蓝斑对迷走─心血管反射的影响

实验用家兔３６只,采用低频（５－８Ｈｚ）和高频（５０－１００Ｈｚ）电流刺激颈部迷走神经中枢端（ＶＡＳ）,建立迷走－减压和迷走－升压反射,两种频率电刺激均导致肾交感神经传出活动（ＲＳＡ）减少。以迷走－血压反射和迷走－交感反射为指标,连续电流刺激蓝斑（ＬＣ）或ＬＣ微量注射谷氨酸钠均抑制迷走－血压反射和迷走－交感反射。而连续电流刺激ＬＣ或ＬＣ微量注射谷氨酸钠本身均引起平均动脉血压升高和ＲＳＡ增加。本文对新近提出的对ＬＣ整体功能认识的理论,结合本文的结果进行了讨论     

家兔延髓腹侧表面加压区与压力感受性反射的关系

实验在乌拉坦麻醉、三碘季铵酚制动和人工呼吸的41只家兔进行。电刺激延髓腹侧面加压区(VSMp)引起肾交感神经电活动(RSNA)增强和动脉血压升高。电刺激主动脉神经(AN)则导致RSNA抑制和动脉血压下降。在下列实验条件下,刺激VSMp所致的交感兴奋性效应均不受影响:(1)同时刺激VSMp和AN;(2)刺激AN期间插入VSMp刺激;(3)刺激VSMp期间插入AN刺激。但刺激AN所致的交感抑制性效应却被明显地抑制。提示兴奋VSMp的交感兴奋性效应可调制压力感受性反射的交感抑制性成分,两者之间的动态平衡是维持静态动脉血压水平的基础。     

心机械感受性反射

心机械感受器分布于心房和心室的内膜、心肌和心包膜上,它们兴奋时发放的冲动经迷走有髓纤维、迷走无髓纤维或交感纤维传入。经迷走有髓纤维传入的心感受性反射可引起心率加速和利尿作用。经迷走无髓纤维传入的心感受性反射有调节(抑制)心血管活动及抑制肾素释放的功能;而经交感纤维传入的心感受性反射则调节心血管活动(主要为兴奋性心血管反射)。本文还讨论了心肌缺血时的心反射及其作用机理。     

不同血压水平下刺激腓深神经对兔肾交感神经放电的影响

本实验观察了53例兔在不同血压水平下不同参数的腓深神经刺激对肾交感神经活动的影响。物在正常血压时,用低强度电流(3V,0.15—0.3mA,12Hz,0.5ms)刺激腓深神经可明显抑制肾交感冲动发放,静脉注射纳洛酮可以阻断此抑制效应;而用中等强度电流(10V,0.5—0.8mA)刺激腓深神经对肾交感活动没有明显抑制效应。当静脉匀速注射硝普钠使动物血压降低、肾交感冲动增加时,用中等强度刺激腓深神经可使肾交感冲动发放进一步增多,而用低强度刺激对肾交感活动无显著影响。静脉注射东莨菪碱(0.25mg/kg)可阻断低血压时刺激腓深神经引起的肾交感兴奋效应,但静脉注射纳洛酮(0.4mg/kg)却不能阻断。又当静脉匀速注射去甲肾上腺素造成动物较高血压时,肾交感冲动减少,用上述二种强度刺激腓深神经均使肾交感活动进一步受到明显抑制,此抑制效应可被静脉注射纳洛酮阻断,但不受东莨菪碱的影响。实验结果表明:刺激腓深神经引起的不同肾交感活动反应与所用刺激参数及动物血压水平和肾交感活动水平有关。刺激腓深神经引起的交感活动减弱或增强的反应,其神经机制可能不完全相同。前者可能有阿片受体的参与,而后者可能是胆碱能受体起着较重要的作用。     

躯体传入对肾交感神经活动及某些内感受性反射的影响

本工作记录家兔的肾交感神经冲动、动脉血压和心率,观察到以低频率、低强度刺激腓深神经(强度3伏,频率12次/秒,波宽0.5毫秒,持续20分钟),可以显著抑制肾交感神经的放电活动,但对血压和心率无显著影响。刺激腓深神经后吸10%氧引起缺氧时的交感兴奋和升压反射以及夹闭一侧颈总动脉引起的升压反射均受到抑制。这些抑制现象可因静脉注射纳洛酮(0.4毫克/公斤)而被翻转。结果表明:低频低强度的腓深神经刺激可抑制交感缩血管中枢及升压反射,这种抑制效应和内源性鸦片样物质的释放有关。     

