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Anti-Hypertensive Action of Fenofibrate via UCP2 Upregulation Mediated by PPAR Activation in Baroreflex Afferent Pathway 被引量:5
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作者 Jian Guan Miao Zhao +8 位作者 Chao He Xue Li Ying Li Jie Sun Wei Wang Ya-Li Cui Qing Zhang Bai-Yan Li Guo-Fen Qiao 《Neuroscience Bulletin》 SCIE CAS CSCD 2019年第1期15-24,共10页
Fenofibrate, an agonist for peroxisome proliferator-activated receptor alpha(PPAR-a), lowers blood pressure, but whether this action is mediated via baroreflex afferents has not been elucidated. In this study, the dis... Fenofibrate, an agonist for peroxisome proliferator-activated receptor alpha(PPAR-a), lowers blood pressure, but whether this action is mediated via baroreflex afferents has not been elucidated. In this study, the distribution of PPAR-a and PPAR-c was assessed in the nodose ganglion(NG) and the nucleus of the solitary tract(NTS). Hypertension induced by drinking high fructose(HFD) was reduced, along with complete restoration of impaired baroreceptor sensitivity, by chronic treatment with fenofibrate. The molecular data also showed that both PPAR-a and PPAR-c were dramatically up-regulated in the NG and NTS of the HFD group. Expression of the downstream signaling molecule of PPAR-a, the mitochondrial uncoupling protein 2(UCP2), was up-regulated in the baroreflex afferent pathway under similar experimental conditions, along with amelioration of reduced superoxide dismutase activity and increased superoxide in HFD rats.These results suggest that chronic treatment with fenofibrate plays a crucial role in the neural control of blood pressure by improving baroreflex afferent function due at least partially to PPAR-mediated up-regulation of UCP2 expression and reduction of oxidative stress. 展开更多
关键词 FENOFIBRATE PEROXISOME proliferator-activated receptor Mitochondrial UNCOUPLING protein baroreflex AFFERENT function Blood pressure regulation
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Contribution of Baroreflex Afferent Pathway to NPY-Mediated Regulation of Blood Pressure in Rats 被引量:7
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作者 Yang Liu Shu-Yang Zhao +10 位作者 Yan Feng Jie Sun Xiao-Long Lu Qiu-Xin Yan Ying Li Zhuo Liu Lu-Qi Wang Xun Sun Shijun Li Guo-Fen Qiao Bai-Yan Li 《Neuroscience Bulletin》 SCIE CAS CSCD 2020年第4期396-406,共11页
Neuropeptide Y (NPY), a metabolism-related cardiovascular factor, plays a crucial role in blood pressure(BP) regulation via peripheral and central pathways. The expression of NPY receptors (Y1R/Y2R) specific to barore... Neuropeptide Y (NPY), a metabolism-related cardiovascular factor, plays a crucial role in blood pressure(BP) regulation via peripheral and central pathways. The expression of NPY receptors (Y1R/Y2R) specific to baroreflex afferents impacts on the sexually dimorphic neural control of circulation. This study was designed to investigate the expression profiles of NPY receptors in the nodose ganglion (NG) and nucleus tractus solitary (NTS) under hypertensive conditions. To this end, rats with hypertension induced by NG-nitro-L-arginine methylester (L-NAME) or high fructose drinking (HFD), and spontaneously hypertensive rats (SHRs) were used to explore the effects/mechanisms of NPY on BP using functional, molecular, and electrophysiological approaches. The data showed that BP was elevated along with baroreceptor sensitivity dysfunction in model rats;Y1R was up-or down-regulated in the NG or NTS of male and female HFD/L-NAME groups,while Y2R was only down-regulated in the HFD groups as well as in the NG of the male L-NAME group. In SHRs,Y1R and Y2R were both down-regulated in the NTS, and not in the NG. In addition to NPY-mediated energy homeostasis, leptin-melanocortin activation may be essential for metabolic disturbance-related hypertension. We found that leptin and a-melanocyte stimulating