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新生羔羊颈动脉化学感受器对二氧化碳的动态和稳态敏感性的发育

Development of carotid chemoreceptor dynamic and steady-state sensitivity to CO2 in the newborn lamb.

作者信息

Calder N A, Kumar P, Hanson M A

机构信息

Department of Obstetrics and Gynaecology, University College School of Medicine, London, UK.

出版信息

J Physiol. 1997 Aug 15;503 ( Pt 1)(Pt 1):187-94. doi: 10.1111/j.1469-7793.1997.187bi.x.

Abstract
  1. The maturation of carotid chemoreceptor steady-state and dynamic responses to CO2 in newborn lambs was measured. In total, sixteen fibres (13 lambs) were studied at 3-4 days, nineteen fibres (13 lambs) at 5-9 days and twenty-one fibres (17 lambs) at 10-24 days after birth. 2. Steady-state CO2 sensitivity was measured over a range of arterial CO2 pressures (Pa,CO2) at four levels of arterial O2 pressure (Pa,O2): hyperoxia (Hyp), 115-150 mmHg; normoxia (Nx), 90-105 mmHg; moderate hypoxia (ModHx), 40-60 mmHg; and severe hypoxia (SvHx), 20-35 mmHg. 3. Steady-state CO2 sensitivity was present at all ages, and a significant effect of age (P < 0.001) and Pa,O2 (P < 0.025) (ANOVA) was observed. Older lambs were unable to sustain an increase in chemoreceptor discharge during SvHx as CO2 was increased. 4. Dynamic CO2 sensitivity was measured by producing alternations in end-tidal CO2 levels (etCO2) (alternation amplitude, 1.23 +/- 0.07% (mean +/- S.E.M.); etCO2, 7.56 +/- 0.15%) over 2-8 s at two Pa,O2 levels only: 80-100 (Nx) and 40-60 mmHg (ModHx). Peak and trough values of the oscillation in chemoreceptor discharge were plotted against maximum and minimum etCO2 for the control and CO2-loaded breaths. Dynamic CO2 sensitivity was calculated as the slope between these points. 5. Dynamic CO2 sensitivity was greater than steady-state sensitivity in Nx (P < 0.05) and ModHx (P < 0.01, Student's paired t test). Unlike steady-state CO2 sensitivity, there was no significant effect of age or Pa,O2 on dynamic sensitivity (P > 0.39 and P > 0.68, respectively, ANOVA). 6. Our results show that the neonatal lamb possesses a carotid body steady-state CO2 sensitivity within a few days of birth, an age when hypoxia sensitivity is low. This CO2 sensitivity increases with age, perhaps due to the increasing interaction between CO2 and O2. Dynamic sensitivity of the carotid body to CO2 is mature at birth and does not increase with age, as predicted if the response of the carotid body to rapid changes in CO2 is independent of the sensitivity to the partial pressure of O2 (PO2).
摘要
  1. 对新生羔羊颈动脉化学感受器对二氧化碳的稳态和动态反应的成熟过程进行了测量。总共,在出生后3 - 4天研究了16根纤维(13只羔羊),5 - 9天研究了19根纤维(13只羔羊),10 - 24天研究了21根纤维(17只羔羊)。2. 在四个动脉血氧分压(Pa,O2)水平下,即在高氧(Hyp),115 - 150 mmHg;常氧(Nx),90 - 105 mmHg;中度缺氧(ModHx),40 - 60 mmHg;以及重度缺氧(SvHx),20 - 35 mmHg下,在一系列动脉二氧化碳分压(Pa,CO2)范围内测量稳态二氧化碳敏感性。3. 所有年龄段均存在稳态二氧化碳敏感性,并且观察到年龄(P < 0.001)和Pa,O2(P < 0.025)(方差分析)有显著影响。随着二氧化碳增加,年长的羔羊在重度缺氧期间无法维持化学感受器放电的增加。4. 通过在仅两个Pa,O2水平(80 - 100 mmHg(Nx)和40 - 60 mmHg(ModHx))下在2 - 8秒内使呼气末二氧化碳水平(etCO2)产生交替变化(交替幅度,1.23 +/- 0.07%(平均值 +/- 标准误);etCO2,7.56 +/- 0.15%)来测量动态二氧化碳敏感性。将化学感受器放电振荡的峰值和谷值与对照呼吸和二氧化碳负荷呼吸的最大和最小etCO2进行绘制。动态二氧化碳敏感性计算为这些点之间的斜率。5. 在常氧(P < 0.05)和中度缺氧(P < 0.01,配对t检验)条件下,动态二氧化碳敏感性大于稳态敏感性。与稳态二氧化碳敏感性不同,年龄或Pa,O2对动态敏感性没有显著影响(分别为P > 0.39和P > 0.68,方差分析)。6. 我们的结果表明,新生羔羊在出生后几天内就具有颈动脉体稳态二氧化碳敏感性,而此时缺氧敏感性较低。这种二氧化碳敏感性随年龄增加,可能是由于二氧化碳和氧气之间的相互作用增加。颈动脉体对二氧化碳的动态敏感性在出生时就已成熟,并且不随年龄增加,这与如果颈动脉体对二氧化碳快速变化的反应独立于对氧分压(PO2)的敏感性所预测的情况一致。

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