心力衰竭状态下的动脉压力感受器反射

心力衰竭是以心脏泵血功能降低（心输出量减少）为始动因素的临床综合征。心输出量降低首先引起动脉压力感受性反射失负荷,进而通过迷走-交感机制加快心率;同时,支配血管床的交感传出活动增强,进而增加总外周阻力。本文主要论述在心力衰竭状态下压力感受性反射在循环功能异常调控中的作用机制。本综述及我们近年的研究表明：（1）在心力衰竭状态下压力感受性反射功能明显减弱;（2）中枢血管紧张素Ⅱ和活性氧在压力感受性反射功能失调中发挥关键作用;（3）心交感传入刺激和化学感受性反射能抑制压力感受性反射;（4）适当的运动可以部分纠正异常的心血管反射活动。     

刺激外周傳入神經对交感傳出冲动节律的影响

颈上交感神经与内脏神经的传出冲动表现同相变化,冲动群互相同步,冲动的幅度与频率变化和动脉血压的变化相呼应,但内脏神经对传入刺激的反应较之颈上交感神经更为明显。以单个电刺激作用于迷走或颈动脉窦神经向中端,可诱发交感传出冲动呈兴奋——抑制双相反应。如给予重复电刺激,交感冲动群发放的频率变成与刺激的频率同步,其最高频率可达每秒10—3次。更高频率时,不再表现规律性,转为连续的发放。停止刺激后,有后抑制现象。重复电刺激家兔减压神经或猫和兔的坐骨神经,能完全抑制交感神经干的冲动发放。同样,重复电刺激猫主动脉弓附近神经小枝时,引起交感干持续、强烈的冲动发放。如同时刺激猫的主动脉弓处神经小枝及坐骨神经,则在一定的刺激频率下,交感冲动亦与刺激同步,最高可达7—8次/秒。以重复电刺激直接作用于延髓加压区,可得到良好的交感传出冲动节律同步的反应。刺激闩都附近可完全抑制交感传出冲动,但长期刺激下,能在抑制下释放出来,表现与刺激节律同步的冲动发放,以上两种同步的最高频率亦可达10—13次/秒。在延髓以上水平切断脑干,不影响上述机能;在闩部前方切断脑干,交感冲动大部分消失,也不能再产生反射性变化。以上结果说明,在刺激迷走和窦神经时所引起的交感传出冲动群的节律性,乃由于此两种传入神经中含有抑制性和兴奋性两种纤维。在其影响下,中枢交替发生兴奋与抑制,从而反映于传出冲动。     

兔下丘脑室旁核刺激引起的肾交感神经传出活动的抑制

本实验用家兔,氯醛糖及尿酯混合静脉麻醉,制动,人工呼吸,颈部分离出三对神经——迷走、窦及主动脉神经,以备实验中切断。记录股动脉压、肾交感神经传出性放电活动(RSED)及其频率幅度直方图。借助脑立体定向仪刺激下丘脑室旁核,当刺激较强时,在交感神经放电短暂增加之后,可引起血压升高及RSED抑制。这一抑制过程可分为两个时相:血压不变期间的初期抑制时相及与血压升高同时并存的后期抑制时相。实验发现RSED总抑制时程及后期抑制时程均与血压变动具有正相关关系,而初期抑制时程与血压变动无相关关系。切断压力感受性神经前后,虽初期抑制时程的均值无显著差异,但在切断压力感受性神经后,总抑制时程及后期抑制时程的均值大大缩短。当用较弱刺激施于室旁核时,可不引起血压变化,但仍能引起RSED抑制。这个抑制亦可因切断压力感受神经而显著缩短。上述实验结果表明:(1) 在中枢内存在着一个室旁核-肾交感传出系统的抑制机制;(2) 初期抑制来源于中枢性抑制机制,而后期抑制时相主要来源于压力感受性反射,但亦有中枢抑制机制的参与;(3) RSED的中枢抑制可能并不是兴奋后压抑,而是自室旁核至脊髓交感节前神经元的主动性抑制。     

