State of the somatic segmental reflex mechanisms in humans subjected to irradiation because of the Chernobyl' nuclear catastrophe

State of the afferent, central, and efferent links of the somatic segmental reflex mechanisms was studied in the persons, involved in the cleanup and repair after the catastrophe at the Chernobyl' nuclear power station in 1986; clinical and electroneuromyographic tests were performed. Among 233 investigated individuals, 100 persons received rather high absorbed doses and suffered from acute radiation syndrome (group I). Among the rest of the investigated individuals subjected to lower doses, 49 persons worked at the nuclear plants before and after their participation in the cleanup of the catastrophe (group II), while 84 persons were involved only in the works carried out in 1986 (group III). Comparison with a control group (20 persons) showed that the amplitude of evoked potentials (EP), recorded from the projections ofn. medianus after supramaximum transcutaneous stimulations of the branches of this nerve, innervating II and III fingers, considerably decreased in cleanup workers (on average, by 9.3, 50.8, and 10.0% in groups I–III, respectively). The conduction velocity for EP also dropped (at the finger-wrist region to a greater extent than at the wrist-elbow region, by 12.3–15.0% and 1.1–5.4%, respectively). The maximum amplitude of M responses, recorded from them. abductor pollicis after stimulation of then. medianus, decreased in the groups of cleanup workers by 14.8–17.4%, while the conduction velocity via efferent fibers of then. medianus demonstrated only a slight trend toward a drop in group II. In the groups of cleanup workers the thresholds of H reflex and M response in them. soleus, evoked by stimulation of then. tibialis post., increased, while the amplitudes of these responses decreased. At the same time, the latencies of H and M responses showed no considerable changes. In nearly all cases, the shifts of the above parameters were the greatest in group II. Thus, radiation factors, related to the Chernobyl' catastrophe, induce significant functional distortions in the somatic segmental reflex mechanisms, especially in the distal parts of their afferent and, to a somewhat lesser extent, efferent links. The crucial significance of the duration of radiation influence in the development of the above changes is emphasized. A concept for radiation-induced genesis of the above phenomena is justified. Microcirculatory and metabolic impairments, largely related to the dysfunction of the sympathetic section of the autonomic nervous system, together with direct influences of radiation on the components of the peripheral and central nervous system, are regarded as probable mechanisms of the above modifications; these changes are induced upon long-lasting irradiation even in the case of its low intensity.     

State of monosynaptic reflex (H reflex) arc during voluntary muscle contraction in humans

Effect of an isometric voluntary contraction of the soleus muscle (5–6 sec in duration) on the H reflex was studied in persons aged 25–45 years. A sharp enhancement of the H reflex at a dynamic phase of fast contraction (in the force increase period) and its less pronounced increase at a static phase of contraction were shown. When a paired stimulation of the nerve was used (interstimulus interval, 500 msec), a voluntary contraction of the muscle fully abolished the first stimulus-related suppression of the second H reflex. When the muscle contracted against the background of vibration, the suppressed H reflex recovered up the the level observed in the resting muscle, but did not reach the level characteristic for the contracting muscle. The findings show that the two pathways controlling the H reflex (descending and afferent) function independently, and apparently there exist at least two corresponding groups of interneurons causing a presynaptic inhibition of the H reflex.Neirofiziologiya/Neurophysiology, Vol. 25, No. 5, pp. 365–371, September–October, 1993.     

Characteristics of the autonomic regulation in humans with different susceptibility to cold

To determine the strained adaptation to cold, the cardiovascular reactivity under local cold exposure and the characteristics of regulation of the circulatory system in persons with high individual susceptibility to cold was studied. It was shown that the subjective characteristics of high susceptibility to cold in the form of initial symptoms of Raynaud’s phenomenon correlated with the symptoms of aggravated and generalized cold-induced vasoconstriction (CIV) during the local cold test. The analysis of the heart rate variability (HRV) in persons with aggravated CIV revealed a decrease in the parameters of the time-domain characteristics of HRV (RRNN, SDNN, RMSSD, pNN₅₀, and coefficient of variation) as well as a decrease in the total power (TP) of the frequency-domain characteristics and the absolute values of the frequency bands (VLF, LF, and HF) with a relative increase of the LF component. This reflects possible changes in the autonomic regulation of the cardiovascular system, which manifest themselves in a reduced contribution of reflectory mechanisms to the heart rate regulation followed by relative predominance of baroreflex regulation. The diagnostic value of aggravated cold-induced vasoconstriction in identifying disorders of adaptation to cold or premorbid state of the cardiovascular system is discussed.     

Individual behavioral and autonomic response to emotional stress in humans

Healthy subjects (n = 53) performed a sound version of the proof-reading test under normal conditions and in the state of emotional stress. Stress resistance was evaluated by the overall number of errors. The propensity to active or passive response to stress was evaluated by the number of "false alarms" and signal omissions. The reaction pattern to emotional stress in stress-resistant subjects, irrespective of their behavioral features, consisted in an increase in sympathetic effects on the cardiac rhythm and a decrease in the reaction time to significant signals. In subjects with low stress resistance, no statistically significant changes in the level of sympathetic tone and reaction time were revealed in the state of stress. Subjects with active behavioral response to stress, irrespective of their level of stress resistance, were characterized by aggressiveness, boldness and independence. Subjects with passive response to stress were inclined to conformism, dependence, and passivity.     

