Role of substance P in the laryngeal chemoreflex

作者: Deqiang Wang , Timothy M McCulloch , Nancy M Bauman , Debra M Jaffe , Richard JH Smith

DOI: 10.1177/000348949810700706

关键词:

摘要: The laryngeal chemoreflex (LCR) is a potentially life-threatening reflex that elicited in immature animals by the topical application of water to mucosa. response characterized immediate apnea and adduction delayed cardiovascular instability. cardiorespiratory changes LCR may be life-threatening, particularly very such as piglets under weeks age. afferent efferent limbs are mediated through vagus nerve, but neuromediators responsible for have not yet been clearly elucidated. Previous agonist antagonist studies dogs demonstrated substance P, sensory tachykinin, mediates esophagolaryngeal adductor distal esophageal nerve stimulation. This study was conducted determine if P also plays role mediating LCR. compared before after treatment with intravenous (Pfizer CP-96,345-1) eight (mean 27.7 days age). responses following administration tachykinins neurokinin A, B were assessed. Pretreatment did alter LCR's duration (p >.10), response, or early change mean arterial pressure although maximal heart rate significantly altered <.01). Intravenous A. reproduce respiratory We conclude key neurotransmitters

参考文章(9)
John C. Lee, S. Evans Downing, Laryngeal chemosensitivity: a possible mechanism for sudden infant death. Pediatrics. ,vol. 55, pp. 640- 649 ,(1975)
H. C. Boyer, D. H. Downs, G. S. Goding, K. J. Pernell, Effect of topical diphenhydramine on the laryngeal chemoreflex. Archives of Otolaryngology-head & Neck Surgery. ,vol. 122, pp. 1112- 1116 ,(1996) , 10.1001/ARCHOTOL.1996.01890220078013
Nancy M. Bauman, Anthony D. Sandier, Charles Schmidt, James W. Maher, Richard J.H. Smith, Reflex laryngospasm induced by stimulation of distal esophageal afferents Laryngoscope. ,vol. 104, pp. 209- 214 ,(1994) , 10.1288/00005537-199402000-00015
P Johnson, G S Dawes, J S Robinson, Maintenance of breathing in newborn lamb. Archives of Disease in Childhood. ,vol. 47, pp. 151- 151 ,(1972) , 10.1136/ADC.47.251.151-B
N. R. Prabhakar, H. Cao, J. A. Lowe, R. M. Snider, Selective inhibition of the carotid body sensory response to hypoxia by the substance P receptor antagonist CP-96,345 Proceedings of the National Academy of Sciences of the United States of America. ,vol. 90, pp. 10041- 10045 ,(1993) , 10.1073/PNAS.90.21.10041
Daniel H. Downs, Kerri Johnson, George S. Goding, The effect of antitastamines on the laryngeal chemoreflex Laryngoscope. ,vol. 105, pp. 857- 861 ,(1995) , 10.1288/00005537-199508000-00017
Frank Rimell, George S. Goding, Keri Johnson, Cholinergic agents in the laryngeal chemoreflex model of sudden infant death syndrome. Laryngoscope. ,vol. 103, pp. 623- 630 ,(1993) , 10.1288/00005537-199306000-00009
Anthony D. Sandler, James W. Maher, Joel V. Weinstock, Charles D. Schmidt, Jerry F. Schlegel, Jean Y. Jew, Terrance H. Williams, Tachykinins in the canine gastroesophageal junction The American Journal of Surgery. ,vol. 161, pp. 165- 170 ,(1991) , 10.1016/0002-9610(91)90379-R