大鼠蓝斑核对迷走-迷走抑胃反射的加强作用

本文研究了蓝斑核对迷走-迷走抑胃反射的影响。实验结果表明,单独刺激迷走神经中枢端抑制胃电和胃运动,胃电慢波的振幅和胃内压分别下降到对照值的60.9％和45.7％,与对照值相比有明显的统计学意义(P<0.05)。刺激迷走神经中枢端的同时,以弱刺激刺激蓝斑核时,胃电慢渡的振幅和胃内压分别下降到对照值的42.1％和34.1％,与单独刺激迷走神经的效果相比较有非常显著的差异(P<0.01)。本文结果提示:蓝斑核的兴奋加强迷走-迷走抑胃反射。     

人体皮肤电位及皮肤电反射的观察

十九世紀末,已有人发現把人体皮肤上二点用乏极化电极联結到灵敏的电表上即可讀出电位差,如通以外电流則可看到皮肤有一定电阻;在視、听、痛等感觉刺激及情緒激动时,人体皮肤电位差增大或电阻降低,这称之为皮肤电反射或心理电反射。Wechsler等研究了各种生理状态下的皮肤电反射,认为皮肤电阻与电位变化均与汗腺活动有关,以手掌及脚掌处变化最大,前臂最小,口腔粘膜等无汗腺处无皮肤电反射。Richter等报告切除交感节后皮肤电阻升高,汗腺活动消失。Goadby和Goadby也观察到切除交感节     

Effect of repetitive stimulation of the locus coeruleus on spinal inhibition evoked in cats by activation of flexor reflex afferents

Repetitive stimulation of the locus coeruleus with a frequency of 40 Hz and strength of 50–150 µA in decerebellated cats anesthetized with chloralose was accompanied by a decrease in the inhibitory action of flexor reflex afferents (FRA) on the extensor monosynaptic reflex. This effect, which appeared after 600 msec, reached a maximum 1500–1700 msec after the beginning of repetitive stimulation. A minimum of 7–10 stimuli was needed to evoke the effect. After the end of stimulation the inhibitory action of FRA was not fully restored until after 2–3 sec. During application of a single stimulus or a short high-frequency series of stimuli of the same strength to the locus coeruleus no such effect was found. An increase in the strength of stimulation in that case was accompanied by activation of adjacent more rapidly conducting structures. The advantage of repetitive stimulation for detecting effects of slowly-conducting brain structures is discussed.A. A. Bogomolets Institute of Physiology, Academy of Sciences of the Ukrainian SSR, Kiev. Translated from Neirofiziologiya, Vol. 13, No. 2, pp. 187–195, March–April, 1981.     

Theta driving both inhibits and potentiates the effects of nicotine on dentate gyrus responses

The medial septal area of conscious rats was stimulated through previously implanted electrodes at a frequency of 7.7 Hz for 20 min each day for 7 days to evoke rhythmic slow activity in CA1 at a similar frequency to spontaneous theta. Two weeks later in the anaesthetized rats the effects of a single subcutaneous injection of nicotine (0.4 mg x kg(-1)) on fEPSPs, evoked in the dentate gyrus by separate stimulation of the MPP and LPP, were studied and compared with those obtained in controls. Nicotine increased the firing of locus coeruleus neurones and the slope of the fEPSPs evoked by LPP stimulation, but not by MPP stimulation. Prior theta driving considerably increased the effect of nicotine on the responses evoked by stimulation of the MPP and abolished the nicotine-induced potentiation of the responses evoked by stimulation of the LPP. The results are attributed to theta driving increasing the amount of noradrenaline released by nicotine and to noradrenaline producing a beta-adrenoceptor long-lasting potentiation at the medial perforant path synapse and a long-lasting depression at the lateral perforant path synapse.     

