Noguchi K, Yamashiro S, Matsuzaki T, Sakanashi M, Nakasone J, Miyagi K, Sakanashi M
Department of Pharmacology, School of Medicine, Faculty of Medicine, University of the Ryukyus, Nishihara, Okinawa, Japan.
Br J Pharmacol. 2001 Jun;133(3):395-405. doi: 10.1038/sj.bjp.0704083.
Chronic administration of erythropoietin (EPO) is often associated with hypertension in animals and humans. The aim of this study was to estimate whether 1-week treatment with EPO can affect the vascular endothelial function. Rabbits were given with EPO (400 iu kg(-1) s.c.) or saline each other day for 1 week. Hypotensive responses to intravenously given acetylcholine (ACh), endothelium-independent nitric oxide donors (NOC7, nitroprusside and nitroglycerin) and prostaglandin I2 were tested before and after administration of N(G)-nitro-L-arginine methyl ester (L-NAME), a specific nitric oxide synthase inhibitor, under pentobarbitone anaesthesia. Blood haemoglobin concentration in EPO group was significantly higher than that in control group, whereas baseline values of aortic pressure, heart rate and femoral vascular resistance were similar. The dose of ACh (172 ng kg(-1)) requiring for a 15 mmHg hypotension from the baseline in EPO group was apparently higher than that (55 ng kg(-1)) in control group. On the contrary, hypotensive responses to NOC7, nitroprusside, nitroglycerin and prostaglandin I2 were comparable between two groups. The extent of ACh-induced hypotension did not correlate with haemoglobin concentration. L-NAME significantly inhibited the ACh-induced vasodilating response in control group but did not in EPO group. In another set of rabbits, the same treatment with EPO also decreased vasodilating responses to carbachol, bradykinin and substance P besides ACh as compared with control group. These results indicate that 1-week treatment with EPO selectively attenuates depressor responses to endothelium-dependent vasodilators in anaesthetized rabbits, most likely due to inhibition of endothelial nitric oxide synthase.
长期给予促红细胞生成素(EPO)在动物和人类中常与高血压相关。本研究的目的是评估EPO治疗1周是否会影响血管内皮功能。给兔子每隔一天皮下注射EPO(400 iu kg⁻¹)或生理盐水,持续1周。在戊巴比妥麻醉下,于给予特异性一氧化氮合酶抑制剂N⁻硝基⁻L⁻精氨酸甲酯(L⁻NAME)前后,测试静脉注射乙酰胆碱(ACh)、内皮依赖性一氧化氮供体(NOC7、硝普钠和硝酸甘油)以及前列腺素I2后的降压反应。EPO组的血血红蛋白浓度显著高于对照组,而主动脉压力、心率和股血管阻力的基线值相似。EPO组从基线产生15 mmHg降压所需的ACh剂量(172 ng kg⁻¹)明显高于对照组(55 ng kg⁻¹)。相反,两组对NOC7、硝普钠、硝酸甘油和前列腺素I2的降压反应相当。ACh诱导的降压程度与血红蛋白浓度无关。L⁻NAME显著抑制对照组中ACh诱导的血管舒张反应,但对EPO组无此作用。在另一组兔子中,与对照组相比,EPO的相同处理还降低了除ACh外对卡巴胆碱、缓激肽和P物质的血管舒张反应。这些结果表明,EPO治疗1周可选择性减弱麻醉兔子对内皮依赖性血管舒张剂的降压反应,最可能是由于内皮一氧化氮合酶受到抑制。