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来自骨骼肌感受器的传入输入对颈动脉压力感受器反射的快速重置。

Rapid resetting of carotid baroreceptor reflex by afferent input from skeletal muscle receptors.

作者信息

Potts J T, Mitchell J H

机构信息

Department of Physiology, University of Texas Southwestern Medical Center, Dallas, Texas 75235-9034, USA.

出版信息

Am J Physiol. 1998 Dec;275(6):H2000-8. doi: 10.1152/ajpheart.1998.275.6.H2000.

Abstract

Resetting of the arterial baroreflex is mediated by central (central command) or peripheral (exercise pressor reflex) mechanisms. The purpose of this study was to determine the effect of somatosensory input from skeletal muscle receptors on resetting of the carotid baroreceptor reflex. Resetting of the baroreflex was determined by measuring carotid sinus threshold pressure (Pth) during a ramp protocol that consisted of a linear increase in sinus pressure from 50 to 250 mmHg at approximately 3 mmHg/s. Experiments were performed in seven alpha-chloralose-anesthetized and vagotomized dogs. To determine the effect of skeletal muscle afferent input on resetting, electrically induced muscle contraction was used to activate mechanically and metabolically senstive afferent fibers, whereas passive stretch of the hindlimb was used to activate predominantly mechanically sensitive afferent fibers. Pth for heart rate (HR) and arterial blood pressure (BP) during the control ramp protocol was 110 +/- 4 and 118 +/- 7 mmHg, respectively. Electrically induced muscle contraction increased hindlimb tension (5.7 +/- 0.4 kg) and significantly increased Pth-HR and Pth-BP above control (135 +/- 6 and 141 +/- 5 mmHg, respectively; P < 0.05). Muscle paralysis prevented the increase in Pth-HR and Pth-BP during ventral root stimulation (104 +/- 7 and 116 +/- 5 mmHg, respectively; P = not significant). Passive muscle stretch (n = 3) increased hindlimb tension (5.9 +/- 0.9 kg) and significantly increased Pth-BP (125 +/- 21 vs. 159 +/- 16 mmHg, control vs. contraction; P < 0.05). There was no difference in the magnitude of Pth resetting between muscle contraction or stretch. The present study demonstrates that activation of skeletal muscle afferent fibers, by either muscle contraction or stretch, increases Pth of the carotid baroreflex. Therefore, neural input from skeletal muscle receptors resets the carotid baroreflex in a manner similar to that ascribed by central command.

摘要

动脉压力反射的重调定由中枢机制(中枢指令)或外周机制(运动升压反射)介导。本研究的目的是确定来自骨骼肌感受器的体感输入对颈动脉压力感受器反射重调定的影响。通过在一个斜坡方案中测量颈动脉窦阈压力(Pth)来确定压力反射的重调定,该方案包括以约3 mmHg/s的速度将窦压力从50 mmHg线性增加到250 mmHg。实验在7只α-氯醛糖麻醉并切断迷走神经的犬身上进行。为了确定骨骼肌传入输入对重调定的影响,用电刺激诱发肌肉收缩来激活机械和代谢敏感的传入纤维,而后肢的被动拉伸则主要用于激活机械敏感的传入纤维。在对照斜坡方案期间,心率(HR)和动脉血压(BP)的Pth分别为110±4 mmHg和118±7 mmHg。电刺激诱发的肌肉收缩增加了后肢张力(5.7±0.4 kg),并使Pth-HR和Pth-BP显著高于对照水平(分别为135±6 mmHg和141±5 mmHg;P<0.05)。肌肉麻痹阻止了腹侧神经根刺激期间Pth-HR和Pth-BP的增加(分别为104±7 mmHg和116±5 mmHg;P无显著性差异)。被动肌肉拉伸(n = 3)增加了后肢张力(5.9±0.9 kg),并使Pth-BP显著增加(对照与收缩时分别为125±21 mmHg和159±16 mmHg;P<0.05)。肌肉收缩或拉伸之间Pth重调定的幅度没有差异。本研究表明,通过肌肉收缩或拉伸激活骨骼肌传入纤维会增加颈动脉压力反射的Pth。因此,来自骨骼肌感受器的神经输入以类似于中枢指令所描述的方式重调定颈动脉压力反射。

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