电刺激家兔迷走神经中枢端诱导的黑-伯反射中的非联合型学习现象

本文旨在研究电刺激家兔迷走神经诱导的黑-伯（Hering-Breuer,HB）反射中的学习和记忆现象。选择性电刺激家兔迷走神经中枢端（频率10～100Hz,强度20～60μA,波宽0．3ms,持续60s）,观察对膈神经放电的影响。以不同频率电刺激家兔迷走神经可模拟HB反射的两种成分,即类似肺容积增大所致抑制吸气的肺扩张反射和类似肺容积缩小所致加强吸气的肺萎陷反射。（1）长时高频（≥40Hz,60s）电刺激迷走神经可模拟呼吸频率减慢,呼气时程延长的肺扩张反射。随着刺激时间的延长,膈神经放电抑制的程度逐渐衰减,表现为呼吸频率的减慢（主要由呼气时程延长所致）在刺激过程中逐渐减弱或消失,显示为适应性或“习惯化”的现象;刺激结束时呼吸运动呈现反跳性增强,表现为一过性的呼气时程缩短,呼吸频率加快,然后才逐渐恢复正常。长时低频（〈40Hz,60s）电刺激迷走神经可模拟呼吸频率加快、呼气时程缩短的肺萎陷反射。随着刺激时间的延长,膈神经放电增强的程度逐渐衰减,同样表现出“习惯化”现象;刺激结束后,膈神经放电不是突然降低,而是继续衰减,表现为呼气时程逐渐延长,呼吸频率逐渐减慢,直至恢复到前对照水平,表现了刺激后的短时增强效应。（2）HB反射的适应性或“习惯化”程度反向依赖于刺激强度和刺激频率,表现为随着刺激强度和频率的增加,膈神经放电越远离正常基线水平,即爿惯化程度减弱。结果表明,家兔HB反射具有“习惯化”这一非联合型学习现象,反映与其有关的呼吸神经元网络具有突触功能的可翅性,呼吸的中枢调控反射具有一定的适应性。     

CYCLIC AMP IN THE RAT CEREBRAL CORTEX AFTER ACTIVATION OF NORADRENALINE NEURONS OF THE LOCUS COERULEUS

The levels of cyclic AMP in the rat brain were studied in vivo following destruction or stimulation of the noradrenergic pathway originating in the locus coeruleus. After chronic lesion of the locus coeruleus no alterations in cyclic AMP content were found. Electrical stimulation of the locus coeruleus produced an elevation of cyclic AMP in the cerebral cortex of chloral hydrate anaesthetized rats of 30%. Maximal increases were found after 15–60 s stimulation at a frequency of 30–100 Hz. This maximal response was slightly inhibited by phenoxybenzamine, an α-adrenergic blocking agent, and by the β-blocker propranolol. When the α and β blockers were administered together a highly significant decrease in cyclic AMP response was observed. Pretreatment of the rats with reserpinc +α methyl-p-tyrosine prevented the cyclic AMP response. In addition to the effect in the cerebral cortex, cyclic AMP-levels were also enhanced in the hippocampus, in the striatum and in the hypothalamus. These results suggest that the locus coeruleus regulates a small fraction of cerebral cyclic AMP levels, by both α- and β-adrenergic receptors.     

Changes in postsynaptic responses in spinal motoneurons during repetitive stimulation of the locus coeruleus

Experiments on cats anesthetized with chloralose showed that repetitive stimulation of the locus coeruleus is accompanied by a decrease in IPSPs evoked by stimulation of flexor reflex afferents in extensor motoneurons. The effect appeared 600 msec after the beginning of stimulation and reached its maximum after 1500–2000 msec. Repetitive stimulation of the locus coeruleus did not change the membrane potential and did not affect EPSPs or IPSPs evoked by stimulation of low-threshold muscle afferents; EPSPs due to activation of high-threshold cutaneous and muscle afferents likewise remained unchanged. Repetitive stimulation of more central regions of the brain stem was accompanied not only by a decrease in IPSPs evoked by stimulation of flexor reflex afferents in extensor motoneurons, but also by a decrease in amplitude of EPSPs arising in response to stimulation of these same afferents in flexor motoneurons. These effects were not connected with activation of monoaminergic structures, for unlike effects arising during stimulation of the locus coeruleus, they were also found in previously reserpinized animals.A. A. Bogomolets Institute of Physiology, Academy of Sciences of the Ukrainian SSR, Kiev. Translated from Neirofiziologiya, Vol. 14, No. 1, pp. 51–59, January–February, 1982.     

