Bailey S R, Menzies-Gow N J, Marr C M, Elliott J
Department of Veterinary Basic Sciences, Royal Veterinary College, Hatfield, Hertfordshire AL9 7TA, UK.
Equine Vet J. 2004 Apr;36(3):267-72. doi: 10.2746/0425164044877297.
Disturbances of digital blood flow are thought to be fundamental to the pathophysiology of acute laminitis. However, factors linking the initiating events in the equine hindgut with these disturbances in the foot remain to be determined.
Amine compounds, formed by bacteria in the equine hindgut, have digital vasoconstrictor effects in vivo.
Tryptamine (1.6 microg/kg/min) and phenylethylamine (2.13 microg/kg/min) were infused i.v. into standing nonsedated horses. Digital blood flow was measured by Doppler ultrasound and foot surface temperature was monitored. Plasma 5-hydroxytryptamine (5-HT) concentrations were measured by HPLC.
Tryptamine and phenylethylamine infusions had no effect on systemic arterial blood pressure or heart rate, but caused significant decreases in digital arterial blood flow (mean +/- s.e. 29.2 +/- 8.5 and 18.4 +/- 6.8%, respectively). Both amines also caused decreases in dorsal hoof wall temperature (0.6 +/- 0.1 and 0.5 +/- 0.1 degrees C for tryptamine and phenylethylamine, respectively) and concomitant increases in plasma 5-HT concentration.
Tryptamine and phenylethylamine caused reduction of digital blood flow, effects which may have been mediated, in part, via displacement of 5-HT from platelets.
Amine compounds occurring in the equine hindgut, if released into the circulation following carbohydrate overload, could contribute to selective digital vasoconstriction. Further work in ponies and horses, with naturally occurring laminitis, is necessary to determine whether amines represent a therapeutic target in this disease.
指部血流紊乱被认为是急性蹄叶炎病理生理学的基础。然而,将马后肠起始事件与蹄部这些紊乱联系起来的因素仍有待确定。
马后肠中细菌形成的胺类化合物在体内具有指部血管收缩作用。
将色胺(1.6微克/千克/分钟)和苯乙胺(2.13微克/千克/分钟)静脉输注到站立未镇静的马体内。通过多普勒超声测量指部血流,并监测蹄部表面温度。采用高效液相色谱法测定血浆5-羟色胺(5-HT)浓度。
色胺和苯乙胺输注对全身动脉血压或心率无影响,但导致指部动脉血流显著减少(分别平均±标准误为29.2±8.5%和18.4±6.8%)。两种胺类还导致蹄背壁温度降低(色胺和苯乙胺分别为0.6±0.1℃和0.5±0.1℃),并伴随血浆5-HT浓度升高。
色胺和苯乙胺导致指部血流减少,其作用可能部分通过5-HT从血小板的置换介导。
马后肠中出现的胺类化合物,如果在碳水化合物超载后释放到循环中,可能导致选择性指部血管收缩。有必要对患有自然发生蹄叶炎的小马和马进行进一步研究,以确定胺类是否是该疾病的治疗靶点。