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动脉粥样硬化期间产生一氧化氮介导的脑动脉舒张的机制。

Mechanisms that produce nitric oxide-mediated relaxation of cerebral arteries during atherosclerosis.

作者信息

Didion S P, Heistad D D, Faraci F M

机构信息

Departments of Internal Medicine and Pharmacology, Cardiovascular Center, University of Iowa College of Medicine, Iowa City, IA 52242-1081, USA.

出版信息

Stroke. 2001 Mar;32(3):761-6. doi: 10.1161/01.str.32.3.761.

Abstract

BACKGROUND AND PURPOSE

The first goal of the present study was to examine the hypothesis that relaxation of cerebral arteries to nitric oxide in primates is dependent on activation of soluble guanylate cyclase (sGC). The second goal was to determine whether the role of sGC in mediating responses to nitric oxide is altered in atherosclerosis.

METHODS

Basilar arteries from normal and atherosclerotic monkeys were studied in vitro. After precontraction with prostaglandin F(2alpha) (0.1 to 1 micromol/L), concentration-response curves to authentic nitric oxide (1 nmol/L to 1 micromol/L), sodium nitroprusside (10 nmol/L to 10 micromol/L; a nitric oxide donor), and papaverine (10 nmol/L to 10 micromol/L; a non-nitric oxide, non-sGC-dependent stimulus) were generated in the presence and absence of 1H-[1,2,4]-oxadiazolo[4,3-a]quinoxalin-1-one (ODQ; 1 and 10 micromol/L; an inhibitor of sGC). The effect of ODQ on basal tone of basilar arteries from normal and atherosclerotic monkeys was also examined.

RESULTS

Nitric oxide, sodium nitroprusside, and papaverine produced relaxation that was similar (P:>0.05) in normal and atherosclerotic monkeys. ODQ produced marked inhibition (P:<0.05) of vasorelaxation in response to nitric oxide and nitroprusside but not papaverine. For example, relaxation of the basilar artery in response to nitric oxide (0.1 micromol/L) was inhibited by approximately 85% and 73% by ODQ (1 micromol/L) in normal and atherosclerotic monkeys, respectively. ODQ produced contraction of the basilar arteries, and the increase in tension to ODQ was greater in normal (2.7+/-0.3 g; mean+/-SE) than in atherosclerotic monkeys (1.4+/-0.4 g; P:<0.05). In contrast, contraction to prostaglandin F(2alpha) was similar in the basilar artery from normal and atherosclerotic monkeys.

CONCLUSIONS

These findings suggest that (1) relaxation of cerebral arteries in primates in response to nitric oxide is normally dependent, in large part, on activation of sGC and (2) the influence of sGC (via reduced production and/or activity of basal nitric oxide) on cerebral vascular tone is reduced in atherosclerosis.

摘要

背景与目的

本研究的首要目标是检验这样一个假设,即灵长类动物脑动脉对一氧化氮的舒张作用依赖于可溶性鸟苷酸环化酶(sGC)的激活。第二个目标是确定在动脉粥样硬化过程中,sGC在介导对一氧化氮反应中的作用是否发生改变。

方法

对正常和动脉粥样硬化猴子的基底动脉进行体外研究。用前列腺素F(2α)(0.1至1微摩尔/升)预收缩后,在有和没有1H-[1,2,4]-恶二唑并[4,3-a]喹喔啉-1-酮(ODQ;1和10微摩尔/升;一种sGC抑制剂)存在的情况下,生成对真实一氧化氮(1纳摩尔/升至1微摩尔/升)、硝普钠(10纳摩尔/升至10微摩尔/升;一种一氧化氮供体)和罂粟碱(10纳摩尔/升至10微摩尔/升;一种非一氧化氮、非sGC依赖性刺激物)的浓度-反应曲线。还研究了ODQ对正常和动脉粥样硬化猴子基底动脉基础张力的影响。

结果

一氧化氮、硝普钠和罂粟碱在正常和动脉粥样硬化猴子中产生的舒张作用相似(P>0.05)。ODQ对一氧化氮和硝普钠引起的血管舒张产生显著抑制(P<0.05),但对罂粟碱无抑制作用。例如,在正常和动脉粥样硬化猴子中,ODQ(1微摩尔/升)分别使基底动脉对一氧化氮(0.1微摩尔/升)的舒张作用抑制约85%和73%。ODQ使基底动脉收缩,正常猴子(2.7±0.3克;平均值±标准误)对ODQ的张力增加大于动脉粥样硬化猴子(1.4±0.4克;P<0.05)。相比之下,正常和动脉粥样硬化猴子基底动脉对前列腺素F(2α)的收缩作用相似。

结论

这些发现表明,(1)灵长类动物脑动脉对一氧化氮的舒张反应通常在很大程度上依赖于sGC的激活,(2)在动脉粥样硬化中,sGC(通过基础一氧化氮产生和/或活性降低)对脑血管张力的影响减弱。

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