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前列腺素调节阿片类药物引起的脑脊液中血管加压素浓度升高。

Prostanoids modulate opioid-induced increases in cerebrospinal fluid vasopressin concentration.

作者信息

Armstead W M, Mirro R, Shibata M, Leffler C W

机构信息

Department of Physiology and Biophysics, University of Tennessee, Memphis 38163.

出版信息

Am J Physiol. 1992 Dec;263(6 Pt 2):H1670-4. doi: 10.1152/ajpheart.1992.263.6.H1670.

Abstract

Topical dynorphin and beta-endorphin produce increases in both prostanoid and vasopressin concentrations in cortical periarachnoid fluid of newborn pigs. The present study, in anesthetized piglets with cranial windows implanted, investigated the role of these prostanoids in the mediation of this vasopressin release by opioids. Topical prostaglandin (PG) I2 (100 ng/ml) increased pial arteriolar diameter from 145 +/- 4 to 178 +/- 4 microns and also increased cerebrospinal fluid (CSF) vasopressin from 1.1 +/- 0.1 to 4.1 +/- 0.5 microU/ml, but CSF vasopressin was not changed by PGE2, PGF2 alpha, and U-46619. Therefore, it is possible that PGI2 causes the increase in CSF vasopressin produced by opioids. Consistent with this concept, indomethacin and aspirin blocked dynorphin- and beta-endorphin-induced vasopressin release. The present data indicate that PGI2 contributes to opioid-induced changes in CSF vasopressin concentration and, thereby, to vasopressinergic contributions to opioid-induced cerebral vascular responses.

摘要

局部应用强啡肽和β-内啡肽可使新生猪皮质蛛网膜下腔液中的前列腺素和血管加压素浓度均升高。本研究在植入颅骨视窗的麻醉仔猪中,探究了这些前列腺素在阿片类药物介导的血管加压素释放中的作用。局部应用前列腺素(PG)I2(100 ng/ml)可使软脑膜小动脉直径从145±4微米增加至178±4微米,还可使脑脊液(CSF)血管加压素从1.1±0.1微单位/毫升增加至4.1±0.5微单位/毫升,但PGE2、PGF2α和U-46619并未改变CSF血管加压素水平。因此,PGI2有可能导致阿片类药物引起的CSF血管加压素升高。与此概念相符的是,吲哚美辛和阿司匹林可阻断强啡肽和β-内啡肽诱导的血管加压素释放。目前的数据表明,PGI2有助于阿片类药物引起的CSF血管加压素浓度变化,从而有助于血管加压素对阿片类药物诱导的脑血管反应的作用。

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