Respiratory responses to chemical activation of left ventricular receptors

Upper thoracic respiratory interneurons integrate noxious somatic and visceral information in rats

The aim of this study was to determine if thoracic respiratory interneurons (TRINs) might receive peripheral noxious somatic and visceral inputs. Extracellular potentials of 78 respiration-related T(3) neurons, whose activity was driven by central respiratory output, were recorded from the intermediate zone in pentobarbital anesthetized, paralyzed, and ventilated male rats. These neurons were identified as interneurons by their locations and by the absence of antidromic activation from the cervical sympathetic trunk and cerebellum. Thoracic esophageal distension (ED) was produced by water inflation of a latex balloon (0.1-0.5 ml, 20 s). A catheter was placed in the pericardial sac to administer 0.2 ml bradykinin (10(-5) M) for noxious cardiac stimulation. Of 78 TRINs examined for ED, activity of 24 TRINs increased and activity of 8 TRINs decreased. Intrapericardial bradykinin increased activity in 26/65 TRINs tested and decreased activity in 5 TRINs. Seventy-four TRINs were tested for effects of brush, pressure, and pinch of the chest and upper back areas. No TRINs responded to brushing hair. Low-threshold responses to pressure were observed in 27 TRINs. Fourteen TRINs were wide dynamic range and 4 TRINs had high-threshold responses. Peripheral stimuli affected all types of TRINs, including inspiratory, expiratory, and biphasic neurons. Simultaneous phrenic recordings showed that effects of various somatic and visceral stimuli on TRINs were independent of central respiratory drive. Various somatovisceral and viscerovisceral patterns of input were observed in TRINs. The results suggested that TRINs participate in intraspinal processing and integration of nociceptive information from somatic fields and visceral organs.

Influence of bronchial C fibre receptors on respiration in cats: possible role in humans

In order to find out whether the bronchial C fibre receptors influence respiration in cats, as the J receptors do, two drugs known to stimulate them consistently, i.e. phenyl diguanide (PDG) and capsaicin were injected into the left atrium (LA). The influence of these drugs, in suprathreshold doses, was seen on the intrapleural pressure (IPP), frequency of respiration (f(R)), systemic blood pressure (BP) and cardiac frequency (f(H)). PDG LA produced an inhibitory influence on respiration of a majority of cats, accompanied by a fall in BP and f(H). With capsaicin, a stimulation of respiration and a notable increase in BP (sometimes preceded by a fall also of f(H)) was seen. After blocking the epicardial/cardiac receptors with xylocaine, a local anaesthetic, the effects of PDG LA on the above variables were blocked, whereas, those of capsaicin survived--which they did, also after a bilateral vagotomy. Similar responses were obtained from injecting the drugs into the distal part of the aorta i.e. a notable stimulation of respiration by capsaicin, which survived vagotomy and hardly any effect, by PDG. It is concluded that activation of bronchial C fibre receptors does not influence respiration or BP in cats.

Reflex effects of stimulation of sympathetic afferents on the triangularis sterni

The purpose of this study was to determine whether contralateral inhibition of the triangularis sterni is produced by stimulation of intrathoracic sympathetic afferents. Dogs were anesthetized with sodium pentobarbital and placed on positive pressure ventilation. The chest was opened through a mid-sternal incision. Diaphragm and left and right triangularis sterni EMGs were recorded, post-vagotomy, before and during electrical stimulation of the left ventral ansa subclavia (VA), vagosympathetic trunk, ventrolateral and ventromedial cardiac nerves and, when present, the stellate cardiac nerve. Peak of the phasic diaphragm EMG and expiratory time were not significantly affected by stimulation of the VA. A significant decrease in inspiratory time was observed. Ipsilateral excitation and contralateral inhibition of the left and right triangularis sterni EMGs, respectively, were produced by stimulation of the VA. Stimulation of the other intrathoracic nerves produced a similar pattern of results. Conduction velocity determinations suggested that the afferents which produced the reflex responses are, at least in part, small A fibers.

Reflex ventilatory effects of KCl stimulation of lung receptors with sympathetic afferents

The purpose of this study was to determine the reflex ventilatory effects produced by lung receptors with sympathetic afferent nerves. Seven dogs were anesthetized with sodium pentobarbital, placed on a ventilator, and vagotomized. The chest was opened through a mid-sternal incision. Diaphragm EMG (D-EMG), right and left triangularis sterni EMG (TS-EMG), systemic arterial blood pressure (BP), and tracheal pressure were recorded before and after the application of 2 M KCl to the right or left lung near the venous hilum. The reflex effects produced by KCl applied to the superior vena cava (SVC) and of mechanical distortion of the lungs were also studied. KCl applied to the right or left lung or right or left lung distortion produced significant increases in peak TS-EMG ipsilateral to the applied stimulus with no significant effects on the contralateral TS-EMG. BP, inspiratory time, expiratory time, or peak D-EMG were not significantly affected, except for a decrease in inspiratory time when KCl was applied to the left lung and a decrease in BP with distortion of the left lung. KCl applied to the SVC produced a significant reflex increase in the right TS-EMG. The primary reflex response to chemical stimulation of lung receptors with sympathetic afferents was an increase in expiratory muscle activity. Additionally, mechanical stimulation may also activate these receptors. Furthermore, receptors which produce similar reflex responses are located on the SVC. That the reflex responses produced by intrathoracic receptors with sympathetic afferents were unilateral suggests that spinal mechanisms are involved.