Kai Seiichiro, Bandoh Toshio, Ohta Masayuki, Matsumoto Toshifumi, Tominaga Masayuki, Kitano Seigo
Department of Surgery I, Oita University Faculty of Medicine, Oita, Japan.
J Gastroenterol Hepatol. 2006 Jan;21(1 Pt 2):242-50. doi: 10.1111/j.1440-1746.2006.04158.x.
Portal hypertensive gastropathy is an abnormal circulatory state in gastric mucosa with vascular dilatation due to portal hypertension. The aim of the present study was to evaluate expression of endothelin receptors and their roles in the portal hypertensive gastric mucosa.
Portal hypertensive rats were generated by staged portal vein occlusion. Expression of endothelin-A receptor and endothelin-B receptor mRNA was examined by reverse transcriptase-polymerase chain reaction, and protein were examined by immunohistochemistry. The changes of mucosal microcirculation by endothelin receptor antagonists were measured with in vivo microscope.
Expression of endothelin-A receptor mRNA was increased significantly in portal hypertensive rats in comparison with sham-operated control rats (P < 0.05). There was no significant difference between the two groups in endothelin-B receptor mRNA expression. Vessels of the gastric mucosa were dilated, and intravessel blood flow was increased significantly in the portal hypertensive group (P < 0.05). Diameters of mucosal vessels and blood flow were increased significantly by endothelin-A receptor antagonist (BQ-485) in the portal hypertensive rats. Endothelin-B receptor antagonist (IRL-1038) had no significant effect on mucosal microcirculation.
These data suggest that increased expression of endothelin-A receptor in the portal hypertensive gastric mucosa may be related to the regulation of gastric microcirculation.
门脉高压性胃病是由于门脉高压导致胃黏膜血管扩张的一种异常循环状态。本研究的目的是评估内皮素受体的表达及其在门脉高压性胃黏膜中的作用。
通过分期门静脉结扎制备门脉高压大鼠。采用逆转录聚合酶链反应检测内皮素A受体和内皮素B受体mRNA的表达,采用免疫组织化学检测蛋白表达。用体内显微镜测量内皮素受体拮抗剂对黏膜微循环的影响。
与假手术对照组大鼠相比,门脉高压大鼠内皮素A受体mRNA表达显著增加(P<0.05)。两组内皮素B受体mRNA表达无显著差异。门脉高压组胃黏膜血管扩张,血管内血流显著增加(P<0.05)。内皮素A受体拮抗剂(BQ-485)可使门脉高压大鼠黏膜血管直径和血流显著增加。内皮素B受体拮抗剂(IRL-1038)对黏膜微循环无显著影响。
这些数据表明,门脉高压性胃黏膜中内皮素A受体表达增加可能与胃微循环的调节有关。