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冠状动脉循环中的性别差异以及内皮细胞和血小板衍生因子

Gender differences and endothelium- and platelet-derived factors in the coronary circulation.

作者信息

Miller V M, Lewis D A, Barber D A

机构信息

Department of Surgery, Mayo Foundation, Rochester, Minnesota 55905, USA.

出版信息

Clin Exp Pharmacol Physiol. 1999 Feb;26(2):132-6. doi: 10.1046/j.1440-1681.1999.02997.x.

DOI:10.1046/j.1440-1681.1999.02997.x
PMID:10065334
Abstract
  1. Experiments were designed to determine whether or not interactions of platelets with coronary arteries are affected by gender or oestrogen-status. 2. Platelets and right coronary arteries were isolated from sexually mature male, female and ovariectomized pigs. Arteries were suspended in organ chambers for the measurement of isometric force. Responses of rings, with and without endothelium, were evaluated to aggregating platelets and the platelet products 5-hydroxytryptamine (5-HT) and adenosine diphosphate (ADP). 3. Release of 5-HT, thromboxane A2 (TXA2) and prostacyclin were measured from platelets. 4. Platelets caused relaxations of rings with endothelium from all pigs. However, in rings without endothelium, consistent contractions were observed only in rings from male pigs. 5. The release of 5-HT and prostacyclin was greatest from platelets of ovariectomized pigs compared with male and female pigs. Release of TXA2 was greatest from platelets of male pigs. 6. Endothelium-dependent relaxations to ADP and contractions to 5-HT were similar among the three groups. 7. These results suggest that there may be gender-specific differences in vasomotor responses to autogenous platelets but not to the platelet-derived products 5-HT and ADP. Furthermore, there are gender differences in platelets in the release of cyclo-oxygenase metabolites of arachidonic acid and 5-HT. These products could contribute to gender differences in response to injury in the coronary circulation.
摘要
  1. 设计实验以确定血小板与冠状动脉的相互作用是否受性别或雌激素状态的影响。2. 从性成熟的雄性、雌性和去卵巢猪中分离出血小板和右冠状动脉。将动脉悬挂在器官腔室中以测量等长力。评估有内皮和无内皮的血管环对聚集血小板以及血小板产物5-羟色胺(5-HT)和二磷酸腺苷(ADP)的反应。3. 测量血小板中5-HT、血栓素A2(TXA2)和前列环素的释放。4. 血小板使所有猪的有内皮血管环舒张。然而,在无内皮的血管环中,仅在雄性猪的血管环中观察到持续的收缩。5. 与雄性和雌性猪相比,去卵巢猪血小板中5-HT和前列环素的释放量最大。雄性猪血小板中TXA2的释放量最大。6. 三组中对ADP的内皮依赖性舒张和对5-HT的收缩相似。7. 这些结果表明,对自体血小板的血管舒缩反应可能存在性别特异性差异,但对血小板衍生产物5-HT和ADP不存在这种差异。此外,在花生四烯酸的环氧化酶代谢产物和5-HT的释放方面,血小板存在性别差异。这些产物可能导致冠状动脉循环中对损伤反应的性别差异。

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