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清醒大鼠输注脂多糖后的局部血流动力学反应:格列本脲预处理或后处理的影响

Regional haemodynamic responses to infusion of lipopolysaccharide in conscious rats: effects of pre- or post-treatment with glibenclamide.

作者信息

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

机构信息

School of Biomedical Sciences, University of Nottingham Medical School, Queen's Medical Centre, Nottingham, NG7 2UH.

出版信息

Br J Pharmacol. 1999 Dec;128(8):1772-8. doi: 10.1038/sj.bjp.0702985.

Abstract
  1. To determine the putative contribution of K(ATP)-channels to the haemodynamic sequelae of endotoxaemia, three experiments were carried out in different groups of conscious, chronically-instrumented, unrestrained, male Long Evans rats. 2. In the first experiment, pretreatment with the K(ATP)-channel antagonist, glibenclamide, abolished the initial hypotension, but not the renal vasodilatation caused by LPS infusion. Subsequently, however, in the presence of glibenclamide and LPS there was a significant increase in mean arterial blood pressure, and a bradycardia, in contrast to the fall in mean arterial blood pressure and the tachycardia seen in the presence of vehicle and LPS. The pressor and bradycardic changes in the presence of glibenclamide and LPS were accompanied by significant reductions in hindquarters flow and vascular conductance, and these were significantly greater than those seen in the presence of vehicle and LPS, or glibenclamide and saline. 3. Administration of glibenclamide 6 h after the onset of saline and LPS infusion, or 6 h after the onset of saline and LPS infusion in the presence of the AT(1)-receptor antagonist, losartan, and the ET(A)-, ET(B)- receptor antagonist, SB 209670, in the absence or presence of dexamethasone, caused a significant increase in mean arterial blood pressure and reductions in renal, mesenteric and hindquarters conductances, although the latter was the only vascular bed in which there was a reduction in flow. 4. The results are consistent with a contribution from K(ATP)-channels to the vasodilatation caused by LPS, particularly in the hindquarters vascular bed.
摘要
  1. 为了确定钾离子通道开放剂(K(ATP)通道)对内毒素血症血流动力学后遗症的假定作用,在不同组清醒、长期植入仪器、不受限制的雄性长 Evans 大鼠中进行了三项实验。2. 在第一个实验中,用 K(ATP)通道拮抗剂格列本脲预处理消除了最初的低血压,但没有消除 LPS 输注引起的肾血管舒张。然而,随后在格列本脲和 LPS 存在的情况下,平均动脉血压显著升高,并且出现心动过缓,这与在载体和 LPS 存在时观察到的平均动脉血压下降和心动过速形成对比。在格列本脲和 LPS 存在时的升压和心动过缓变化伴随着后肢血流量和血管传导率的显著降低,并且这些降低显著大于在载体和 LPS 存在时或格列本脲和生理盐水存在时观察到的降低。3. 在生理盐水和 LPS 输注开始后 6 小时给予格列本脲,或者在生理盐水和 LPS 输注开始后 6 小时,在存在或不存在地塞米松的情况下,同时给予 AT(1)受体拮抗剂氯沙坦和 ET(A)、ET(B)受体拮抗剂 SB 209670,导致平均动脉血压显著升高,肾、肠系膜和后肢传导率降低,尽管后肢是唯一血流量减少的血管床。4. 结果表明 K(ATP)通道对 LPS 引起的血管舒张有作用,特别是在后肢血管床。

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