hormone (aMSH) receptors were aberrantly down-regulated in HFD rats. In addition, a-MSH concentrations were reduced and NPY concentrations were elevated in the serum and NTS at 60 and 90 min after acute leptin infusion. Electrophysiological recordings showed that the decay time-constant and area under the curve of excitatory post-synaptic currents were decreased by Y1R activation in A-types, whereas, both were increased by Y2R activation in Ah-or C-types. These results demonstrate that sex-and afferent-specific NPY receptor expression in the baroreflex afferent pathway is likely to be a novel target for the clinical management of metabolism-related and essential hypertension. 展开更多
关键词 NEUROPEPTIDE Y Hypertension Nucleus of the SOLITARY TRACT EXCITATORY post-synaptic current baroreflex
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Baroreflex Control of Heart Rate in Mice Overexpressing Human SOD1: Functional Changes in Central and Vagal Efferent Components 被引量:2
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作者 Jin Chen He Gu +1 位作者 Robert D.Wurster Zixi Cheng 《Neuroscience Bulletin》 SCIE CAS CSCD 2019年第1期91-97,共7页
Excessive reactive oxygen species(ROS)(such as the superoxide radical) are commonly associated with cardiac autonomic dysfunctions. Though superoxide dismutase 1(SOD1) overexpression may protect against ROS damage to ... Excessive reactive oxygen species(ROS)(such as the superoxide radical) are commonly associated with cardiac autonomic dysfunctions. Though superoxide dismutase 1(SOD1) overexpression may protect against ROS damage to the autonomic nervous system, superoxide radical reduction may change normal physiological functions. Previously, we demonstrated that human SOD1(hSOD1) overexpression does not change baroreflex bradycardia and tachycardia but rather increases aortic depressor nerve activity in response to arterial pressure changes in C57 B6 SJL-Tg(SOD1)2 Gur/J mice. Since the baroreflex arc includes afferent, central, and efferent components, the objective of this study was to determine whether hSOD1 overexpression alters the central and vagal efferent mediation of heart rate(HR) responses. Our data indicate that SOD1 overexpression decreased the HR responses to vagal efferent nerve stimulation but did not change the HR responses to aortic depressor nerve(ADN)stimulation. Along with the previous study, we suggest that SOD1 overexpression preserves normal baroreflex function but may differentially alter the functions of the ADN, vagal efferents, and central components. While SOD1 overexpression likely enhanced ADN function and the central mediation of bradycardia, it decreased vagal efferent control of HR. 展开更多
关键词 SOD1 PARASYMPATHETIC baroreflex
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The Effect of Baroreflex Function on Blood Pressure Variability 被引量:1
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作者 Xiufang Wei Xinhui Fang +4 位作者 Lina Ren Yanyan Meng Zixin Zhang Yongquan Wang Guoxian Qi 《International Journal of Clinical Medicine》 2013年第9期378-383,共6页
Objective: The aim of this study was to assess the relationship of blood pressure variability (BPV) and heart rate variability (HRV) to investigate the effect of baroreflex function on blood pressure variability. Meth... Objective: The aim of this study was to assess the relationship of blood pressure variability (BPV) and heart rate variability (HRV) to investigate the effect of baroreflex function on blood pressure variability. Methods: This study consisted of 111 subjects, including 32 normotensives and 79 hypertensives. All the subjects were given two concurrent tests: 24-hour Holter ECG and ambulatory blood pressure monitoring. According to standard deviation of normal-to-normal sinus RR intervals (SDNN) derived from the Holter ECG, the hypertensives were divided into two groups: an HRV normal group with SDNN > 100 ms and an HRV abnormal group with 展开更多
