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慢性二尖瓣损伤对兔肺快速适应感受器活性的影响。

Effect of chronic mitral valve damage on activity of pulmonary rapidly adapting receptors in the rabbit.

作者信息

Gunawardena S, Bravo E, Kappagoda C T

机构信息

Division of Cardiovascular Medicine, University of California, Davis, CA 95616, USA.

出版信息

J Physiol. 1998 Aug 15;511 ( Pt 1)(Pt 1):79-88. doi: 10.1111/j.1469-7793.1998.079bi.x.

Abstract
  1. The effects of acute pulmonary venous congestion on the activity of rapidly adapting receptors (RARs) were determined in intact (control and sham-operated) rabbits and in rabbits 6 and 12 weeks after surgical destruction of the mitral valve. 2. Destruction of the mitral valve increased the mean left atrial pressure (LAP) by approximately 2.6 and 3.8 mmHg, 6 and 12 weeks after surgery, respectively. These changes were accompanied by significant increases in left ventricular weight. The effect of acute increments in LAP on RAR activity was examined against this background of chronic pulmonary venous congestion. 3. In intact control and sham-operated animals RAR activity increased from 48.8 +/- 0.9 to 83. 5 +/- 3.6 and 121.1 +/- 4.7 action potentials min-1 when the LAP was raised by 5 and 10 mmHg, respectively, above control values. Six weeks after surgery only 40 % of RARs were activated in this way. 4. In animals maintained for 12 weeks after surgery, RAR activity at LAPs of 6.6 +/- 1.2 (control), 11.6 +/- 1.2 and 16.6 +/- 1.2 (mmHg) were 35.5 +/- 2.3, 33.8 +/- 14.4 and 34.0 +/- 3.4 action potentials min-1, respectively. These changes were statistically not significant. 5. Slowly adapting receptors (SARs) in the lung showed a small but statistically significant increase in activity when the left atrial pressure was acutely elevated in both intact and mitral valve damaged animals . 6. It is concluded that chronic pulmonary venous congestion resulting from destruction of the mitral valve attenuates the ability of RARs to respond to acute moderate elevations of LAP.
摘要
  1. 在完整的(对照和假手术)兔子以及二尖瓣手术破坏后6周和12周的兔子中,测定急性肺静脉充血对快速适应感受器(RARs)活性的影响。2. 二尖瓣破坏分别在术后6周和12周使平均左心房压力(LAP)升高约2.6和3.8 mmHg。这些变化伴随着左心室重量的显著增加。在这种慢性肺静脉充血的背景下,研究了LAP急性升高对RAR活性的影响。3. 在完整的对照和假手术动物中,当LAP分别比对照值升高5和10 mmHg时,RAR活性从48.8±0.9增加到83.5±3.6和121.1±4.7次动作电位·分钟⁻¹。术后6周,只有40%的RARs以这种方式被激活。4. 在术后维持12周的动物中,LAP为6.6±1.2(对照)、11.6±1.2和16.6±1.2(mmHg)时,RAR活性分别为35.5±2.3、33.8±14.4和34.0±3.4次动作电位·分钟⁻¹。这些变化在统计学上不显著。5. 在完整和二尖瓣受损的动物中,当左心房压力急性升高时,肺中的慢适应感受器(SARs)活性有小幅但在统计学上显著的增加。6. 得出结论,二尖瓣破坏导致的慢性肺静脉充血减弱了RARs对LAP急性中度升高的反应能力。

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