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去甲肾上腺素对交感神经活动的压力非依赖性抑制作用:压力感受器C纤维的作用

Pressure-independent inhibition of sympathetic activity by noradrenaline: role of baroreceptor C fibres.

作者信息

Akre S, Aars H

出版信息

Acta Physiol Scand. 1977 Jul;100(3):303-8. doi: 10.1111/j.1748-1716.1977.tb05954.x.

Abstract

The effect of i.v. infusion of noradrenaline on activity in the renal sympathetic nerve was studied in rabbits anesthetized with chloralose and urethane. Noradrenaline (3--8 microgram/kg-min) initially increased mean arterial pressure 20--40 mmHg and consequently reduced renal nerve activity. However, studies over a wide range of pressures--obtained by changing the blood volume, revealed that noradrenaline after a few minutes had induced a pressure-independent reduction of sympathetic discharge. The effect disappeared with baroreceptor denervation. An unchanged relationship between arterial pressure and integrated activity in the whole left aortic nerve (which is largely a measure of activity in A fibres) suggested that the sympathetic depression was due to excitation of aortic nerve C fibres. This conclusion was supported by studies of sympathetic responses to selective stimulation of aortic nerve A and C fibres at equal pressures before and during infusion of noradrenaline. Compared to the reflex activity from A fibres, C fibre stimulation was invariably less effective in suppressing renal nerve activity during the infusion. Our studies indicate that noradrenaline may effect a negative feedback control of sympathetic discharge through activation of baroreceptor C fibres.

摘要

在使用水合氯醛和乌拉坦麻醉的家兔身上,研究了静脉输注去甲肾上腺素对肾交感神经活动的影响。去甲肾上腺素(3 - 8微克/千克·分钟)最初使平均动脉压升高20 - 40毫米汞柱,从而降低了肾神经活动。然而,通过改变血容量在很宽的压力范围内进行的研究表明,几分钟后去甲肾上腺素诱导了一种与压力无关的交感神经放电减少。压力感受器去神经支配后,这种效应消失。动脉压与整个左主动脉神经的综合活动(这在很大程度上是A纤维活动的一种测量)之间的关系未变,这表明交感神经抑制是由于主动脉神经C纤维的兴奋。去甲肾上腺素输注前和输注期间,在相同压力下对主动脉神经A和C纤维进行选择性刺激时交感反应的研究支持了这一结论。与来自A纤维的反射活动相比,在输注期间C纤维刺激在抑制肾神经活动方面总是效果较差。我们的研究表明,去甲肾上腺素可能通过激活压力感受器C纤维对交感神经放电产生负反馈控制。

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