frequency. This difference suggests a higher stimulation threshold (smaller diameter) for those renal nerve fibers involved in the renal blood flow response (renal vasoconstriction) compared with those for the urinary flow rate response (antidiuresis) to renal nerve stimulation. Single renal units that responded to preganglionic splanchnic nerve stimulation were studied. Those with spontaneous activity (88%) responded to stimulation of arterial baroreceptors, arterial and central chemoreceptors, and peripheral thermoreceptors, whereas those that lacked spontaneous activity (12%) responded only to stimulation of peripheral thermoreceptors (known to produce renal vasoconstriction). A minority population of single renal units has been identified that, although renal vasoconstrictor, does not exhibit other characteristic features of vasoconstrictor neurons (i.e., responsiveness to stimulation of arterial baroreceptors and arterial and central chemoreceptors). These findings suggest the existence of functionally specific subgroups of renal nerve fibers.
采用解剖学和神经生理学方法来识别肾交感神经纤维的功能特异性亚群。主要无髓鞘纤维的直径分布显示,在1.1微米处有一个主要模态,在1.6微米处有一个次要模态。传导速度为2.10±0.10米/秒,与无髓鞘C纤维一致。肾神经刺激期间强度-持续时间关系的分析表明,肾血流的基强度和时值均大于尿流率的基强度和时值,且与刺激频率无关。这种差异表明,与对肾神经刺激的尿流率反应(抗利尿)的神经纤维相比,参与肾血流反应(肾血管收缩)的肾神经纤维具有更高的刺激阈值(更小的直径)。对响应节前内脏神经刺激的单个肾单位进行了研究。那些具有自发活动的肾单位(88%)对动脉压力感受器、动脉和中枢化学感受器以及外周温度感受器的刺激有反应,而那些缺乏自发活动的肾单位(12%)仅对外周温度感受器的刺激有反应(已知其会产生肾血管收缩)。已鉴定出少数单个肾单位,尽管它们是肾血管收缩性的,但不表现出血管收缩神经元的其他特征(即对动脉压力感受器、动脉和中枢化学感受器刺激的反应性)。这些发现提示存在功能特异性的肾神经纤维亚群。