Korner P I
Baker Medical Research Institute, Melbourne, Australia.
J Hypertens. 1995 Dec;13(12 Pt 2):1508-21.
The brain and closely linked hormone systems play a crucial part in short- and long-term cardiovascular control and have many features of adaptive control systems. The cardiovascular control system is a multivariate system, while changes in environmental conditions often result in alterations in system parameters and other non-linearities, in contrast to the fixed parameters of linear control systems. In blood pressure control these features are exemplified by diurnal circadian fluctuations, alterations in lifestyle and psychosocial stress. Because the neurohumoral controllers are involved in virtually all aspects of homeostasis, they can be regarded as supercontrollers. THE CIRCULATORY SYSTEM AND THE BRAIN: Analysis in conscious animals of the effects of circulatory disturbances suggests that the central nervous system integrates information from multiple sources of afferents. Integration of the information associated with most reflex and behavioural disturbances is mediated by many neuron groups at different levels of the neuraxis, including suprapontine brain regions. The disturbances considered include baroreflexes in intact animals, some central actions of alpha-methyldopa and reflex responses to hypoxia and haemorrhage. The operations involve the brain in comparisons of the relative magnitude of different inputs, while the occurrences of non-linear changes in baroreflex properties signify alterations in the parameters of the controller. NEUROHUMORAL MECHANISMS AND CARDIOVASCULAR DEVELOPMENT: Neurohumoral mechanisms also play a key role in cardiovascular development. Increased sympathetic activity early in life causes hypertension in spontaneously hypertensive rats (SHR) and accounts for the differences in blood pressure and structural variables from corresponding values in Wistar-Kyoto (WKY) rats. In contrast, the renin-angiotensin system affects early cardiovascular development in the same way in each strain, so that it is unlikely to be a cause of hypertension in SHR. However, after drug withdrawal following treatment of young rats with the angiotensin converting enzyme inhibitor enalapril, there were between-strain differences in late cardiovascular development. Late development is relatively small in SHR compared to WKY rats, which contributes to the long-term attenuation of hypertension in SHR and to the normalization of blood pressure in WKY rats.
大脑与紧密相连的激素系统在短期和长期心血管控制中发挥着关键作用,并且具有自适应控制系统的许多特征。心血管控制系统是一个多变量系统,与线性控制系统的固定参数不同,环境条件的变化常常导致系统参数的改变以及其他非线性变化。在血压控制方面,这些特征表现为昼夜节律波动、生活方式改变和心理社会压力。由于神经体液控制器几乎参与了内稳态的各个方面,它们可被视为超级控制器。
对清醒动物循环系统紊乱影响的分析表明,中枢神经系统整合来自多个传入源的信息。与大多数反射和行为紊乱相关的信息整合是由神经轴不同水平的许多神经元群介导的,包括脑桥上的脑区。所考虑的紊乱包括完整动物的压力反射、α-甲基多巴的一些中枢作用以及对缺氧和出血的反射反应。这些操作涉及大脑对不同输入相对大小的比较,而压力反射特性的非线性变化的出现表明控制器参数的改变。
神经体液机制在心血管发育中也起着关键作用。生命早期交感神经活动增加会导致自发性高血压大鼠(SHR)出现高血压,并解释了其血压和结构变量与Wistar-Kyoto(WKY)大鼠相应值的差异。相比之下,肾素-血管紧张素系统对每个品系的早期心血管发育影响方式相同,因此不太可能是SHR高血压的原因。然而,在用血管紧张素转换酶抑制剂依那普利治疗幼鼠后停药,品系间在晚期心血管发育方面存在差异。与WKY大鼠相比,SHR的晚期发育相对较小,这有助于SHR高血压的长期缓解以及WKY大鼠血压的正常化。