Paton J F
Department of Physiology, School of Medical Sciences, University of Bristol, Bristol, BS8 1TD United Kingdom.
J Neurophysiol. 1998 May;79(5):2365-73. doi: 10.1152/jn.1998.79.5.2365.
The central integration of signals from pulmonary vagal C-fibers (or type-J receptors) with those arising from cardiac, peripheral chemoreceptor, and baroreceptor afferents to neurons within the nucleus of the solitary tract (NTS) was studied in an arterially perfused working heart-brain stem preparation of adult mouse. Pulmonary vagal C-fibers were excited by right atrial injection of phenylbiguanide (PBG) while cardiac receptors were stimulated by left ventricular injection of veratridine (1-3 micrograms/kg) or mechanically by distension of the left ventricle (20-50 microl perfusate) using an indwelling cannula. Carotid body chemoreceptors were activated by aortic injection of Na cyanide, whereas baroreceptors were stimulated by increasing arterial perfusion pressure. Stimulation of pulmonary C-fibers and cardiac, chemo-, and baroreceptors all produced a reflex bradycardia (23-133 bpm). Central respiratory activity, as recorded from the phrenic nerve, was depressed by stimulating pulmonary C-fibers and cardiac and baroreceptors but enhanced in amplitude and frequency during chemoreceptor stimulation. Twenty-seven NTS neurons were excited and three were inhibited after pulmonary C-fiber stimulation displaying decrementing discharges with a peak firing frequency of up to 42 Hz (15 +/- 2.2 Hz, mean +/- SE) that lasted for 8.8 +/- 0.9 s. These responses occurred <1 s from the end of the PBG injection that was within the pulmonary circulation time. None of these cells responded to increases in right atrial pressure. All cells excited by PBG were also driven synaptically after electrical stimulation of the ipsilateral cervical vagus nerve at a latency of 32.9 +/- 3.2 ms (range 20-62 ms). None of these neurons had ongoing activity related to central respiratory activity. Convergence from cardiorespiratory afferents to 21 neurons driven by pulmonary C-fibers was tested. Twenty-five percent of cells were selectively excited by chemical stimulation of cardiac receptors alone, 19% were driven by peripheral chemoreceptors, and 38% responded to both cardiac and chemoreceptor activation. In contrast, only 13% of the cells activated by PBG injection responded to stimulation of baroreceptors and only 6% to cardiac mechanoreceptor stimulation. None of these neurons were activated by increasing right atrial pressure. The data indicate a high proportion of afferent convergence from pulmonary C-fibers, cardiac receptors, and peripheral chemoreceptors in the NTS. However, these neurons appear not to integrate inputs from cardiovascular mechanoreceptors. The significance of the data is discussed in relation to pathological disease states such as pulmonary congestion and cardiac failure.
在成年小鼠的动脉灌注工作心脏-脑干标本中,研究了来自肺迷走神经C纤维(或J型受体)的信号与来自心脏、外周化学感受器和压力感受器传入神经的信号在孤束核(NTS)内神经元的中枢整合。通过右心房注射苯乙双胍(PBG)激发肺迷走神经C纤维,同时通过左心室注射藜芦碱(1 - 3微克/千克)或使用留置套管机械扩张左心室(20 - 50微升灌注液)刺激心脏感受器。通过主动脉注射氰化钠激活颈动脉体化学感受器,而通过增加动脉灌注压刺激压力感受器。刺激肺C纤维以及心脏、化学和压力感受器均产生反射性心动过缓(23 - 133次/分钟)。从膈神经记录的中枢呼吸活动,在刺激肺C纤维、心脏和压力感受器时受到抑制,但在化学感受器刺激期间其幅度和频率增加。在肺C纤维刺激后,27个NTS神经元被兴奋,3个被抑制,放电呈递减性,峰值放电频率高达42赫兹(15±2.2赫兹,平均值±标准误),持续8.8±0.9秒。这些反应在PBG注射结束后<1秒出现,处于肺循环时间内。这些细胞均未对右心房压力升高做出反应。所有被PBG兴奋的细胞在电刺激同侧颈迷走神经后也通过突触驱动,潜伏期为32.9±3.2毫秒(范围20 - 62毫秒)。这些神经元均没有与中枢呼吸活动相关的持续活动。测试了从心肺传入神经到21个由肺C纤维驱动的神经元的汇聚情况。25%的细胞仅通过心脏感受器的化学刺激被选择性兴奋,19%由外周化学感受器驱动,38%对心脏和化学感受器激活均有反应。相比之下,仅13%由PBG注射激活的细胞对压力感受器刺激有反应,仅6%对心脏机械感受器刺激有反应。这些神经元均未因右心房压力升高而被激活。数据表明在NTS中,来自肺C纤维、心脏感受器和外周化学感受器的传入汇聚比例很高。然而,这些神经元似乎并未整合来自心血管机械感受器的输入。结合诸如肺充血和心力衰竭等病理疾病状态对数据的意义进行了讨论。