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旨在激活人肺C纤维的洛贝林注射未出现内脏躯体抑制。

Absence of viscerosomatic inhibition with injections of lobeline designed to activate human pulmonary C fibres.

作者信息

Gandevia S C, Butler J E, Taylor J L, Crawford M R

机构信息

Prince of Wales Medical Research Institute and Department of Clinical Neurophysiology, Prince of Wales Hospital and University of New South Wales, Sydney, NSW 2031, Australia.

出版信息

J Physiol. 1998 Aug 15;511 ( Pt 1)(Pt 1):289-300. doi: 10.1111/j.1469-7793.1998.289bi.x.

Abstract
  1. Activation of pulmonary C fibres (J receptors) in animals produces inhibition of spinal motoneurones. Intravenous bolus injections of lobeline are believed to activate pulmonary C fibres (J receptors) in human subjects and to produce characteristic sensations and cardiorespiratory responses. This study quantified the respiratory sensations evoked by such injections and then used a range of suprathreshold doses of lobeline and tested for the presence of reflex or descending inhibition of motoneuronal output. 2. Injections of lobeline produced dose-dependent sensations of respiratory discomfort referred to the throat and upper chest beginning within about 10 s and often associated with coughing. As the dose increased the latency for the sensations decreased while their duration and intensity increased. Reflex changes in blood pressure, heart rate and ventilation also occurred. 3. Injections of lobeline at doses sufficient to evoke respiratory discomfort lasting 25-32 s (37-73 microgram kg-1) increased the size of the H reflex in soleus with an onset latency of about 10 s and lasting about 20 s. 4. The size of EMG responses evoked in upper limb muscles by transcranial magnetic stimulation of the motor cortex increased shortly after injections and remained elevated for about 30-35 s. 5. Injections of lobeline during sustained voluntary contractions of the elbow flexors at submaximal or maximal levels did not impair the ability to produce force. 6. Walking was not disrupted by repeated suprathreshold doses of lobeline. 7. It is concluded that injections of lobeline sufficient to evoke cardiorespiratory reflexes and sensations of severe respiratory discomfort are not associated with functionally important inhibition of motor performance. The results cast doubt on the ability of the J reflex to limit exercise in humans.
摘要
  1. 动物肺部C纤维(J受体)的激活会抑制脊髓运动神经元。静脉推注洛贝林据信会激活人体受试者的肺部C纤维(J受体),并产生特征性感觉和心肺反应。本研究对这类注射引发的呼吸感觉进行了量化,然后使用一系列阈上剂量的洛贝林,并测试运动神经元输出是否存在反射性或下行性抑制。2. 注射洛贝林会产生剂量依赖性的呼吸不适感觉,表现为喉咙和上胸部不适,约10秒内开始出现,常伴有咳嗽。随着剂量增加,感觉的潜伏期缩短,而持续时间和强度增加。血压、心率和通气也出现反射性变化。3. 注射足以引发持续25 - 32秒呼吸不适的洛贝林剂量(37 - 73微克/千克),会使比目鱼肌的H反射大小增加,起始潜伏期约为10秒,持续约20秒。4. 经颅磁刺激运动皮层在上肢肌肉中引发的肌电图反应大小在注射后不久增加,并持续升高约30 - 35秒。5. 在肘部屈肌进行次最大或最大水平的持续自愿收缩期间注射洛贝林,并不损害产生力量的能力。6. 重复给予阈上剂量的洛贝林不会干扰行走。7. 得出的结论是,注射足以引发心肺反射和严重呼吸不适感觉的洛贝林,与运动表现的功能性重要抑制无关。这些结果对J反射限制人类运动的能力提出了质疑。

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