Huang H-C, Wang S-S, Chen Y-C, Lee F-Y, Chang F-Y, Lin H-C, Hou M-C, Chan C-C, Chen C-T, Wu S-L, Lee S-D
Taipei Veterans General Hospital, National Yang-Ming University School of Medicine, Taipei, Taiwan, China.
Eur J Clin Invest. 2003 Jun;33(6):505-12. doi: 10.1046/j.1365-2362.2003.01162.x.
Prostacyclin mediates, at least partly, the splanchnic vascular hyporesponsiveness to glypressin in bleeding portal hypertensive rats. This study investigated the relative contribution of cyclooxygenase-1 (COX-1) and cyclooxygenase-2 (COX-2) in the splanchnic hyposensitivity to glypressin in rats with portal hypertension induced by partial portal vein ligation (PVL).
Fourteen days after the operation, the rats were divided into without- and with-bleeding groups. Three series of PVL rats were used to investigate (i). the haemodynamic effects of glypressin (0.07 mg x kg(-1) intravenously), (ii). COX-1/COX-2 mRNA expression over abdominal aorta and superior mesenteric artery and (iii). plasma levels of 6-keto-prostaglandin-F1alpha. In rats with a hypotensive haemorrhage, 4.5 mL of blood was withdrawn and 50% of the withdrawn blood was re-infused before blood and vessel sampling or the administration of glypressin.
Splanchnic hyposensitivity to glypressin was demonstrated in the haemorrhage-transfused PVL rats with enhanced COX-1 expression of superior mesenteric artery and increased plasma levels of 6-keto-prostaglandin-F1alpha. There were no differences in the COX-2 expression of superior mesenteric artery and COX-1 and COX-2 expressions of abdominal aorta between without- and with-bleeding groups.
In portal hypertensive rats with acute haemorrhage, COX-1 over-expression in the superior mesenteric artery plays a role in mediating the splanchnic hyposensitivity to glypressin.
前列环素至少部分介导了出血性门静脉高压大鼠内脏血管对加压素的低反应性。本研究探讨了环氧化酶-1(COX-1)和环氧化酶-2(COX-2)在部分门静脉结扎(PVL)诱导的门静脉高压大鼠内脏对加压素低敏感性中的相对作用。
术后14天,将大鼠分为未出血组和出血组。使用三组PVL大鼠来研究(i). 加压素(0.07 mg·kg⁻¹静脉注射)的血流动力学效应,(ii). 腹主动脉和肠系膜上动脉COX-1/COX-2 mRNA表达,以及(iii). 血浆6-酮-前列腺素-F1α水平。在进行低血压性出血的大鼠中,抽取4.5 mL血液,在采血和血管采样或给予加压素之前,将抽取血液的50%重新输注。
在出血-输血的PVL大鼠中证实了内脏对加压素的低敏感性,肠系膜上动脉COX-1表达增强,血浆6-酮-前列腺素-F1α水平升高。未出血组和出血组之间肠系膜上动脉的COX-2表达以及腹主动脉的COX-1和COX-2表达没有差异。
在急性出血的门静脉高压大鼠中,肠系膜上动脉COX-1的过度表达在介导内脏对加压素的低敏感性中起作用。