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肉仔鸡静脉注射前列环素后的肺循环和体循环血流动力学反应

Pulmonary and systemic hemodynamic responses to intravenous prostacyclin in broilers.

作者信息

Wideman R F, Chapman M E, Erf G F

机构信息

Department of Poultry Science, University of Arkansas, Fayetteville, Arkansas 72701, USA.

出版信息

Poult Sci. 2005 Mar;84(3):442-53. doi: 10.1093/ps/84.3.442.

Abstract

The eicosanoid vasodilator prostacyclin (PGI2) reduces resistance to pulmonary blood flow and attenuates pulmonary hypertension in mammals. However, sparse information is available regarding the responsiveness of the avian pulmonary vasculature to PGI2. Accordingly, in 3 experiments we evaluated the pulmonary vascular responses to PGI2 in male broilers. In experiment 1, infusing PGI2 (10 microg/min) into clinically healthy broilers did not reduce their pulmonary vascular resistance (PVR) but did reduce their pulmonary arterial pressure (PAP) by lowering their cardiac output. Within 4 min after stopping the PGI2 infusion, the cardiac output and PAP returned to preinfusion levels. In experiment 2, the responses to PGI2 were evaluated after arachidonic acid (AA) had been infused to preconstrict the pulmonary vasculature. The AA infusion (400 microg/min) consistently triggered dramatic, sustained pulmonary vasoconstriction (increased PVR) and pulmonary hypertension (increased PAP). Concurrent PGI2 infusions did not reduce PVR but did reduce PAP by lowering cardiac output. Within 4 min after stopping the PGI2 infusion, PAP and cardiac output returned to their previous (hypertensive) levels attributable to the ongoing AA infusion. In experiment 3, PGI2 was infused (10 microg/min) into clinically healthy (PAP < or = 24 mmHg) or subclinically hypertensive (PAP > or = 27 mmHg) broilers. Throughout this experiment broilers in the hypertensive group had higher PAP values than broilers in the healthy group. The PGI2 infusion reduced PAP in both groups but did not reduce PVR. Instead, the pulmonary hypotensive response to PGI2 infusion was associated with a reduction in cardiac output in both groups. In all 3 experiments PGI2 reduced PAP by reducing cardiac output rather than by reducing PVR. There was no evidence that PGI2 acts as an effective pulmonary vasodilator in broilers regardless of whether their pulmonary vasculature was apparently normal (clinically healthy), had been pharmacologically preconstricted (AA infusion), or initially exhibited the vasoconstriction that is typical of the pathogenesis of pulmonary hypertension syndrome in broilers (PAP > or = 27 mmHg). The consistent failure of PGI2 to elicit pulmonary vasodilation in this study suggests fundamental differences in AA metabolism or the etiology of pulmonary hypertension may exist when broilers are compared with mammals.

摘要

类二十烷酸血管舒张剂前列环素(PGI2)可降低哺乳动物肺循环血流阻力并减轻肺动脉高压。然而,关于禽类肺血管系统对PGI2的反应性,现有信息却十分有限。因此,我们进行了3项实验,评估雄性肉鸡肺血管对PGI2的反应。在实验1中,向临床健康的肉鸡输注PGI2(10微克/分钟),并未降低其肺血管阻力(PVR),但通过降低心输出量降低了其肺动脉压(PAP)。停止输注PGI2后4分钟内,心输出量和PAP恢复到输注前水平。在实验2中,在输注花生四烯酸(AA)预收缩肺血管后评估对PGI2的反应。输注AA(400微克/分钟)持续引发显著的、持续性的肺血管收缩(PVR升高)和肺动脉高压(PAP升高)。同时输注PGI2并未降低PVR,但通过降低心输出量降低了PAP。停止输注PGI2后4分钟内,PAP和心输出量恢复到因持续输注AA而导致的先前(高血压)水平。在实验3中,向临床健康(PAP≤24mmHg)或亚临床高血压(PAP≥27mmHg)的肉鸡输注PGI2(10微克/分钟)。在整个实验过程中,高血压组的肉鸡PAP值高于健康组的肉鸡。输注PGI2使两组的PAP均降低,但未降低PVR。相反,两组对PGI2输注的肺动脉降压反应均与心输出量降低有关。在所有3项实验中,PGI2均通过降低心输出量而非降低PVR来降低PAP。没有证据表明PGI2在肉鸡中是一种有效的肺血管舒张剂,无论其肺血管系统是明显正常(临床健康)、经药理学预收缩(输注AA),还是最初表现出肉鸡肺动脉高压综合征发病机制中典型的血管收缩(PAP≥27mmHg)。本研究中PGI2持续无法引起肺血管舒张表明,与哺乳动物相比,肉鸡的花生四烯酸代谢或肺动脉高压病因可能存在根本差异。

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