POSTNATAL MATURATION OF CARDIOVASCULAR REGULATORY SYSTEM

出生后心血管（CV）发育的时间进程

The time course of postnatal development of cardiovascular (CV) regulatory mechanisms is being studied from the viewpoint of efferent outflow of the regulatory system. Three specific aims are being pursued: 1) age-related differences in sympathetic (SYMP) activity (both efferent discharge and plasma catecholamine levels), 2) anatomical and physiological characteristics of postnatal development of autonomic regulation of the heart (recordings from cardiac efferent nerves and cardiac vagal motoneurons and use of fluorescent tracers for anatomical localizations of preganglionic parasympathetic and postganglionic SYMP neurons projecting to the heart), 3) determination of the CV responses to chemical stimulation at previously identified CNS sites. Recordings will be obtained from efferent SYMP activity (splanchnic, cervical SYMP, renal), efferent phrenic discharge (monitor of respiratory rhythm generator:RRG), cardiac vagal and SYMP fibers, montoneurons in ventrolateral nucleus ambiguous, aortic pressure, EKG, regional blood flows (particularly renal, superior mesenteric) and appropriate marking pulses. The age- related effects of alterations in afferent discharge from various receptors, e.g., baroceptor, cardiopulmonary, lung stretch, chemoceptors on the CV regulatory system will be evaluated. Common periodicities in SYMP discharge and periodicities related to the cardiac cycle (indicated by EKG) or RRG are being revealed by cross correlation and power spectral analyses, particularly tests for power spectral equivalence and coherence. Evoked responses of autonomic nerves to stimulation of CNS vasoactive and cardiac sites in the brain stem, especially the sequence of activation of different SYMP motoneuron pools, will be obtained. Age-dependency of results will be determined statistically in 6 age groups. The results will contribute to our understanding of both circulatory adjustements to extrauterine environment and to the degree of regulation of neonatal CV function. Evidence of age-related differences in the development of the SYMP rhythm generating systems and interactions with the RRG is clinically significant because studies of infnat diseases, e.g., SIDs, apnea and accompanying bradycardia, indicate their close temporal and functional relationship. Information will be obtained to further elucidate the reflex adjustments to stresses, e.g., hypoxia, hypercapnia, relevant especially to the most vulnerable period in the life of the child.