Akabori Hiroya, Yamamoto Hiroshi, Tsuchihashi Hiroshi, Mori Tsuyoshi, Fujino Kazunori, Shimizu Tomoharu, Endo Yoshihiro, Tani Tohru
Department of Surgery, Shiga University of Medical Science, Seta-Tsukinowa-cho, Otsu, Shiga, Japan 520-2192.
Ann Surg. 2007 Jun;245(6):964-70. doi: 10.1097/01.sla.0000255577.80800.e1.
To evaluate the role of transient receptor potential vanilloid 1 (TRPV1) in a rat hemorrhagic shock (HS) model using the TRPV1 antagonist, capsazepine (CPZ).
TRPV1, distributed within the sensory nerve, plays a role in the regulation of cardiovascular functions. TRPV1 may be involved in the cardiovascular responses to HS.
Male rats were anesthetized and HS was induced with the mean arterial pressure (MAP) at 30 mm Hg for 90 minutes. CPZ (5.0 micromol/kg) was administered at 30 minutes after the shock induction, and the 24-hour survival rates were assessed. The MAP, heart rate, and shed blood volume (SBV) were recorded throughout the experiment. Arterial blood gas analysis and the plasma catecholamines levels were measured before and after HS. Double-immunohistochemistry for Fos and tyrosine hydroxylase (TH) was performed in the rostral ventrolateral medulla (RVLM) of the brain.
CPZ significantly improved the 24-hour survival rates, which was accompanied by the increase in the MAP and the SBV, a decrease of the plasma catecholamines levels, and attenuation of the severe metabolic acidosis. Furthermore, CPZ reduced the percentage of double-labeled neurons for Fos and TH in the RVLM of the rat brain.
TRPV1 may be involved in the regulation of the cardiovascular responses to HS, at least in part, by recruiting catecholaminergic neurons in the RVLM. CPZ appears to induce metabolic compensations, which may be potentially useful in HS.
使用瞬时受体电位香草酸亚型1(TRPV1)拮抗剂辣椒素(CPZ)评估TRPV1在大鼠失血性休克(HS)模型中的作用。
TRPV1分布于感觉神经内,在心血管功能调节中发挥作用。TRPV1可能参与对HS的心血管反应。
雄性大鼠麻醉后,诱导产生平均动脉压(MAP)为30 mmHg的HS,持续90分钟。在休克诱导后30分钟给予CPZ(5.0微摩尔/千克),评估24小时生存率。在整个实验过程中记录MAP、心率和失血量(SBV)。在HS前后测量动脉血气分析和血浆儿茶酚胺水平。在脑桥嘴端腹外侧延髓(RVLM)进行Fos和酪氨酸羟化酶(TH)的双重免疫组织化学。
CPZ显著提高了24小时生存率,同时伴随着MAP和SBV的增加、血浆儿茶酚胺水平的降低以及严重代谢性酸中毒的减轻。此外,CPZ降低了大鼠脑RVLM中Fos和TH双标记神经元的百分比。
TRPV1可能至少部分通过募集RVLM中的儿茶酚胺能神经元参与对HS的心血管反应调节。CPZ似乎诱导了代谢代偿,这可能对HS有潜在益处。