Chi O Z, Lee D I, Liu X, Weiss H R
Departments of Anesthesia, and Physiology and Biophysics, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey. 08901-1977, USA.
Anesth Analg. 2000 Mar;90(3):603-8. doi: 10.1097/00000539-200003000-00019.
This study was performed to evaluate whether morphine could alter the degree of disruption of the blood-brain barrier (BBB) caused by hyperosmolar mannitol. Under isoflurane anesthesia, rats in a control group were infused with 25% mannitol into the internal carotid artery before measuring the transfer coefficient (Ki) of (14)C-alpha-aminoisobutyric acid. Infusion of morphine 3 mg/kg in the small-dose morphine group and 10 mg/kg in the large-dose morphine group was completed, 10 min before administering mannitol. There were no statistical differences in systemic blood pressures between these three groups of animals. In the control group, the Ki of the ipsilateral cortex where mannitol was injected, increased to 4.6 times that of the contralateral cortex (19.5 +/- 8.5 vs 4.2 +/- 1.2 microL. g(-1). min(-1), P < 0.002). The Ki of the ipsilateral cortex of the small-dose morphine group was 13.5 +/- 7.6 microL. g(-1). min(-1). The Ki of the ipsilateral cortex of the large-dose morphine group was 9.2 +/- 4.5 microL. g(-1). min(-1) and was smaller than that of control animals (P < 0.05). There was no significant difference in the Ki of the contralateral cortex among the three groups. In conclusion, morphine attenuated BBB disruption induced by hyperosmolar solution without significant effects on systemic blood pressure.
Our study suggests that morphine may be effective in reducing the blood-brain barrier disruption by hyperosmolar mannitol without significant effects on systemic blood pressure.
本研究旨在评估吗啡是否能改变高渗甘露醇引起的血脑屏障(BBB)破坏程度。在异氟烷麻醉下,对照组大鼠在测量(14)C-α-氨基异丁酸的转运系数(Ki)之前,经颈内动脉输注25%甘露醇。小剂量吗啡组在给予甘露醇前10分钟静脉注射吗啡3mg/kg,大剂量吗啡组静脉注射吗啡10mg/kg。三组动物的全身血压无统计学差异。对照组中,注射甘露醇同侧皮质的Ki增加至对侧皮质的4.6倍(19.5±8.5对4.2±1.2μL·g-1·min-1,P<0.002)。小剂量吗啡组同侧皮质的Ki为13.5±7.6μL·g-1·min-1。大剂量吗啡组同侧皮质的Ki为9.2±4.5μL·g-1·min-1,小于对照组动物(P<0.05)。三组对侧皮质的Ki无显著差异。总之,吗啡可减轻高渗溶液诱导的血脑屏障破坏,且对全身血压无显著影响。
我们的研究表明,吗啡可能有效减轻高渗甘露醇引起的血脑屏障破坏,且对全身血压无显著影响。