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氟烷对离体肠系膜阻力动脉去甲肾上腺素收缩反应的多种作用。

Multiple actions of halothane on contractile response to noradrenaline in isolated mesenteric resistance arteries.

作者信息

Yoshino J, Akata T, Izumi K, Takahashi S

机构信息

Department of Anesthesiology and Critical Care Medicine, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.

出版信息

Naunyn Schmiedebergs Arch Pharmacol. 2005 Jun;371(6):500-15. doi: 10.1007/s00210-005-1065-3. Epub 2005 Jul 13.

Abstract

Halothane, a volatile anaesthetic, produces systemic hypotension and significantly alters organ blood flow. Isometric force was recorded in isolated rat small mesenteric arteries to investigate its action on contractile response to noradrenaline, the sympathetic neurotransmitter. Halothane (1-5%) enhanced contractile response to noradrenaline in the endothelium-intact arteries, but had little influence in the endothelium-denuded arteries. However, halothane consistently inhibited the noradrenaline response in the endothelium-denuded arteries pretreated with ryanodine (10 microM). The enhancement of the contractile response to noradrenaline in the endothelium-intact arteries was unaffected by treatment with N(G)-nitro L-arginine, tetraethylammonium, apamin, charybdotoxin, indomethacin, diclofenac, nordihydroguaiaretic acid, BQ-123, BQ-788, losartan, ketanserin, or superoxide dismutase. Halothane prolonged vasorelaxation after washout of noradrenaline in the endothelium-denuded arteries. Both ryanodine and vanadate (0.1-0.3 mM), a putative inhibitor of the plasma membrane Ca2+-ATPase, also prolonged the vasorelaxation. Halothane still prolonged the vasorelaxation in the ryanodine-treated arteries, but not in the vanadate-treated arteries. Halothane decreased the pD2 value for the pCa-force relation in the beta-escin-permeabilised, endothelium-denuded arteries. Halothane appears to influence contractile response to noradrenaline through multiple actions including endothelium-dependent enhancing, endothelium-independent enhancing, and endothelium-independent inhibitory actions. Nitric oxide, endothelium-derived hyperpolarising factor, cyclooxygenase products, lipoxygenase products, endothelin-1, angiotensin-II, serotonin, and superoxide anions are not involved in the endothelium-dependent enhancement. The endothelium-independent enhancement is presumably due to its ability to stimulate Ca2+ release from the ryanodine-sensitive intracellular stores, while the endothelium-independent inhibition is due, at least in part, to depressed Ca2+-activation of contractile proteins. Halothane may inhibit the plasma membrane Ca2+-ATPase of vascular smooth muscle cells.

摘要

氟烷是一种挥发性麻醉剂,可导致全身低血压并显著改变器官血流。在分离的大鼠小肠系膜动脉中记录等长力,以研究其对交感神经递质去甲肾上腺素收缩反应的作用。氟烷(1-5%)增强了内皮完整动脉对去甲肾上腺素的收缩反应,但对内皮剥脱动脉影响很小。然而,氟烷持续抑制用ryanodine(10 microM)预处理的内皮剥脱动脉中的去甲肾上腺素反应。内皮完整动脉中对去甲肾上腺素收缩反应的增强不受N(G)-硝基-L-精氨酸、四乙铵、蜂毒明肽、大蝎毒素、吲哚美辛、双氯芬酸、去甲二氢愈创木酸、BQ-123、BQ-788、氯沙坦、酮色林或超氧化物歧化酶处理的影响。氟烷使内皮剥脱动脉中去甲肾上腺素洗脱后的血管舒张延长。ryanodine和钒酸盐(0.1-0.3 mM)(一种假定的质膜Ca2+ -ATP酶抑制剂)也延长了血管舒张。氟烷在ryanodine处理的动脉中仍可延长血管舒张,但在钒酸盐处理的动脉中则不然。氟烷降低了β-七叶皂苷渗透的内皮剥脱动脉中pCa-力关系的pD2值。氟烷似乎通过多种作用影响对去甲肾上腺素的收缩反应,包括内皮依赖性增强、内皮非依赖性增强和内皮非依赖性抑制作用。一氧化氮、内皮衍生的超极化因子、环氧化酶产物、脂氧化酶产物、内皮素-1、血管紧张素-II、5-羟色胺和超氧阴离子不参与内皮依赖性增强。内皮非依赖性增强可能是由于其刺激ryanodine敏感的细胞内储存释放Ca2+的能力,而内皮非依赖性抑制至少部分是由于收缩蛋白的Ca2+激活降低。氟烷可能抑制血管平滑肌细胞的质膜Ca2+ -ATP酶。

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