Stimulation of the locus coeruleus elicits noradrenaline and dopamine release in the medial prefrontal and parietal cortex

Our previous studies have suggested that dopamine and noradrenaline may be coreleased from noradrenergic nerve terminals in the cerebral cortex. To further clarify this issue, the effect of electrical stimulation of the locus coeruleus on extracellular noradrenaline, dopamine and DOPAC in the medial prefrontal cortex, parietal cortex and caudate nucleus was analysed by microdialysis in freely moving rats. Stimulation of the locus coeruleus for 20 min with evenly spaced pulses at 1 Hz failed to modify cortical catecholamines and DOPAC levels. Stimulation with bursts of pulses at 12 and 24 Hz increased, in a frequency-related manner, not only noradrenaline but also dopamine and DOPAC in the two cortices. In both cortices noradrenaline returned to baseline within 20 min of stimulation, irrespective of the stimulation frequency, whereas dopamine returned to normal within 20 and 60 min in the medial prefrontal cortex and within 60 and 80 min in the parietal cortex after 12 and 24 Hz stimulation, respectively. DOPAC remained elevated throughout the experimental period. Phasic stimulation of the locus coeruleus at 12 Hz increased noradrenaline in the caudate nucleus as in the cerebral cortices but was totally ineffective on dopamine and DOPAC. Tetrodotoxin perfusion into the medial prefrontal cortex dramatically reduced noradrenaline and dopamine levels and suppressed the effect of electrical stimulation. These results indicate that electrical stimulation-induced increase of dopamine is a nerve impulse exocytotic process and suggest that cortical dopamine and noradrenaline may be coreleased from noradrenergic terminals.     

Effects of repetitive stimulation of the locus coeruleus on spinal inhibitory responses to suprasegmental stimulation in cats

Effects of repetitive stimulation of the locus coeruleus on spinal responses to activation of cortico-, reticulo-, and vestibulospinal tracts were studied in decerebellate cats anesthetized with chloralose. Descending influences of these structures were assessed from changes in amplitude of extensor and flexor monosynaptic discharges or from the magnitude of postsynaptic potentials recorded from the corresponding motoneurons. Stimulation of the motor cortex or modullary reticular formation as a rule evoked two-component inhibitory responses in extensor motoneurons and excitatory-inhibitory responses in flexor motoneurons. Stimulation of locus coeruleus effectively depressed the amplitude of the late component and, to a lesser degree, that of the early component of inhibition arising after stimulation of the cerebral cortex or reticular formation. During stimulation of the locus coeruleus no marked changes were found in inhibitory responses evoked by vestibulospinal influences in flexor motoneurons, and also in excitatory responses arising after stimulation of the above-mentioned descending pathways in both groups of motoneurons.     

Modulation of cardiovascular excitatory responses in rats by transcutaneous magnetic stimulation: role of the spinal cord.

This study investigated the efficacy of magnetic stimulation on the reflex cardiovascular responses induced by gastric distension in anesthetized rats and compared these responses to those influenced by electroacupuncture (EA). Unilateral magnetic stimulation (30% intensity, 2 Hz) at the Jianshi-Neiguan acupoints (pericardial meridian, P 5-6) overlying the median nerve on the forelimb for 24 min significantly decreased the reflex pressor response by 32%. This effect was noticeable by 20 min of magnetic stimulation and continued for 24 min. Median nerve denervation abolished the inhibitory effect of magnetic stimulation, indicating the importance of somatic afferent input. Unilateral EA (0.3-0.5 mA, 2 Hz) at P 5-6 using similar durations of stimulation similarly inhibited the response (35%). The inhibitory effects of EA occurred earlier and were marginally longer (20 min) than magnetic stimulation. Magnetic stimulation at Guangming-Xuanzhong acupoints (gallbladder meridian, GB 37-39) overlying the superficial peroneal nerve on the hindlimb did not attenuate the reflex. Intravenous naloxone immediately after termination of magnetic stimulation reversed inhibition of the cardiovascular reflex, suggesting involvement of the opioid system. Also, intrathecal injection of delta- and kappa-opioid receptors antagonists, ICI174,864 (n=7) and nor-binaltorphimine (n=6) immediately after termination of magnetic stimulation reversed inhibition of the cardiovascular reflex. In contrast, the mu-opioid antagonist CTOP (n=7) failed to alter the cardiovascular reflex. The endogenous neurotransmitters for delta- and kappa-opioid receptors, enkephalins and dynorphin but not beta-endorphin, therefore appear to play significant roles in the spinal cord in mediating magnetic stimulation-induced modulation of cardiovascular reflex responses.