关键词 BLOOD Pressure VARIABILITY HEART Rate VARIABILITY baroreflex FUNCTION HYPERTENSION
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Baroreflex dysfunction in chronic kidney disease 被引量:2
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作者 Manpreet Kaur Dinu S Chandran +3 位作者 Ashok Kumar Jaryal Dipankar Bhowmik Sanjay Kumar Agarwal Kishore Kumar Deepak 《World Journal of Nephrology》 2016年第1期53-65,共13页
Chronic kidney disease (CKD) patients have high cardiovascular mortality and morbidity. The presence of traditional and CKD related risk factors results in exaggerated vascular calcification in these patients. Vascu... Chronic kidney disease (CKD) patients have high cardiovascular mortality and morbidity. The presence of traditional and CKD related risk factors results in exaggerated vascular calcification in these patients. Vascular calcification is associated with reduced large arterial compliance and thus impaired barorefex sensi-tivity (BRS) resulting in augmented blood pressure (BP) variability and hampered BP regulation. Barorefex plays a vital role in short term regulation of BP. This review discusses the normal barorefex physiology, methods to assess baroreflex function, its determinants along with the prognostic significance of assessing BRS in CKD patients, available literature on BRS in CKD patients and the probable patho-physiology of barorefex dysfunction in CKD. 展开更多
关键词 Large arterial compliance Chronic kidney disease Vascular calcification baroreflex sensitivity Blood pressure variability
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Ketanserin improves cardiac performance after myocardial infarction in spontaneously hypertensive rats partially through restoration of baroreflex function
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《中国药理学通报》 CAS CSCD 北大核心 2015年第B11期185-186,共2页
Aim Baroreflex dysfunction is associated with a higher rate of sudden death after myocardial infarction (MI). Ketanserin enhances baroreflex function in rats. The present work was designed to examine whether ketan- ... Aim Baroreflex dysfunction is associated with a higher rate of sudden death after myocardial infarction (MI). Ketanserin enhances baroreflex function in rats. The present work was designed to examine whether ketan- serin improves the post-MI cardiac function and to explore the possible mechanism involved. Methods Spontane- ously hypertensive rats (SHR) were treated with ketanserin (0.3 mg · kg^-1 · d^-l). Two weeks later, blood pres- sure and baroreflex function were measured, followed by a ligation of the left coronary artery. The expressions of ve- sicular acetylcholine transporter (VAChT) and α7 nicotinic acetylcholine receptor (α7-nAChR) in ischemic myo- cardium, angiogenesis, cardiac function, and left ventricular (LV) remodeling were evaluated subsequently. Re- sults Ketanserin significantly improved baroreflex sensitivity (0.62 ± 0. 21 vs. 0.34 ± 0. 12 ms/mmHg, P 〈 0.01 ) and vagal tonic activity ( heart rate changes in response to atropine, 54.8 ± 16.2 vs. 37.6 ± 13.4 b. p. m. , P 〈 0.01 ) without affecting the blood pressure or basic heart rate in SHR. Treatment of SHR with ketanserin promi- nently improved cardiac function and alleviated LV remodeling, as reflected by increases in the ejection fraction, fractional shortening, and LV systolic pressure as well as decreases in LV internal diameter and LV relative weight. The capillary density, vascular endothelial growth factor expression, and blood flow in the ischemic myocardium were significantly higher in the ketanserin-treated group. In addition, ketanserin markedly increased the expression of VAChT and α7-nAChR in ischemic myocardium. Conclusion Ketanserin improved post-MI cardiac function and angiogenesis in ischemic myocardium. The findings provide a mechanistic basis for restoring baroreflex function using ketanserin in the treatment of MI. 展开更多
