Sahach V F, Doloman L B, Kotsiuruba A V, Bukhanevich O M, Kurdanov Kh A, Beslanieiev I A, Bekuzarova S A
A. A. Bogomoletz Institute of Physiology NASU, Kiev, Ukraine.
Fiziol Zh (1994). 2002;48(5):3-8.
The investigation was designed to study nitric oxide (NO) blood level estimated by measuring its stable metabolites nitrite (NO2-) and nitrate (NO3-) concentration in highlanders (2,200 m a.s.l.). NO2- [symbol: see text] NO3- concentration was measured with Griss reagent and brucine reagent respectively with using the spectrophotometric method. We first found that highlanders compared to lowlanders have increased blood level of NO2- (37 +/- 3.3 nmol/ml vs. 28.5 +/- 1.3 nmol/ml, P < 0.05) and NO3- (1362 +/- 43 nmol/ml vs. 845 +/- 65 nmol/ml, P < 0.001). As the most significant, there was increase in NO2- concentration in erythrocytes (by about 6 times), NO3- level in erythrocytes was revealed to be increased by 2.5 times, whereas the plasma concentration of these stable metabolites was the same (for NO3-) or even slightly decreased (for NO2-). Such increased NO stable metabolites blood level in highlanders may explain widening of vasodilative reserve and strengthening of cardiac pump and contractile functions, which we revealed previously. Activation of NO-system in high altitude is important and probable trigger adaptive mechanism of cardiovascular system to hypoxia. This mechanism allows to retain adequate tissue perfusion and optimal oxygen supply in its decreased partial pressure in inhaled air and thereby to prevent diseases caused by vasospastic processes.
本研究旨在通过测量高原地区(海拔2200米)人群血液中一氧化氮(NO)的稳定代谢产物亚硝酸盐(NO2-)和硝酸盐(NO3-)的浓度,来研究NO的血液水平。分别使用格里斯试剂和马钱子碱试剂,采用分光光度法测量NO2-和NO3-的浓度。我们首次发现,与低海拔人群相比,高原人群血液中的NO2-水平升高(37±3.3 nmol/ml对28.5±1.3 nmol/ml,P<0.05),NO3-水平升高(1362±43 nmol/ml对845±65 nmol/ml,P<0.001)。最为显著的是,红细胞中的NO2-浓度增加了约6倍,红细胞中的NO3-水平增加了2.5倍,而这些稳定代谢产物的血浆浓度相同(NO3-)或甚至略有下降(NO2-)。高原人群血液中NO稳定代谢产物水平的升高,可能解释了我们之前发现的血管舒张储备增加以及心脏泵血和收缩功能增强的现象。高海拔地区NO系统的激活很重要,可能是心血管系统对缺氧的适应性触发机制。这种机制能够在吸入空气中氧分压降低的情况下,保持足够的组织灌注和最佳的氧气供应,从而预防由血管痉挛过程引起的疾病。