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研究生: 陳玉玲
Yu-Ling Chen
論文名稱: 大鼠延腦吻端腹外側與呼吸循環相關核區之神經徑路研究
Study of Projections from the Rostral Ventrolateral Medulla of the Rat to the Respiratory and Cardiovascular Related Nuclei
指導教授: 黃基礎
Hwang, Ji-Chuu
嚴震東
Yen, Chen-Tung
學位類別: 碩士
Master
系所名稱: 生命科學系
Department of Life Science
論文出版年: 2000
畢業學年度: 88
語文別: 中文
論文頁數: 101
中文關鍵詞: 延腦吻端腹外側疑核膈運動神經核間質外側柱喉返神經舌下神經核孤獨徑核腹外側迷走背運動神經核
英文關鍵詞: RVLM, NA, phrenic motor nucleus, intermediolateral column, recurrent laryngeal nerve, hypoglossal nucleus, vlNTS, DMV
論文種類: 學術論文
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  • 摘要
    本研究的目的在於藉由神經追蹤的方法,來探討大白鼠之延腦吻端腹外側與疑核及其他與呼吸、循環相關的延腦及脊髓核區的神經徑路連結。實驗分成兩個部分進行:(一)從喉返神經作逆向神經追蹤;(二)從延腦吻端腹外側進行正向追蹤。
    第一部份實驗是自喉返神經打入逆向追蹤劑WGA-HRP,再以TMB法呈色。結果發現大鼠的喉返神經運動神經元細胞本體均位於同側的疑核及其周邊區域,在延腦長軸上呈現雙峰分佈。第二部分的實驗則是先以麩胺酸鈉(sodium glutamate, 50mM)在延腦吻端腹外側進行化學刺激,顯示出血壓上升、橫膈吸氣活動受抑制的區域,再由此區域注射入正向追蹤劑BDA(biotinylated dextran amine)。結果顯示上述的延腦吻端腹外側區域有投射至延腦兩側的疑核(nucleus ambiguus)、舌下神經核(hypoglossal nucleus)、孤獨徑核(nucleus of the tracts solitarius)和迷走背運動神經核(dorsal motor nucleus of the vagus),亦投射至脊髓中的膈運動神經核(phrenic motor nucleus)以及胸髓中的間質外側柱(intermediolateral column)等與循環、呼吸功能有相關的核區。我們進一步比較投射至膈運動神經核和間質外側柱的突觸密度是否與生理反應具有相關性。經統計分析之後,發現投射至膈運動神經核的突觸密度和化學刺激後橫膈受抑制的程度具有顯著的正相關(p<0.01),而投射至間質外側柱的突觸密度與血壓的上升幅度則相關性未達顯著程度(p>0.05)。
    本研究結果證明大鼠的延腦吻端腹外側可能藉由投射至與呼吸、循環相關的核區,來調控其呼吸與循環的功能。

    Abstract
    The aim of the present study was to examine the projections from the rostral ventrolateral medulla (RVLM) of the rat to the nucleus ambiguous (NA), and to other respiratory and cardiovascular related nuclei in the medulla and spinal cord by tract-tracing methods. Two experiments were performed. In the first experiment, retrograde tracer WGA- HRP was injected into the recurrent laryngeal nerves of three rats. 3 days lateral, HRP-labeled neurons were detected mainly in the ipsilateral NA and its neighborhood. These cells distributed along the longitudinal axis of NA with two major peaks.
    Nine rats were used in the second anterograde tracing experiment. First, the RVLM were activated with microinjection of glutamate solution(50mM)to locate an area which produced significant decreases in diaphragm activity and increase in blood pressure. Then BDA, an anterograde tracer, was injected into the same area. 10 to 14 days later, fiber terminals radiated from these RVLM injection sites were found in the bilateral NA, the hypoglossal nucleus, the solitary tract nucleus, the dorsal motor nucleus of the vagus, the phrenic motor nucleus (PMN) in the cervical spinal cord, and the intermediolateral cell column (IML) in the thoracic spinal cord, all these nuclei related to respiratory and cardiovascular function. The correlation between terminal density in the PMN and IML from the RVLM versus glutamate- induced functional changes, i.e., diaphragm activity depression (for PMN) or blood pressure increase (for IML), were examined with linear regression statistics. Significant correlation was found between the terminal density in the PMN and the suppression of diaphragm muscle EMG. The correlation between terminal density in the IML and blood pressure increase did not reach statistically significant level.
    Findings of the present study suggest that RVLM play an important role in modulating or controlling respiratory and cardiovascular functions by direct projections to respiratory and cardiovascular related nuclei.

    目錄 縮寫表…………………………………………………………..i 中文摘要………………………………………………………iii 英文摘要…………………………………………………….….v 第一章 緒論…………………………………………………..……….1 一 延腦吻端腹外側的解剖位置及其包括核區……………………..1 二 延腦吻端腹外側對循環系統的影響……………………………..2 三 延腦吻端腹外側對呼吸管制的重要性…………………………..5 四 疑核之解剖位置…………………………………………………..7 五 組織化學方法……………………………………………………...9 六 研究目的………………………………………………………….12 第二章 研究材料與方法…………………………………….……...14 Ⅰ自喉返神經作逆向追蹤………………………………………….14 一 實驗材料與手術方法…………………………………………….14 二 追蹤劑之注射…………………………………………………….14 三 組織切片的製備過程…………………………………………….15 四 結果觀察………………………………………………………….16 Ⅱ自延腦吻端腹外側作正向追蹤………………………………...16 一 實驗材料與手術之準備…………………………………………16 二 刺激與注射之進行………………………………………………18 三 組織切片之製備與處理…………………………………………19 四 結果觀察…………………………………………………………20 五 生理反應的分析…………………………………………………21 第三章 結果…………………………………………………………..23 Ⅰ.自喉返神經作逆向追蹤………………………………….……..23 Ⅱ.自RVLM作正向追蹤…………………………………………..24 一 注射位置的所在及所引起之生理反應…………………………..24 二 RVLM與延腦中其他核區的連結……………………………….25 三 RVLM與脊髓中特定核區的連結……………………………….28 第四章 討論…………………………………………………..……….32 一 實驗方法的檢討…………………………………………………..32 二 喉返神經運動神經元的位置與細胞型態………………………..36 三 RVLM與NA之間的連結及功能………………………………..39 四 RVLM與舌下神經核之間的連結及功能………………………..42 五 RVLM與NTS、DMV之間的神經徑路連結…………………...44 六 RVLM與PMN之間的連結與功能……………………………...46 七 RVLM與IML之間的連結與功能………………………………48 八 綜合討論…………………………………………………………..50 第五章 結論…………………………………………………..……….53 參考文獻………………………………………………………………..54 附錄……………………………………………………………………...67 圖表與說明…………………………………………………………….73

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