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氨基胍和N(ω)-硝基-L-精氨酸甲酯对内毒素血症诱导的血管反应性降低的影响。

Effects of aminoguanidine and N(omega)-nitro-L-arginine methyl ester on vascular hyporeactivity induced by endotoxaemia.

作者信息

Ismailoglu U B, Pekiner C, Yorganci K, Sahin-Erdemli I

机构信息

Faculty of Pharmacy, Department of General Surgery, Hacettepe University, Ankara, Turkey.

出版信息

Eur J Surg. 2001 Nov;167(11):803-9. doi: 10.1080/11024150152717616.

Abstract

OBJECTIVE

To investigate the effects of endotoxaemia on the reactivity of the aortic bed in rats, and to compare the effects of the nitric oxide (NO) synthase inhibitors aminoguanidine and N(omega)-nitro-L-arginine methyl ester (L-NAME), on endotoxaemia-induced changes in vascular reactivity.

DESIGN

Randomised experiment.

SETTING

University laboratory, Turkey.

SUBJECTS

54 Wistar rats.

INTERVENTIONS

Rats were divided into control (n = 24) and endotoxaemia (n = 30) groups and were treated with an intraperitoneal injection of saline (control) and lipopolysaccharide (20 mg/kg), respectively. Subgroups of control and endotoxaemic rats were given either aminoguanidine or L-NAME by the same route.

MAIN OUTCOME MEASURES

Contractile responses to phenylephrine and relaxation responses to acetylcholine 4 hours after treatment.

RESULTS

Incubation with aminoguanidine and L-NAME potentiated the phenylephrine-induced contractile response and inhibited acetylcholine-induced relaxation in aortic rings in the control group. The vascular responses to phenylephrine and acetylcholine were less pronounced in the endotoxaemia group, and in vitro incubation with aminoguanidine and L-NAME partially restored the contraction induced by phenylephrine but did not affect the impaired response to acetylcholine. Aminoguanidine given in vivo prevented the impairment of vascular responses to both phenylephrine and acetylcholine whereas L-NAME gave no such protection.

CONCLUSION

Aminoguanidine acted similarly to L-NAME when incubated with the tissues in vitro, and did not show selectivity to inducible compared with constitutive isoforms of NO synthase. The finding that aminoguanidine but not L-NAME, prevented the endotoxin-induced impairment of vascular reactivity when administrated in vivo, therefore, suggested a role other than inhibition of NO synthase.

摘要

目的

研究内毒素血症对大鼠主动脉床反应性的影响,并比较一氧化氮(NO)合酶抑制剂氨基胍和N(ω)-硝基-L-精氨酸甲酯(L-NAME)对内毒素血症诱导的血管反应性变化的影响。

设计

随机实验。

地点

土耳其大学实验室。

对象

54只Wistar大鼠。

干预措施

将大鼠分为对照组(n = 24)和内毒素血症组(n = 30),分别腹腔注射生理盐水(对照组)和脂多糖(20 mg/kg)。对照组和内毒素血症大鼠亚组通过相同途径给予氨基胍或L-NAME。

主要观察指标

治疗4小时后对去氧肾上腺素的收缩反应和对乙酰胆碱的舒张反应。

结果

在对照组中,与氨基胍和L-NAME孵育可增强去氧肾上腺素诱导的收缩反应,并抑制乙酰胆碱诱导的主动脉环舒张。在内毒素血症组中,对去氧肾上腺素和乙酰胆碱的血管反应较弱,与氨基胍和L-NAME进行体外孵育可部分恢复去氧肾上腺素诱导的收缩,但不影响对乙酰胆碱受损的反应。体内给予氨基胍可防止对去氧肾上腺素和乙酰胆碱的血管反应受损,而L-NAME则无此保护作用。

结论

氨基胍在体外与组织孵育时的作用与L-NAME相似,与NO合酶的组成型异构体相比,对诱导型没有选择性。因此,体内给予氨基胍而非L-NAME可防止内毒素诱导的血管反应性受损,这表明其作用并非抑制NO合酶。

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