关键词 KETANSERIN myocardial INFARCTION baroreflex angiogenesis α7-nAChR
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Baroreflex deficiency aggravates learning and memory disorders in rats
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作者 ZHU De-rong FENG Zhao-yang +7 位作者 JI Wei QI Hui-bin KONG De-ping ZHANG Fang-fang YU Hai-yang GAO Yong-feng TAN Rui ZHAO Xiao-min 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第9期649-650,共2页
OBJECTIVE Microglia M1/M2 po⁃larization play pro-inflammatory and anti-inflam⁃matory roles,respectively,which is involved in memory decline.There is a close relationship between impaired baroreflex function and memory... OBJECTIVE Microglia M1/M2 po⁃larization play pro-inflammatory and anti-inflam⁃matory roles,respectively,which is involved in memory decline.There is a close relationship between impaired baroreflex function and memory impairment.The present study was designed to investigate whether arterial baroreflex deficiency induced by sinoaortic denervation(SAD)affected inflammation through modulation of M1/M2 polar⁃ization leading to the aggravation of learning and memory disorders in rats.METHODS Adult male SD rats were divided into four groups:the sham control,the SAD,the sham+scopolamine,the SAD+scopolamine.In another experiment,there were also four groups:the sham control,the SAD,the SAD+scopolamine and the SAD+scopolamine+ketanserin.All rats were examined for various behaviors using Morris water maze test,new object recognition test,and light dark shuttle test and Y maze test 4 weeks after sham or SAD surgery.CD16,CD206,IL-10,IL-6,IL-1βand TNF-αfrom hippocampus using Western blotting,immunofluorescence and turbidimetry.RESULTS Compared with the sham+scopol⁃amine,the SAD+scopolamine rats showed the reduced crossing times in Morris water maze test,the longer residence time in dark box during light dark shuttle test,and the decreased alterna⁃tion ratio in Y maze test.The level of CD206,IL-10,T-AOC and GSH was decreased,whereas CD16,IL-6,TNF-α,MDA was increased in the hippocampus of SAD+scopolamine rats.Addi⁃tionally,all the above changes were improved in the SAD+scopolamine+ketanserin rats when compared with the SAD+scopolamine.CONCLU⁃SION Arterial baroreflex dysfunction aggravates learning and memory disorders in rats,which may be related to the polarization of microglia. 展开更多
关键词 arterial baroreflex learning and memory MICROGLIA POLARIZATION KETANSERIN
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Baroreflex impairment exacerbates LPS-induced inflammation in rat cerebral cortex and hippocampus
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作者 JI Wei QI Hui-bin +7 位作者 ZHU De-rong FENG Zhao-yang KONG De-ping ZHANG Fang-fang YU Hai-yang GAO Yong-feng TAN Rui ZHAO Xiao-min 《中国药理学与毒理学杂志》 CAS 北大核心 2021年第9期679-679,共1页
OBJECTIVE Platelets play a major role in mediating inflammatory response.The present work was designed to investigate whether arterial baroreflex impairment induced by sinoaortic denervation(SAD)affect platelet activa... OBJECTIVE Platelets play a major role in mediating inflammatory response.The present work was designed to investigate whether arterial baroreflex impairment induced by sinoaortic denervation(SAD)affect platelet activation,leading to the exacerbation of cerebral cortex and hippocampus inflammation in rats.METHODS Adult male SD rats were divided into four groups:the sham control,the sinoaortic denervation(SAD),the sham+LPS,the SAD+LPS.In another experiment,there were also four groups:the sham control,the SAD,the SAD+LPS and the SAD+LPS+asprin.Four weeks after sham or SAD surgery,all rats were examined for the level of CD41,CD45,IL-1βand PF-4 in the cerebral cortex and hippocampus using immunofluorescence and ELISA.Blood platelet and leukocyte count,platelet microaggre⁃gation,expression of CD154 and CD62P on platelet surface and platelet-leukocyte aggregate level was detected by flow