Godfraind T, Kazda S, Wibo M
Laboratoire de Pharmacologie, Université Catholique de Louvain, Brussels, Belgium.
Circ Res. 1991 Mar;68(3):674-82. doi: 10.1161/01.res.68.3.674.
Earlier studies have shown that relaxation in response to several agents is impaired in arteries from spontaneously hypertensive rats (SHR). We had previously reported that SHR aortas present a delayed relaxation when first exposed for 35 minutes to a 100 mM KCl solution and then transferred into physiological solution. The first phase of relaxation appeared similar in SHR and Wistar-Kyoto rat arteries, but the second phase was markedly slowed down in SHR arteries, giving rise to a postcontraction tone. In this study, we found that this postcontraction tone could be demonstrated not only in the aorta but also in the mesenteric artery, was independent of the presence of endothelium, increased with the age of SHR, and disappeared progressively when arterial segments were submitted to successive cycles of KCl depolarization followed by reimmersion in physiological solution. Chronic treatment of SHR with nisoldipine at doses that blocked the development of hypertension and attenuated the concomitant hypertrophy of heart and aorta, or in vitro pretreatment of SHR arteries with nisoldipine, decreased the contractile force developed by arteries in response to KCl depolarization and normalized the subsequent relaxation. [3H] (+)-PN200-110 binding studies on heart and brain homogenates indicated an increase in apparent Kd in nisoldipine-fed rats without significant change in Bmax. Binding data were compatible with the view that occupation of dihydropyridine receptors by nisoldipine after chronic oral administration was responsible for the modifications observed ex vivo in the mechanical activity of arteries. We conclude that the postcontraction tone of SHR arteries was mainly due to an abnormally prolonged activation of calcium channels after transfer of depolarized arteries into the physiological solution and that a labile or slowly releasable factor was probably involved in this phenomenon. We suggest that the antihypertensive action of nisoldipine might be related to the mechanisms involved in the suppression of the postcontraction tone as observed in vitro and that this mode of action could be more important than the vasodilating effect of this drug.
早期研究表明,自发性高血压大鼠(SHR)动脉对多种药物的舒张反应受损。我们之前曾报道,SHR主动脉在首次暴露于100 mM氯化钾溶液35分钟后再转移至生理溶液中时,会出现延迟舒张。SHR和Wistar - Kyoto大鼠动脉舒张的第一阶段相似,但SHR动脉的第二阶段明显减慢,导致收缩后张力的产生。在本研究中,我们发现这种收缩后张力不仅在主动脉中可被证实,在肠系膜动脉中也可被证实,它与内皮的存在无关,随SHR年龄增加而升高,并且当动脉段经历氯化钾去极化继以再浸入生理溶液的连续循环时会逐渐消失。用硝苯地平对SHR进行慢性治疗,剂量足以阻止高血压的发展并减轻心脏和主动脉随之出现的肥大,或者在体外对SHR动脉用硝苯地平进行预处理,可降低动脉对氯化钾去极化产生的收缩力,并使随后的舒张恢复正常。对心脏和脑匀浆进行的3H - PN200 - 110结合研究表明,喂食硝苯地平的大鼠中表观解离常数(Kd)增加,最大结合容量(Bmax)无显著变化。结合数据与以下观点相符:慢性口服给药后硝苯地平占据二氢吡啶受体是离体观察到的动脉机械活性改变的原因。我们得出结论,SHR动脉的收缩后张力主要是由于去极化动脉转移至生理溶液后钙通道异常延长的激活所致,并且一种不稳定或缓慢释放的因子可能参与了这一现象。我们认为,硝苯地平的降压作用可能与体外观察到的抑制收缩后张力所涉及的机制有关,并且这种作用方式可能比该药物的血管舒张作用更重要。