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采用彩色微球参照技术评估内皮素-1和硫酸镁对清醒大鼠局部血流的影响。

Assessment of the effects of endothelin-1 and magnesium sulphate on regional blood flows in conscious rats, by the coloured microsphere reference technique.

作者信息

Kemp P A, Gardiner S M, March J E, Rubin P C, Bennett T

机构信息

School of Biomedical Sciences, University of Nottingham Medical School, Queens Medical Centre, England.

出版信息

Br J Pharmacol. 1999 Feb;126(3):621-6. doi: 10.1038/sj.bjp.0702342.

Abstract

There is evidence to suggest that magnesium (Mg2+) is beneficial in the treatment of a number of conditions, including pre-eclampsia and acute myocardial infarction. The mode of action of Mg2+ in these conditions is not clear, although the vasodilator properties of Mg2+ are well documented both in vitro and in vivo. Previously, we demonstrated that i.v. infusion of magnesium sulphate (MgSO4) alone, or in the presence of vasoconstrictors, caused increases in flow and conductance in the common carotid, internal carotid and hindquarters vascular beds, in conscious rats. Therefore, the objective of the present study was to investigate the regional and subregional changes in haemodynamics in response to the vasoconstrictor peptide endothelin-1 (ET-1) and MgSO4 in more detail, using the coloured microsphere reference technique. Infusion of ET-1 and MgSO4 had similar effects on heart rate and mean arterial pressure as in our previous study. Infusion of ET-1 caused a rise in mean arterial pressure and a fall in heart rate, and infusion of MgSO4 returned mean arterial pressure to control levels with no effect on heart rate. The responses to MgSO4 in the presence of ET-1 showed considerable regional heterogeneity with blood flow increasing (e.g. skeletal muscle), decreasing (e.g. stomach) or not changing (e.g. kidney). Of particular interest was the finding that MgSO4 caused increases in flow in the cerebral and coronary vascular beds. This, and our previous studies, have shown that MgSO4 can reverse vasoconstriction in a number of vascular beds, and indicate that this compound may have therapeutic benefit in conditions associated with vasospasm.

摘要

有证据表明镁离子(Mg2+)对多种病症的治疗有益,包括先兆子痫和急性心肌梗死。尽管镁离子在体外和体内的血管舒张特性已有充分记录,但镁离子在这些病症中的作用方式尚不清楚。此前,我们证明,在清醒大鼠中,单独静脉输注硫酸镁(MgSO4)或在存在血管收缩剂的情况下输注硫酸镁,会导致颈总动脉、颈内动脉和后肢血管床的血流量和血管传导率增加。因此,本研究的目的是使用彩色微球参考技术,更详细地研究血管收缩肽内皮素-1(ET-1)和硫酸镁对血流动力学的区域和亚区域变化的影响。ET-1和硫酸镁的输注对心率和平均动脉压的影响与我们之前的研究相似。输注ET-1会导致平均动脉压升高和心率下降,而输注硫酸镁会使平均动脉压恢复到对照水平,对心率无影响。在存在ET-1的情况下,对硫酸镁的反应显示出相当大的区域异质性,血流量增加(如骨骼肌)、减少(如胃)或不变(如肾)。特别值得关注的是,硫酸镁会导致脑和冠状动脉血管床的血流量增加。这一点以及我们之前的研究表明,硫酸镁可以逆转多个血管床的血管收缩,并表明该化合物可能对与血管痉挛相关的病症具有治疗益处。

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