cytometry.RESULTS Compared with sham+LPS group,the in SAD+LPS group rats exhibited the high level of CD41,CD45,IL-1βand PF-4 in the cerebral cortex and hippocampus.Leukocyte count,platelet microag⁃gregation,expression of CD154 and CD62P on platelet surface and platelet-leukocyte aggregate level was increased,while blood platelet count was decreased in the SAD+LPS.Moreover,all the above changes were improved in the SAD+LPS+asprin group when compared with the SAD+LPS group.CONCLUSION Arterial baroreflex dysfunction exacerbates inflammation in the rat cerebral cortex and hippocampus,which is likely mediated by platelet. 展开更多
关键词 arterial baroreflex INFLAMMATION PLATELET ASPIRIN
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Spontaneous Baroreflex Sensitivity in Normotensive African-American Men
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作者 Peter L. Latchman Gregory J. Gates +7 位作者 Robert Thiel Robert S. Axtell Weili Zhu Ally Morin-Viall Tianhong Yue Qin Yang Kenneth Gardner Ronald E. De Meersman 《Open Journal of Molecular and Integrative Physiology》 2019年第1期1-10,共10页
Purpose: African-American men (AAM) have a greater risk of hypertension (HTN) than Caucasian men (CM). To reduce this risk, determining the differences in mechanisms involved in HTN and understanding the relationship ... Purpose: African-American men (AAM) have a greater risk of hypertension (HTN) than Caucasian men (CM). To reduce this risk, determining the differences in mechanisms involved in HTN and understanding the relationship between these mechanisms and factors affecting blood pressure (BP) in AAM and CM is necessary. One such mechanism is spontaneous baroreflex sensitivity (sBRS) and two factors are cardiorespiratory fitness (CRF) and arterial stiffness (AS). The aims of this study were to determine, firstly, whether there are differences in sBRS between young, normotensive AAM and CM, and secondly, to determine if CRF and AS are significant predictors of sBRS in young, normotensive AAM and CM. Methods: Twenty-three normotensive AAM and 36 CM were recruited from Southern Connecticut State University. Measures included anthropometric, sBRS (alpha-index), and CRF (maximal oxygen consumption [VO2max]), as well as AS (carotid-femoral pulse wave velocity [Cf-PWV]). Independent t-tests were used to determine differences between groups and multiple regression analysis was used to determine how much of the variation in sBRS was explained by CRF and AS. Results: The sBRS was significantly lower in AAM (10.3 ± 3.8 ms/mmHg) vs. CM (13.3 ± 5.7 ms/ mmHg), P = 0.03. CRF and AS were not significant predictors of sBRS in AAM (P = 0.25) and CM (P = 0.30). There was no relationship between, sBRS, CRF and AS;CRF was significantly reduced in AAM vs. CM (45.1 ± 6.3 vs. 52.1 ± 7.5 mL·kg?1·min?1, P ≤ 0.001). Conclusions: Young normotensive AAM demonstrated significantly lower sBRS vs. CM, irrespective of having fair CRF and normal BP. CRF and AS are not significant predictors of sBRS in young, normotensive AAM and CM. The attenuation in sBRS in AAM did not result in AAM having higher BP versus CM. This finding underscores the need for more detailed examination of the role of sBRS in the etiology of HTN in AAM. 展开更多
关键词 AFRICAN-AMERICAN MEN SPONTANEOUS baroreflex Sensitivity CARDIORESPIRATORY Fitness Arterial Stiffness Hypertension
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Deterioration in Hemodynamics Reaction, Baroreflex Sensitivity, Sympathetic Nerve Activity and Redox State of Thoracic Aorta in the Experimental Model of Nitrate Tolerance and Its Pharmacological Correction
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作者 Nikoloz V. Gongadze Tamara D. Kezeli +4 位作者 Galina V. Sukoyan Zaza Chapichadze Nino M. Dolidze Makrine Mirziashvili Mariam Chipashvili 《Pharmacology & Pharmacy》 2016年第1期81-88,共8页
