El-Mas M M, Abdel-Rahman A A
Department of Pharmacology, School of Medicine, East Carolina University, Greenville, North Carolina 27858, USA.
Alcohol Clin Exp Res. 1999 Feb;23(2):285-92.
This study investigated the differential hemodynamic effects of small to high doses of ethanol in conscious age-matched spontaneously hypertensive rats (SHRs) and Wistar Kyoto rats (WKYs). Changes evoked by ethanol (0.25, 0.5, or 1 g/kg, i.v.) or equal volume of saline in mean arterial pressure (MAP), heart rate (HR), cardiac output (CO), stroke volume (SV), and total peripheral resistance (TPR) were followed for 90 min in the two rat strains. The baseline MAP (163 +/- 4 vs. 113 +/- 2 mm Hg) of SHRs was significantly (p < 0.05) higher, compared with WKYs due mainly to the presence of an elevated TPR 13.82 +/- 0.12 vs. 2.51 +/- 0.09 mm Hg/ml/min/100 g, p < 0.05) in SHRs. In both rat strains, all doses of ethanol produced immediate increases in MAP at 1 min, after which the MAP responses varied and depended on the rat strain and dose of ethanol used. In WKYs, 0.25 g/kg ethanol had no effect on MAP, but caused significant decreases in CO and SV and increased HR. Ethanol (0.5 and 1 g/kg) produced a short-lived (10 min) and dose-related increase in MAP. The higher dose (1 g/kg) of ethanol elicited significant (p < 0.05) increases in TPR that were counterbalanced by concomitant decreases in CO and SV. In SHRs, the two higher doses (0.5 and 1 g/kg) of ethanol elicited significant (p < 0.05) decreases and increases in MAP, respectively, compared with control (saline-treated) values. The pressor response to the 1 g/kg dose of ethanol was associated with an increase in TPR that achieved a statistical significance (p < 0.05) at 50 and 80 min after ethanol administration. HR was significantly (p < 0.05) reduced by the two higher doses of ethanol, whereas SV and CO were not changed. Blood ethanol concentrations measured 10, 30, and 60 min after ethanol administration were similar in SHRs and WKYs. These findings suggest that acute administration of ethanol to conscious rats elicits hemodynamic responses that are strain- and dose-dependent. In contrast to a short-lived and dose-related pressor response in WKYs, ethanol (0.5 and 1 g/kg) elicited opposite and longer lasting effects on MAP (decreases and increases, respectively) in SHRs. In both rat strains, the pressor response to the higher dose of ethanol was associated with an increase in TPR; an effect that was compromised by a concomitant decrease in CO in WKYs but not SHRs.
本研究调查了小剂量至高剂量乙醇对清醒状态下年龄匹配的自发性高血压大鼠(SHR)和Wistar Kyoto大鼠(WKY)的血流动力学差异影响。在这两种大鼠品系中,静脉注射乙醇(0.25、0.5或1 g/kg)或等体积生理盐水后,连续90分钟监测平均动脉压(MAP)、心率(HR)、心输出量(CO)、每搏输出量(SV)和总外周阻力(TPR)的变化。SHR的基线MAP(163±4 vs. 113±2 mmHg)显著高于WKY(p<0.05),主要是因为SHR的TPR升高(13.82±0.12 vs. 2.51±0.09 mmHg/ml/min/100 g,p<0.05)。在两种大鼠品系中,所有剂量的乙醇在1分钟时均使MAP立即升高,之后MAP反应有所不同,且取决于大鼠品系和所用乙醇剂量。在WKY中,0.25 g/kg乙醇对MAP无影响,但导致CO和SV显著降低,HR升高。乙醇(0.5和1 g/kg)使MAP产生短暂(10分钟)且与剂量相关的升高。较高剂量(1 g/kg)的乙醇使TPR显著升高(p<0.05),同时CO和SV降低以平衡此效应。在SHR中,与对照(生理盐水处理)值相比,两种较高剂量(0.5和1 g/kg)的乙醇分别使MAP显著降低和升高。对1 g/kg剂量乙醇的升压反应与TPR升高有关,在乙醇给药后50和80分钟达到统计学显著水平(p<0.05)。两种较高剂量的乙醇使HR显著降低(p<0.05),而SV和CO未改变。乙醇给药后10、30和60分钟测量的血乙醇浓度在SHR和WKY中相似。这些发现表明,对清醒大鼠急性给予乙醇会引发血流动力学反应,该反应具有品系和剂量依赖性。与WKY中短暂且与剂量相关的升压反应相反,乙醇(0.5和1 g/kg)在SHR中对MAP产生相反且持续时间更长的影响(分别为降低和升高)。在两种大鼠品系中,对较高剂量乙醇的升压反应均与TPR升高有关;在WKY中,这种效应因CO同时降低而受到影响,但在SHR中未受影响。