Nelson S, Steward R H, Traber L, Traber D
Department of Anesthesiology, University of Texas Medical Branch, Galveston 77550.
Am J Physiol. 1991 Jun;260(6 Pt 2):H1790-4. doi: 10.1152/ajpheart.1991.260.6.H1790.
The present study examined reactivity to norepinephrine (NE) and KCl in isolated, suffused blood vessels from the systemic and pulmonary circulations of endotoxin-treated and control sheep. A possible mechanism underlying an endotoxin-induced alteration in vascular reactivity was also investigated. Chronically instrumented sheep were given Escherichia coli endotoxin (1.5 micrograms/kg). Eight to 12 h later these endotoxin-treated animals exhibited a significantly increased cardiac output and decreased systemic vascular pressure and resistance. The pulmonary vascular pressure and resistance were not changed. The isolated superficial femoral artery from the endotoxin sheep exhibited depressed contractions in response to KCl (75 mM) and to NE (10(-7)-10(-5) M), whereas the pulmonary artery (tertiary branch) did not exhibit altered reactivity. The decreased sensitivity to NE in the femoral artery from endotoxin sheep did not appear to involve an alteration of alpha- or beta-adrenoceptors, or an increased release of vasodilator prostanoids, or endothelium-derived relaxing factor.
本研究检测了内毒素处理的绵羊和对照绵羊体循环及肺循环中分离出的灌注血管对去甲肾上腺素(NE)和氯化钾(KCl)的反应性。同时还研究了内毒素诱导血管反应性改变的潜在机制。对长期植入仪器的绵羊给予大肠杆菌内毒素(1.5微克/千克)。8至12小时后,这些接受内毒素处理的动物心输出量显著增加,体循环血管压力和阻力降低。肺血管压力和阻力未发生变化。内毒素处理绵羊分离出的股浅动脉对氯化钾(75毫摩尔)和去甲肾上腺素(10⁻⁷ - 10⁻⁵摩尔)的收缩反应减弱,而肺动脉(三级分支)的反应性未发生改变。内毒素处理绵羊股动脉对去甲肾上腺素敏感性降低似乎不涉及α或β肾上腺素能受体的改变、血管舒张性前列腺素释放增加或内皮衍生舒张因子。