Continuous treatment with organic nitrates causes nitrate tolerance and provides evidence for a relationship between mitochondrial complex 1 activity and mitochondrial aldehyde dehydrogenase-2 (ALDH-2) with disturbanc... Continuous treatment with organic nitrates causes nitrate tolerance and provides evidence for a relationship between mitochondrial complex 1 activity and mitochondrial aldehyde dehydrogenase-2 (ALDH-2) with disturbances of the hemodynamics reaction during nitroglycerin (NTG) tolerance (NTGT). The purpose of this study was the evaluation of efficacy of original oxidized form NAD-containing drug, NADCIN<sup>&reg</sup>, on hemodynamic reactions, baroreflex sensitivity (BRS) and reflex control of splanchnic sympathetic nerve activity (SSNA), level of redox-potential, activity of ALDH-2 and superoxide anion generation in aortic tissue in rat model of NTGT. Five groups (7 - 9 each) of male Wistar rats, including control, acute i.v. NTG (150 mcg/kg) administration, NTG tolerance NTGT treatment with NADCIN<sup>&reg</sup> 8 mg/kg and methylene blue (MB, 2.5 mg/kg) were used. NTGT in rats was accompanied with the greatly attenuation of hemodynamics reaction, BRS, the decreasing of the ability to reflex control of SSNA without pronounce overexpression of endothelin-1 in vessels (aorta). In NTGT rats i.v. NTG along induced less hypotensive reactions and alterations in heart period vs single NTG treated group, more expressively decreased BRS (-34%) and reflex control of SSNA (-18%). NADCIN<sup>&reg</sup> significantly inhibits tolerance-inducing properties of the prolonged nitroglycerin infusion (max decrease of blood pressure response to nitroglycerin injection, % of normal controls: NTGT 51.2%, NADCIN<sup>&reg</sup> 91.6%, MB 55.8%). NADCIN<sup>&reg</sup> in NTGT rats after NTG i.v. administration increased reduced BRS (+37.8%, p < 0,05), reflex control of SSNA (+29.4%, p < 0.05) and reversed the decreasing of NAD/NADH ratio, ALDH-2 activity and decreasing in superoxide generation in thoracic aortic tissue. Thus, course treatment with NADCIN<sup>&reg</sup> of NTGT rats restores hemodynamics changes, BRS and SSNA throughout the increasing of redox-potential NAD/NADH and cessates the NTGT developing. 展开更多
关键词 Experimental Model of Nitroglycerin Tolerance baroreflex Sensitivity Aldehyde Dehydrogenase Redox-Potential Splanchnic Sympathetic Nerve Activity
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The Changes of Baroreflex Sensitivity During Head-up Tilt Test and Its Clinical Significance in the Patients with Vasovagal Syncope
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作者 胡兆霆 吕艳青 杨钧国 《South China Journal of Cardiology》 CAS 2001年第2期65-68,共4页
Objective To study thechanges of baroreflex sensitivity (BRS) during head - up tilt test (HUT) in patients with vasovagal syncope (VS), and to examine the relationship between baroreflex sensitivity and neurohormonal ... Objective To study thechanges of baroreflex sensitivity (BRS) during head - up tilt test (HUT) in patients with vasovagal syncope (VS), and to examine the relationship between baroreflex sensitivity and neurohormonal factors. Furthermore, to investigate the effects of the changes of BRS on VS. Methods Forty - two patients with unexplained syncope (Among the 42 patients, there were 22 patients with positive HUT and 20 patients with negative HUT respectively) and 20 healthy volunteers (with negative HUT) underwent passive head - up tilt testing, Ante-cubital vein blood samples were taken before and after HUT, or at syncope. The fasting plasma endothelin , serum nitric oxide (NO), serum NE were measured, the BRS was assessed on the basis of the linear regression slope the RR interval versus systolic arterial blood pressure during the increment in blood pressure after intravenous administration of phenylephrine. Results (1) During the syncope, the BRS significantly reduced in HUT(+) group than baseline. At the end of tilt, the level of plasma ET, serum NO in