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内皮衍生超极化因子在豚鼠肠系膜阻力动脉中袢利尿剂血管舒张作用中的作用。

Role of EDHF in the vasodilatory effect of loop diuretics in guinea-pig mesenteric resistance arteries.

作者信息

Pourageaud F, Bappel-Gozalbes C, Marthan R, Freslon J L

机构信息

Laboratoire de Pharmacodynamie (INSERM E9937), Faculté de Pharmacie, Université Victor Segalen-Bordeaux 2, 146 rue Léo Saignat, 33076 Bordeaux Cedex, France.

出版信息

Br J Pharmacol. 2000 Nov;131(6):1211-9. doi: 10.1038/sj.bjp.0703693.

Abstract
  1. Relaxing effect of loop diuretics, piretanide and furosemide in comparison with acetylcholine (ACh) was investigated in guinea-pig isolated mesenteric resistance arteries. 2. Concentration-response curves to ACh (0.001 - 10 microM) and diuretics (0.0001 - 1 microM) were constructed in noradrenaline (10 - 30 microM)-precontracted arteries incubated either in normal physiological salt solution (PSS) or in 30 mM KCl PSS (K-PSS). 3. In PSS, maximal relaxations (R(max)) and pD(2) to ACh were 87+/-2% and 7.1+/-0.1 (n=10). L-N(G)-nitro-arginine methyl ester (L-NAME, 100 microM) reduced R(max) by 20% (P<0.01, n=7) and pD(2) by 10% (P<0.01). In contrast, indomethacin (10 microM) increased R(max) by 19% (P<0.01, n=8) and pD(2) by 10% (P<0.05). Combination of L-NAME+indomethacin reversed the effect observed with either of these inhibitors used alone. In K-PSS, R(max) was attenuated by 40% (P<0.001, n=6) compared to PSS. L-NAME reduced R(max) by 65% (P<0.01, n=5) and increased pD(2) by 15 fold. L-NAME+indomethacin suppressed the resistant relaxation. 4. In PSS+L-NAME+indomethacin, inhibitors of small (SK(Ca); apamin, 0.1 microM) and large (BK(Ca); iberiotoxin and charybdotoxin, 0.1 microM) conductance Ca(2+)-sensitive K(-)-channels used alone had little effect on the ACh-response. Combination of apamin+iberiotoxin reduced R(max) by 40% (P<0.05, n=7) while apamin+charybdotoxin fully abolished the resistant relaxation. 5. In PSS, piretanide and furosemide induced relaxation with R(max): 89+/-3% vs 84+/-5% and pD(2): 8.5+/-0.1 vs 7.7+/-0.2 (P<0.01) for piretanide (n=11) and furosemide (n=10), respectively. Endothelial abrasion suppressed relaxation to diuretics. L-NAME and indomethacin used alone or in combination did not significantly modify the response to diuretics. 6. In K-PSS, piretanide-induced relaxation was abolished whereas that to furosemide was reduced by 70% (P<0.001, n=9) compared to PSS and was suppressed by L-NAME+indomethacin. In PSS+L-NAME+indomethacin, apamin slightly reduced relaxation to diuretics whereas charybdotoxin or iberiotoxin abolished the response. 7. These results indicate that ACh-evoked relaxation is mediated by both NO/PGl(2)-dependent and -independent mechanisms. The EDHF-dependent component relies on activation of Ca(2+)-activated K(+) channels, is sensitive to a combination of apamin+charybdotoxin and to a smaller degree to a combination of apamin+iberiotoxin. Loop diuretic-induced relaxation is endothelium-dependent, appears to be mediated by NO, PGl(2) and EDHF for furosemide and EDHF only for piretanide. For the two diuretics, opening of BK(Ca) channels may be involved in the relaxation.
摘要
  1. 在豚鼠离体肠系膜阻力动脉中,研究了襻利尿剂、吡咯他尼和呋塞米与乙酰胆碱(ACh)相比的舒张作用。2. 在去甲肾上腺素(10 - 30 μM)预收缩的动脉中,分别于正常生理盐溶液(PSS)或30 mM KCl PSS(K - PSS)中孵育,构建ACh(0.001 - 10 μM)和利尿剂(0.0001 - 1 μM)的浓度 - 反应曲线。3. 在PSS中,ACh的最大舒张率(R(max))和pD(2)分别为87±2%和7.1±0.1(n = 10)。L - N(G) - 硝基 - 精氨酸甲酯(L - NAME,100 μM)使R(max)降低20%(P < 0.01,n = 7),pD(2)降低10%(P < 0.01)。相反,吲哚美辛(10 μM)使R(max)增加19%(P < 0.01,n = 8),pD(2)增加10%(P < 0.05)。L - NAME与吲哚美辛联合使用可逆转单独使用这两种抑制剂时观察到的效应。在K - PSS中,与PSS相比,R(max)降低了40%(P < 0.001,n = 6)。L - NAME使R(max)降低65%(P < 0.01,n = 5),并使pD(2)增加15倍。L - NAME与吲哚美辛联合抑制了抗性舒张。4. 在PSS + L - NAME + 吲哚美辛中,单独使用小电导(SK(Ca);蜂毒明肽,0.1 μM)和大电导(BK(Ca);iberiotoxin和蝎毒素,0.1 μM)钙敏感钾通道抑制剂对ACh反应影响不大。蜂毒明肽与iberiotoxin联合使用使R(max)降低40%(P < 0.05,n = 7),而蜂毒明肽与蝎毒素联合使用则完全消除了抗性舒张。5. 在PSS中,吡咯他尼和呋塞米诱导的舒张的R(max)分别为:89±3%对84±5%,pD(2)分别为:8.5±0.1对7.7±0.2(P < 0.01),吡咯他尼(n = 11)和呋塞米(n = 10)。内皮剥脱抑制了对利尿剂的舒张反应。单独或联合使用L - NAME和吲哚美辛对利尿剂反应无显著影响。6. 在K - PSS中,吡咯他尼诱导的舒张被消除,而呋塞米诱导的舒张与PSS相比降低了70%(P < 0.001,n = 9),并被L - NAME与吲哚美辛联合抑制。在PSS + L - NAME + 吲哚美辛中,蜂毒明肽略微降低了对利尿剂的舒张反应,而蝎毒素或iberiotoxin则消除了反应。7. 这些结果表明,ACh诱发的舒张由NO/PGl(2)依赖性和非依赖性机制介导。EDHF依赖性成分依赖于钙激活钾通道的激活,对蜂毒明肽与蝎毒素联合敏感,对蜂毒明肽与iberiotoxin联合较不敏感。襻利尿剂诱导性舒张是内皮依赖性的,对于呋塞米似乎由NO、PGl(2)和EDHF介导,而对于吡咯他尼仅由EDHF介导。对于这两种利尿剂,BK(Ca)通道的开放可能参与了舒张过程。

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