Takahashi K, Ando K, Ono A, Shimosawa T, Ogata E, Fujita T
Fourth Department of Internal Medicine, University of Tokyo, School of Medicine, Japan.
Life Sci. 1992;50(19):1437-44. doi: 10.1016/0024-3205(92)90262-n.
The cytokine tumor necrosis factor-alpha (TNF alpha) is one of the major mediators of septic shock. Because vasodilation is a hallmark of sepsis and decreased vascular responsiveness has been implicated in the pathogenesis of septic shock, we studied the effect of TNF alpha on the mean blood pressure in conscious rats and vascular responsiveness to vasoconstrictors ex vivo using the standard organ bath method. Intravenous infusion of TNF alpha (0.006 or 0.06 mg/kg/hr for 10 hours) decreased mean blood pressure in a dose-dependent fashion. Contractile responses to norepinephrine were depressed dose-dependently in the aortic rings both with and without its endothelium. Aortic contractions by potassium depolarization were also depressed. These results suggest that TNF alpha induces non-specific vascular hyporesponsiveness, which is independent of the presence of the endothelium. The TNF alpha-induced vascular hyporesponsiveness might contribute to the hypotensive action of TNF alpha.
细胞因子肿瘤坏死因子-α(TNFα)是脓毒性休克的主要介质之一。由于血管舒张是脓毒症的一个标志,并且血管反应性降低与脓毒性休克的发病机制有关,我们使用标准器官浴法研究了TNFα对清醒大鼠平均血压的影响以及对离体血管收缩剂的血管反应性。静脉输注TNFα(0.006或0.06mg/kg/小时,持续10小时)以剂量依赖性方式降低平均血压。去甲肾上腺素的收缩反应在有内皮和无内皮的主动脉环中均呈剂量依赖性降低。钾去极化引起的主动脉收缩也受到抑制。这些结果表明,TNFα诱导非特异性血管低反应性,这与内皮的存在无关。TNFα诱导的血管低反应性可能促成了TNFα的降压作用。