patients with positive HUT significantly increased compared with baseline or normal controls, and the plasma concentration of NE also had the trend of increase. (2) By multiple regression analysis, a significant negative correlation was found between baroreceptor sensitivity and the plasma ET, NO at the end of HUT in patients with positive HUT, but there was no relationship between BRS and NE. Conclusions During the syncope occure, the BRS in patients with VS decreased significantly compared with normal controls. The abnormal plasma ET, NO concen-tration might contribute to the mechanism of VS. 展开更多
关键词 Vasovagal syncope Head - up tilt test Endothelin Nitric oxide baroreflex Sensitivity
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治疗慢性心力衰竭新型器械的研究进展
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作者 张琪 王丽岳 +3 位作者 朱晓刚 桂佳 黄县立 尚小珂 《生理科学进展》 北大核心 2025年第2期122-127,共6页
慢性心力衰竭(chronic heart failure)的药物治疗取得了显著进展,但其相关发病率、死亡率和住院率仍然偏高。随着医学技术的不断发展,基于新型设备的干预已成为慢性心力衰竭的潜在治疗方法。近年来研究表明,心房分流器(interatrial shun... 慢性心力衰竭(chronic heart failure)的药物治疗取得了显著进展,但其相关发病率、死亡率和住院率仍然偏高。随着医学技术的不断发展,基于新型设备的干预已成为慢性心力衰竭的潜在治疗方法。近年来研究表明,心房分流器(interatrial shunt device)、压力反射激活治疗(baroreflex activation therapy)和膈神经刺激(phrenic nerve stimulation)在治疗慢性心力衰竭患者方面显示出了良好的前景。本文归纳总结了这些新型治疗设备的工作原理、临床研究成果,并分析其优缺点、可能的风险及未来的应用前景,旨在为临床治疗提供新的思路和参考。 展开更多
关键词 心力衰竭 心房分流器 压力反射激活治疗 膈神经刺激
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孤束核参与高血压中枢调控的研究进展
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作者 田雨 李娜 +1 位作者 张翼 王红杰 《生理学报》 北大核心 2025年第1期85-94,共10页
孤束核是接收并整合心血管调节信号传入的第一级中枢,其通过参与心血管反射,在维持正常自主神经活动及血压调节中发挥重要作用。孤束核内的神经元之间形成复杂的突触连接,并与其他脑区相互作用。孤束核通过压力感受器反射、交感神经活... 孤束核是接收并整合心血管调节信号传入的第一级中枢,其通过参与心血管反射,在维持正常自主神经活动及血压调节中发挥重要作用。孤束核内的神经元之间形成复杂的突触连接,并与其他脑区相互作用。孤束核通过压力感受器反射、交感神经活动、肾素-血管紧张素-醛固酮系统和氧化应激等多种途径调节自主神经活动及血压。孤束核功能异常可能导致高血压。研究孤束核在血压中枢调控的作用,以及干预孤束核相关的神经递质和信号通路,可为高血压的防治提供新思路。本文总结了迄今为止有关孤束核调节自主神经活动及血压的研究结果和亟待解决的问题,旨在为今后研究提供参考和借鉴。 展开更多
关键词 孤束核 自主神经 高血压 压力反射 交感神经传出 氧化应激
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运动训练对2型糖尿病患者心脏自主神经功能影响的研究进展
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作者 贾严严 尤琦琦 徐少勇 《中国临床新医学》 2025年第11期1307-1311,共5页
糖尿病心脏自主神经病变是2型糖尿病的常见并发症,严重影响患者生活质量和寿命。运动训练作为一种经济且有效的干预手段,在预防和延缓心脏自主神经病变进展以及改善心脏自主神经功能方面效果显著。运动训练可通过改善心率变异性、激活... 糖尿病心脏自主神经病变是2型糖尿病的常见并发症,严重影响患者生活质量和寿命。运动训练作为一种经济且有效的干预手段,在预防和延缓心脏自主神经病变进展以及改善心脏自主神经功能方面效果显著。运动训练可通过改善心率变异性、激活压力感受器反射以及增强运动后心率恢复等方面改善心脏自主神经功能。该文综述了运动训练对2型糖尿病患者心脏自主神经功能影响的研究进展。 展开更多
关键词 运动训练 心脏自主神经病变 心脏自主神经功能 心率变异性 压力反射敏感性
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黄芪对自发性高血压大鼠动脉压力反射敏感性的影响 被引量:21
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作者 陈治奎 胡申江 +4 位作者 郑霞 王国彬 孙坚 夏强 沈岳良 《中国中药杂志》 CAS CSCD 北大核心 2003年第2期155-158,共4页
目的:评价黄芪的降压效应及其在降压过程中对压力反射敏感性(BRS)的影响。方法:12周龄自发性高血压大鼠(SHR)19只,采用不同剂量的黄芪注射液腹腔注射给药,每天1次,共8周。并连续定时观察血压变化,8周后测定BRS,并比较用药各组与不用药... 目的:评价黄芪的降压效应及其在降压过程中对压力反射敏感性(BRS)的影响。方法:12周龄自发性高血压大鼠(SHR)19只,采用不同剂量的黄芪注射液腹腔注射给药,每天1次,共8周。并连续定时观察血压变化,8周后测定BRS,并比较用药各组与不用药组血压、BRS的差异。结果:未用药组SHR血压自第3周开始升高(P<0.01),而给药的各组SHR血压无变化;经黄芪处理后的各组SHR的BRS明显比自然饲养的SHR高(P<0.01或P<0.05)。结论:黄芪可以改善SHR的BRS。 展开更多
关键词 黄芪 自发性高血压大鼠 压力反射敏感性
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前庭刺激对心血管自主神经调节及立位耐力的影响 被引量:8
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作者 强东昌 贾宏博 +3 位作者 姜媛媛 陈珊 李更茹 曾强 《航天医学与医学工程》 CAS CSCD 北大核心 2012年第1期26-29,共4页
目的观察前庭刺激前后被动直立位耐力试验心率、血压和压力感受器敏感性等指标的变化,了解前庭刺激对心血管自主神经调节功能及直立位耐力的影响。方法对15名男性健康志愿者在转椅刺激前、后进行被动直立位耐力检查。被动直立位耐力实... 目的观察前庭刺激前后被动直立位耐力试验心率、血压和压力感受器敏感性等指标的变化,了解前庭刺激对心血管自主神经调节功能及直立位耐力的影响。方法对15名男性健康志愿者在转椅刺激前、后进行被动直立位耐力检查。被动直立位耐力实验全程监测心电图和左手中指逐跳血压,在试验的第20,21,23,25,30,35,40,41,45 min测量常规血压、心率和压力感受器反射敏感性指标(BRS)。结果前庭刺激前直立位耐力检查结果均正常,刺激后有两人发生晕厥前症状;常规血压(SBP、DBP)检查在大部分实验时间无统计学差异,心率在检测的大部分时间点有统计学差异;BRS指标仅在直立位25~min段、30~min段有统计学差异,其余检测时间段没有统计学差异。结论前庭刺激可能会削弱机体心血管压力感受器反射调节功能的稳定性,造成部分志愿者直立位耐力的降低。 展开更多
关键词 前庭刺激 心血管系统 自主神经系统 压力感受器反射
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富马酸比索洛尔与阿替洛尔对原发性高血压患者静息心率及交感神经活性的影响 被引量:14