Neurophysiological mechanisms of the reflex lacrimation

Neurophysiological mechanisms of the reflex lacrimation were analyzed in anesthetized rabbits. The secretory pattern of the lacrimation elicited by stimulation of the cornea consisted of two phases, that is, a rapid flow phase during stimulation and the subsequent slow flow phase in post-stimulus time. Parasympathetic nerve activities are closely related to the secretory volume in the rapid flow phase of the reflex lacrimation. On the other hand, excitation of the sympathetic nerve depressed the secretion in the rapid flow phase, while it facilitated slightly the secretion in the slow flow phase. The postganglionic parasympathetic fibers innervating the lacrimal gland showed two responses, i.e., the early and late discharges, when a single electrical shock was applied to the cornea. Their latencies were 68.7 +/- 8.7 msec and 173.3 +/- 14.2 msec, respectively. The threshold of the late response was about 10 times greater than that of the early one. With moderate anesthesia by pentobarbital or with transection of lateral 1/3 of medulla oblongata at the rostral level of the subnucleus caudalis of the spinal trigeminal nucleus, the late response was abolished whereas the early one was left almost unaffected. It is assumed that the early response is elicited by afferent impulses transmitted via the rostral part of the trigeminal sensory nuclear complex and the late one via the caudal part of the complex and also possibly the reticular formation.     

Acupuncture effects on reflex responses to mental stress in humans

In animal studies, acupuncture has been shown to be sympathoinhibitory, but it is unknown if acupuncture is sympathoinhibitory in humans. Nineteen healthy volunteers underwent mental stress testing pre- and postacupuncture. Muscle sympathetic nerve activity (MSNA), blood pressure, and heart rate during mental stress were compared pre- and postacupuncture. Control acupuncture consisted of acupuncture at nonacupoints and "no-needle" acupuncture. Acupuncture had no effect on resting MSNA, blood pressure, or heart rate. After real acupuncture, the increase in mean arterial pressure (pre- vs. postacupuncture 4.5 vs. 1.7 mmHg, P < 0.001), but not MSNA or heart rate, was blunted during mental stress. Similarly, following nonacupoint acupuncture, the increase in mean arterial pressure was blunted during mental stress (5.4 vs. 2.9 mmHg, P < 0.0003). No-needle acupuncture had no effect on these variables. In conclusion, acupuncture at traditional acupoints, nonacupoints, and no-needle acupuncture does not modulate baseline MSNA or MSNA responses to mental stress in normal humans. Acupuncture significantly attenuates the increase in blood pressure during mental stress. Needling nonacupoints, but not "no-needle" acupuncture, have a similar effect on blood pressure.     

Status of the spinal inhibitory reactions in humans subjected to hyperbaric oxygenation]

The state of human spinal inhibition responses under normo- and hyperbaric pressure (6.5 ata) was comparatively studied. The paired stimulation method has been used to estimate resetting of tested monosynaptic reflex in the 20-900 ms interval of paired stimulation at rest or against the background of supraspinal modulation of spinal reflective processes (Jendrassik manoeuvre, voluntary plantar flexion) were studied. The depression of inhibition reactions under hyperbaric pressure identical to that during the supraspinal modulation under normobaric conditions is shown. It is supposed that these influences on spinal reflection processes are caused by the same neuronal mechanism.     

Simulation of adaptive mechanisms in the vestibulo-ocular reflex

The vestibulo-ocular reflex (VOR), which stabilizes the eyes in space during head movements, can undergo adaptive modification to maintain retinal stability in response to natural or experimental challenges. A number of models and neural sites have been proposed to account for this adaptation but these do not fully explain how the nervous system can detect and correct errors in both gain and phase of the VOR. This paper presents a general error correction algorithm based on the multiplicative combination of three signals (retinal slip velocity, head position, head velocity) directly relevant to processing of the VOR. The algorithm is highly specific, requiring the combination of particular sets of signals to achieve compensation. It is robust, with essentially perfect compensation observed for all gain (0.25X–4.0X) and phase (-180°–+180°) errors tested. Output of the model closely resembles behavioral data from both gain and phase adaptation experiments in a variety of species. Imposing physiological constraints (no negative activation levels or changes in the sign of unit weights) does not alter the effectiveness of the algorithm. These results suggest that the mechanisms implemented in our model correspond to those implemented in the brain of the behaving organism. Predictions concerning the nature of the adaptive process are specific enough to permit experimental verification using electrophysiological techniques. In addition, the model provides a strategy for adaptive control of any first order mechanical system.     

