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脊髓一氧化氮合酶阻断对血压变异性和肝脏微循环的影响

Blockade of spinal nitric oxide synthase on blood pressure variability and hepatic microcirculation.

作者信息

Chen Chih-Hung, Shyr Ming-Hwang

机构信息

Department of Anesthesiology, Hualien Army General Hospital, Hualien, Taiwan.

出版信息

Acta Anaesthesiol Taiwan. 2005 Jun;43(2):67-72.

Abstract

BACKGROUND

We previously demonstrated that intrathecal administration of N(G)-nitro-L-arginine methyl ester (L-NAME), a nitric oxide synthase inhibitor, increased systemic arterial blood pressure in a dose-dependent manner in rats. The aim of the study was to investigate the participation of autonomic nervous system on L-NAME-induced hypertension and also illuminate its effects on hepatic microcirculation in rats.

METHODS

Eight Spraque-Dawley rats were used and initially anesthetized with ketamine 120 mg/kg, intraperitoneally supplemented by intravenous infusion of ketamine at 30 mg/kg/h for maintenance. Surgical preparations included cannulations of right femoral artery and vein to obtain systemic arterial pressure signals and administer anesthetic drug. A mini-laparotomy was made to facilitate the insertion of a microdialysis probe and attachment of a laser Doppler probe to the middle lobe of the liver. On experiment, L-NAME was administered via the previously placed intrathecal catheter at 0, 0.37, 0.74, and 1.48 micromol in sequence at a 2-h interval.

RESULTS

The results showed that the arterial blood pressure increased in a dose-dependent manner. By the same token, the power density of very low frequency (VLF) also increased. The low frequency (LF): high frequency (HF) ratio shifted toward parasympathetic dominance. Blood flow to the liver was unchanged except slightly decreased in the animals receiving 0.37 micromol. The levels of monoethylglycinexylidide (MEGX), an index of hepatic metabolism, were unchanged throughout the experiment.

CONCLUSIONS

We concluded that the blockade of spinal nitric oxide synthase by intrathecal administration of L-NAME significantly increased vasomotor tone in a dose-dependent manner and as a consequence induced a reflex sympathetic inhibition. Hepatic microcirculation was stable with the applied doses.

摘要

背景

我们之前证明,鞘内注射一氧化氮合酶抑制剂N(G)-硝基-L-精氨酸甲酯(L-NAME)可使大鼠全身动脉血压呈剂量依赖性升高。本研究的目的是探讨自主神经系统在L-NAME诱导的高血压中的作用,并阐明其对大鼠肝脏微循环的影响。

方法

使用8只Spraque-Dawley大鼠,最初腹腔注射120 mg/kg氯胺酮进行麻醉,随后以30 mg/kg/h的速度静脉输注氯胺酮维持麻醉。手术准备包括插入右股动脉和静脉插管以获取全身动脉压信号并给予麻醉药物。进行小切口剖腹术以利于插入微透析探针并将激光多普勒探针附着于肝脏中叶。实验时,通过先前放置的鞘内导管依次以2小时间隔给予0、0.37、0.74和1.48 μmol的L-NAME。

结果

结果显示动脉血压呈剂量依赖性升高。同样,极低频(VLF)的功率密度也增加。低频(LF):高频(HF)比值向副交感神经占优势方向转变。除接受0.37 μmol的动物肝脏血流略有减少外,肝脏血流未发生变化。整个实验过程中,肝脏代谢指标单乙基甘氨酰二甲苯胺(MEGX)水平未发生变化。

结论

我们得出结论,鞘内注射L-NAME阻断脊髓一氧化氮合酶可显著使血管运动张力呈剂量依赖性增加,从而引起反射性交感神经抑制。在所应用的剂量下,肝脏微循环保持稳定。

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