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作者 周伟君 王明生 +2 位作者 王仁颖 谭丽玲 高平进 《中华高血压杂志》 CAS CSCD 北大核心 2014年第11期1061-1065,共5页
目的研究富马酸比索洛尔与阿替洛尔对静息心率≥70次/min的原发性高血压患者交感神经活性的影响。方法采用随机、平行和对照研究(国际注册编号:NCT01251146),入选2010年10月至2012年3月就诊于上海交通大学医学院附属瑞金医院和北京... 目的研究富马酸比索洛尔与阿替洛尔对静息心率≥70次/min的原发性高血压患者交感神经活性的影响。方法采用随机、平行和对照研究(国际注册编号:NCT01251146),入选2010年10月至2012年3月就诊于上海交通大学医学院附属瑞金医院和北京市石景山医院门诊的轻、中度原发性高血压患者177例,随机服用富马酸比索洛尔(5.0、7.5、10.0mg/d,n=86)或阿替洛尔(50、75、100mg/d,n=91)4~8周。利用12导联心电图测量2min所显示的心率代表静息心率;利用连续性手指脉压测量仪Finometer计算压力反射敏感度(BRS)、心率变异(包括低频,高频和低频与高频比值)和血压变异,通过此3项指标评价交感神经活性,数据采集时间30min。结果富马酸比索洛尔组达到目标心率(静息心率≤65次/min)者80例,其中服用5.0、7.5、10.0 mg/d分别占90.0%、8.8%和1.2%;阿替洛尔组达到目标心率者78例,其中服用50、75和100mg/d分别占92.3%、7.7%和0%。与治疗前比较,两组末次随访的24h平均收缩压、24h平均舒张压、24h平均动脉压、静息心率和低频与高频比值明显下降,高频明显上升(均P〈0.05)。与治疗前比较,富马酸比索洛尔组末次随访低频升高[(360.8±334.9)比(261.8±208.4)ms2,P〈0.05)],而阿替洛尔组差异无统计学意义。心率控制后和末次随访BRS值明显高于治疗前(均P〈0.05)。富马酸比索洛尔组无不良事件发生,阿替洛尔组有2例共发生5次不良事件。结论富马酸比索洛尔与阿替洛尔能有效控制BRS、静息心率和心率变异,抑制高血压患者交感神经活性。 展开更多
关键词 原发性高血压 富马酸比索洛尔 阿替洛尔 静息心率 压力反射敏感度 心率变异
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电针“曲池”穴对中枢血管紧张素Ⅱ诱发的动脉血压升高大鼠异常交感神经活性的影响 被引量:22
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作者 谭颖颖 王亚运 张琪 《针刺研究》 CAS CSCD 北大核心 2016年第2期144-149,共6页
目的:观察电针"曲池"穴对侧脑室慢性灌流血管紧张素Ⅱ(AngⅡ)高血压大鼠平均动脉压、交感神经活性、压力感受敏感性,以及延髓头端腹外侧区(RVML)内脑源性神经生长因子(BDNF)和还原型烟酰胺腺嘌呤二核苷酸磷酸(NADPH)酶亚单位p... 目的:观察电针"曲池"穴对侧脑室慢性灌流血管紧张素Ⅱ(AngⅡ)高血压大鼠平均动脉压、交感神经活性、压力感受敏感性,以及延髓头端腹外侧区(RVML)内脑源性神经生长因子(BDNF)和还原型烟酰胺腺嘌呤二核苷酸磷酸(NADPH)酶亚单位p 47phox表达的影响。方法:SD大鼠随机分为假手术组、aCSF组、模型组、曲池组、肩髃组,每组9只。其中模型组、曲池组、肩髃组大鼠使用Alzet微渗透泵分别经侧脑室慢性灌流AngⅡ(200μg·kg-1·d-1),而aCSF组给予人工脑脊液(aCSF)灌流。曲池组给予电针"曲池"穴治疗,"肩髃"组给予电针"肩髃"穴治疗,均每日1次,每次20min,共治疗2周。使用无创系统测量清醒大鼠的平均动脉压(MAP)、心率(HR)、24h尿去甲肾上腺素(NE)水平和压力感受敏感性;Real-time PCR和Western blot方法检测RVML内BDNF和p 47phox mRNA和蛋白的表达。结果:与aCSF组比较,模型组大鼠的MAP、HR和24h尿NE水平均显著增加(P<0.01),压力反射敏感性显著降低(P<0.01)。与模型组比较,曲池组大鼠的MAP、HR和24h尿NE水平显著降低(P<0.05),压力反射敏感性显著增加(P<0.05)。曲池组的RVML内BDNF mRNA和蛋白水平均较模型组显著升高(P<0.05);而曲池组RVML内p 47phox mRNA和蛋白的表达与模型组比较显著下降(P<0.05)。结论:电针"曲池"穴可抑制中枢AngⅡ诱发的动脉血压升高和交感神经活性增加,并提高压力感受敏感性。该效应可能是通过上调RVML内BDNF,并抑制脑内病理性血管紧张素Ⅱ引发的异常交感神经活性而达到的。 展开更多
关键词 电针 曲池穴 神经性高血压 交感神经活性 压力感受器敏感性 脑源性神经生长因子
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针刺对大鼠应激致高血压心血管变异性影响的实验研究 被引量:7
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作者 沈志坤 邵慈慧 +2 位作者 蒋培余 汤伯瑜 余红 《辽宁中医杂志》 CAS 北大核心 2008年第4期614-616,共3页
目的:探讨去卵巢(OVX)成年SD大鼠在应激状态下血压(BP)、心率变异性(HRV)、压力反射敏感性(BRS)的改变及电针(EA)治疗后的影响。方法:动物分(1)假手术(sham)组;(2)OVX组;(3)OVX+EA组;每组再分为应激(stress)与非应激(without stress)组... 目的:探讨去卵巢(OVX)成年SD大鼠在应激状态下血压(BP)、心率变异性(HRV)、压力反射敏感性(BRS)的改变及电针(EA)治疗后的影响。方法:动物分(1)假手术(sham)组;(2)OVX组;(3)OVX+EA组;每组再分为应激(stress)与非应激(without stress)组。stress组最后两周接受足底电击结合电蝉声的应激处理,应激完毕后股动脉插管,记录心率(HR)、BP,并进行HRV和BRS分析。结果:OVX组大鼠在接受应激刺激两周后BP明显升高,HR加快;HRV:总变异性(TV)降低;高频波段(HF)降低;低频成分(LF)、LF/HF升高;BRS降低。经电针"足三里"穴后上述指标明显改善。结论:应激致高血压的OVX大鼠经过电针"足三里"穴可通过改善自主神经功能和增加心血管系统对自主神经调节的敏感性而发挥降压作用。 展开更多
关键词 去卵巢大鼠 应激性高血压 电针 心率变异性 压力反射敏感性
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高血压病患者压力感受器敏感性 被引量:11
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作者 乔怀宇 黄国明 +5 位作者 涂小文 徐劲松 夏国际 黄勇 揭继焘 宋景春 《高血压杂志》 CSCD 北大核心 2006年第6期436-438,共3页
目的探讨高血压病患者压力感受器敏感性(BRS)情况及其可能影响因素。方法用全自动生化仪测定血脂、血糖,用倾斜方法同时记录血压和心率,BRS=(最低血压时RR间期-基础RR间期)/(最低血压-基础血压),用袖带对肱动脉加压后放气,测定肱动脉内... 目的探讨高血压病患者压力感受器敏感性(BRS)情况及其可能影响因素。方法用全自动生化仪测定血脂、血糖,用倾斜方法同时记录血压和心率,BRS=(最低血压时RR间期-基础RR间期)/(最低血压-基础血压),用袖带对肱动脉加压后放气,测定肱动脉内径变化率的方法代表血流介导的内皮舒张功能。结果(1)高血压病患者的BRS明显小于正常对照组[(6.9±7.3vs13.9±3.6)ms/mmHg,P<0.01],亦明显小于肾性高血压组[(6.9±7.3vs12.2±6.2)ms/mmHg,P<0.01];高血压病BRS有随着高血压分级增高而下降趋势,1级患者BRS大于3级患者[(10.2±4.0vs5.4±4.8)ms/mmHg,P<0.01],2级患者BRS大于3级患者[(7.6±2.4vs5.4±4.8)ms/mmHg,P<0.01];(2)高血压病伴高脂血症患者BRS小于高血压病不伴高脂血症组[(2.2±4.7vs7.2±6.4)ms/mmHg,P<0.01];(3)高血压病患者血管内皮舒张功能与BRS相关(r=0.565,P<0.01),肾性高血压组内皮舒张功能与BRS相关(r=0.573,P<0.05),正常对照组内皮舒张功能与BRS相关(r=0.610,P<0.05)。结论(1)BRS功能降低可能是高血压病发病原因之一;(2)降脂治疗可通过升高BRS,改善高血压病患者的预后;(3)血管内皮舒张功能与BRS有关,可通过改善血管内皮舒张功能改善BRS。 展开更多
关键词 高血压病 压力感受器敏感性 血管内皮舒张功能
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