Impact of gender on the cardiac autonomic response to angiotensin II in healthy humans

Premenopausal women have a lower risk of cardiovascular disease (CVD) compared with men of a similar age. Furthermore, the regulation of factors that influence CVD appears to differ between the sexes, including control of the autonomic nervous system (ANS) and the renin-angiotensin system. We examined the cardiac ANS response to angiotensin II (Ang II) challenge in healthy subjects to determine whether differences in women and men exist. Thirty-six healthy subjects (21 women, 15 men, age 38 ± 2 years) were studied in a high-salt balance. Heart-rate variability (HRV) was calculated by spectral power analysis [low-frequency (LF) sympathetic modulation, high-frequency (HF) parasympathetic/vagal modulation, and LF:HF as a measure of overall ANS balance]. HRV was assessed at baseline and in response to graded Ang II infusions (3 ng·kg(-1)·min(-1) × 30 min; 6 ng·kg(-1)·min(-1) × 30 min). Cardiac ANS tone did not change significantly in women after each Ang II dose [3 ng·kg(-1)·min(-1) mean change (Δ)LF:HF (mean ± SE) 0.5 ± 0.3, P = 0.8, vs. baseline; 6 ng·kg(-1)·min(-1) ΔLF:HF (mean ± SE) 0.5 ± 0.4, P = 0.4, vs. baseline], whereas men exhibited an unfavorable shift in overall cardiac ANS activity in response to Ang II (ΔLF:HF 2.6 ± 0.2, P = 0.01, vs. baseline; P = 0.02 vs. female response). This imbalance in sympathovagal tone appeared to be largely driven by a withdrawal in cardioprotective vagal activity in response to Ang II challenge [ΔHF normalized units (nu), -5.8 ± 2.9, P = 0.01, vs. baseline; P = 0.006 vs. women] rather than an increase in sympathetic activity (ΔLF nu, -4.5 ± 5.7, P = 0.3, vs. baseline; P = 0.5 vs. women). Premenopausal women maintain cardiac ANS tone in response to Ang II challenge, whereas similarly aged men exhibit an unfavorable shift in cardiovagal activity. Understanding the role of gender in ANS modulation may help guide risk-reduction strategies in high-risk CVD populations.     

Nicotinic mechanisms in the autonomic control of organ systems

Most visceral organs are under the control of the autonomic nervous system (ANS). Information on the state and function of these organs is constantly relayed to the central nervous system (CNS) by sensory afferent fibers. The CNS integrates the sensory inputs and sends neural commands back to the organ through the ANS. The autonomic ganglia are the final site for the integration of the message traveling from the CNS. Nicotinic acetylcholine receptors (nAChRs) are the main mediators of fast synaptic transmission in ganglia, and therefore, are key molecules for the processing of neural information in the ANS. This review focuses on the role of nAChRs in the control of organ systems such as heart, gut, and bladder. The autonomic control of these organ systems is discussed in the light of the results obtained from the analysis of mice carrying mutations targeted to nAChR subunits expressed in the ANS.     

Glycerol-induced fluid shifts attenuate the vestibulosympathetic reflex in humans

The glycerol dehydration test (GDT) has been used to test for the presence of Ménière's disease and elicits acute alterations in vestibular reflexes in both normal and pathological states. Activation of the vestibulosympathetic reflex (VSR) increases muscle sympathetic nerve activity (MSNA) and peripheral vascular resistance. We hypothesized that the GDT would attenuate the VSR through fluid shifts of the inner ear. Sixteen male subjects (26 ± 1 yr) were randomly assigned to be administered either glycerol mixed with cranberry juice (97 ± 3 ml glycerol + equal portion of cranberry juice; n = 9) or a placebo control [water + cranberry juice (100 ml each); n = 7]. Subjects in both groups performed head-down rotation (HDR), which engages the VSR, before and after administration of either the glycerol or placebo. MSNA (microneurography), arterial blood pressure, and leg blood flow (venous occlusion plethysmography) were measured during HDR. Before glycerol administration, HDR significantly increased MSNA burst frequency (Δ8 ± 1 bursts/min; P < 0.01) and total activity (Δ77 ± 18%; P < 0.01) and decreased calf vascular conductance (-Δ20 ± 3%; P < 0.01). However, HDR performed postadministration of glycerol resulted in an attenuated MSNA increase (Δ3 ± 1 bursts/min, Δ22 ± 3% total activity) and decrease in calf vascular conductance (-Δ7 ± 4%). HDR significantly increased MSNA burst frequency (Δ5 ± 1 and Δ5 ± 2 bursts/min) and total activity (Δ58 ± 13% and Δ52 ± 18%) in the placebo group before and after placebo, respectively (P < 0.01). Likewise, decreases in calf vascular conductance during HDR before and after placebo were not different (-Δ13 ± 4% and -Δ14 ± 2%, respectively; P < 0.01). These results suggest that fluid shifts of the inner ear via glycerol dehydration attenuate the VSR. These data provide support that inner ear fluid dynamics can have a significant impact on blood pressure regulation via the VSR in humans.