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Studies on the regenerated carotid sinus nerve of the rabbit.

机译:兔颈动脉窦神经再生的研究。

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摘要

1. The central end of the distally cut left carotid sinus nerve was sutured to the tunica media of the external carotid artery, 1 cm cranial to the carotid bifurcation, in nineteen rabbits. The carotid body was removed in fourteen of these rabbits but left in situ in the remaining five. After 56-165 days of recovery a neuroma was identified at the site of the suture. Ventilatory reflexes mediated by both sinus nerves were tested and afferent activity recorded from the regenerated nerve. 2. Ventilatory reflex responses to hypoxia and sodium cyanide were abolished on sectioning the right sinus nerve, whilst the hypercapnic response was maintained. 3. Electrical stimulation of the regenerated sinus nerve caused hypotension and hyperventilation. These responses were attenuated compared to stimulation of the right sinus nerve. 4. A level of afferent activity equivalent to that found in non-regeneration experiments was recorded from all regenerated sinus nerves. Whole-nerve afferent activity was modulated by changes in carotid sinus blood pressure but not by changes in Pa,O2, Pa,CO2 (arterial O2 and CO2 pressures) or intracarotid injection of sodium cyanide. 5. A minimum of thirty single afferent fibres was identified in each experiment, the vast majority of which were mechanoreceptors. In only nine experiments were chemoreceptor fibres found and only twelve chemoreceptor fibres (1.7% of total) were identified in these nine experiments. In ten experiments no chemoreceptor fibres could be found. Leaving the carotid body in situ increased the incidence of chemoreceptive preparations. A small number of fibres unresponsive to mechanical stimulation and asphyxia was also identified. 6. The responses of regenerated chemoreceptor fibres to physiological and pharmacological stimuli were generally similar to those found in control carotid body preparations. Fibres unresponsive to mechanical stimulation and asphyxia did not respond to sodium cyanide, dopamine or isoprenaline; some of these fibres were excited by nicotine. 7. The receptive fields of mechanosensitive fibres were localized on or up to 2 cm away from the neuroma. Surface application of 20-40 microliters sodium cyanide (200 micrograms ml-1) was used to localize the receptive fields of seven of the twelve chemoreceptor fibres. All seven were localized to the site of the carotid body. 8. The neuroma and site of the carotid body were examined under light and electron microscopy. Glomus tissue was absent from the neuroma but was found at the site of the carotid body. 9. In conclusion, recovery of chemoreceptor function after carotid sinus nerve section appears to be associated with reinnervation of glomus tissue.
机译:1.在19只兔中,将远端切开的左颈窦神经的中央端缝合至颈外动脉的颅中膜,距颅骨分叉处1 cm。在这些兔子中的十四只中除去了颈动脉体,而在其余五只中则留在原位。恢复56-165天后,在缝合部位发现了神经瘤。测试了由两条窦神经介导的通气反射,并记录了再生神经的传入活动。 2.切断右窦神经后,消除了对低氧和氰化钠的通气反射反应,同时维持了高碳酸血症的反应。 3.再生窦神经的电刺激引起低血压和过度换气。与刺激右窦神经相比,这些反应减弱了。 4.从所有再生的窦神经记录到与非再生实验相同的传入活动水平。全神经传入活动受颈动脉窦血压变化的调节,但不受Pa,O2,Pa,CO2(动脉O2和CO2压力)的变化或颈动脉内注射氰化钠的影响。 5.每个实验中至少鉴定出三十根单根传入纤维,其中绝大多数是机械感受器。仅在九个实验中发现化学感受器纤维,并且在这九个实验中仅鉴定出十二个化学感受器纤维(占总数的1.7%)。在十个实验中,未发现化学感受器纤维。将颈动脉留在原位会增加化学感受性制剂的发生率。还发现了少量对机械刺激和窒息无反应的纤维。 6.再生化学感受器纤维对生理和药理刺激的反应通常与对照颈动脉体制剂中的反应相似。对机械刺激和窒息无反应的纤维对氰化钠,多巴胺或异丙肾上腺素无反应。其中一些纤维被尼古丁激发。 7.机械敏感纤维的感受野位于或距神经瘤2 cm。表面应用20-40微升氰化钠(200微克ml-1)来定位十二种化学感受器纤维中七种的感受野。全部七个都定位在颈动脉体部位。 8.在光学和电子显微镜下检查颈动脉体的神经瘤和部位。神经瘤中没有球囊组织,但在颈动脉体处发现。 9.总之,颈窦窦神经节切除后化学感受器功能的恢复似乎与球囊组织的神经支配有关。

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