Molinari C, Battaglia A, Grossini E, Mary D A S G, Vassanelli C, Vacca G
Laboratorio di Fisiologia, Dipartimento di Scienze Mediche, Facoltà di Medicina e Chirurgia, Università del Piemonte Orientale A. Avogadro, via Solaroli 17, I-28100 Novara, Italy.
J Physiol. 2002 Aug 15;543(Pt 1):365-72. doi: 10.1113/jphysiol.2002.022756.
This work was undertaken to study the effects of testosterone on the coronary, mesenteric, renal and iliac circulations and to determine the mechanisms of action involved. In prepubertal pigs of both sexes anaesthetized with sodium pentobarbitone, changes in left circumflex or anterior descending coronary, superior mesenteric, left renal and left external iliac blood flow caused by intra-arterial infusion of testosterone were assessed using electromagnetic flowmeters. Changes in heart rate and arterial blood pressure were prevented by atrial pacing and by connecting the arterial system to a pressurized reservoir containing Ringer solution. In 12 pigs, intra-arterial infusion of testosterone for 5 min to achieve a stable intra-arterial concentration of 1 microg l(-1) increased coronary, mesenteric, renal and iliac blood flow without affecting the maximum rate of change of left ventricular systolic pressure (left ventricular dP/dt(max)) and filling pressures of the heart. In a further five pigs, a concentration-response curve was obtained by graded increases in the intra-arterial concentration of the hormone between 0.125 and 8 microg l(-1). The mechanisms of these responses were studied in the 12 pigs by repeating the experiment after haemodynamic variables had returned to the control values before infusions. In six pigs, blockade of muscarinic cholinoceptors and adrenoceptors with atropine, propranolol and phentolamine did not affect the responses caused by intra-arterial infusion of testosterone performed to achieve a stable intra-arterial concentration of 1 microg l(-1). In the same pigs and in the remaining six pigs, the increases in coronary, mesenteric, renal and iliac blood flow caused by intra-arterial infusion of testosterone performed to achieve a stable intra-arterial concentration of 1 microg l(-1) were prevented by intra-arterial injection of N(omega)-nitro-L-arginine methyl ester. The present study shows that intra-arterial infusion of testosterone dilated coronary, mesenteric, renal and iliac circulations. The mechanism of this response involved the release of nitric oxide.
本研究旨在探讨睾酮对冠状动脉、肠系膜动脉、肾动脉和髂动脉循环的影响,并确定其作用机制。在戊巴比妥钠麻醉的青春期前雌雄猪中,使用电磁流量计评估动脉内注入睾酮引起的左旋支或前降支冠状动脉、肠系膜上动脉、左肾动脉和左髂外动脉血流量的变化。通过心房起搏以及将动脉系统连接至含有林格溶液的加压储液器,防止心率和动脉血压发生变化。在12头猪中,动脉内注入睾酮5分钟,使动脉内浓度稳定在1微克/升(-1),可增加冠状动脉、肠系膜动脉、肾动脉和髂动脉血流量,而不影响左心室收缩压的最大变化率(左心室dP/dt(max))和心脏充盈压。在另外5头猪中,通过将动脉内激素浓度在0.125至8微克/升(-1)之间逐步升高,获得了浓度-反应曲线。在血流动力学变量恢复至注入前的对照值后,通过重复实验,在这12头猪中研究了这些反应的机制。在6头猪中,用阿托品、普萘洛尔和酚妥拉明阻断毒蕈碱型胆碱能受体和肾上腺素能受体,并不影响为使动脉内浓度稳定在1微克/升(-1)而进行的动脉内注入睾酮所引起的反应。在相同的猪以及其余6头猪中,为使动脉内浓度稳定在1微克/升(-1)而进行的动脉内注入睾酮所引起的冠状动脉、肠系膜动脉、肾动脉和髂动脉血流量增加,被动脉内注射N(ω)-硝基-L-精氨酸甲酯所阻断。本研究表明,动脉内注入睾酮可扩张冠状动脉、肠系膜动脉、肾动脉和髂动脉循环。这种反应的机制涉及一氧化氮的释放。