Kempfert C, Brandt R, Siewert B, Kanowski U, Oddoy A
Forschungsinstitut für Lungenkrankheiten und Tuberkulose, Abteilung Pathophysiologie, Berlin.
Pneumologie. 1991 Oct;45(10):799-803.
Using isolated blood-perfused lung preparations of rats, we tested the influence of the PAF antagonist WEB 2086 on vasoconstriction triggered by hypoxia or angiotensin II (A II). If a constant flow was pre-set, changes in the prepulmonarily measured pressure were directly related to the changes of resistance in the pulmonary flow. WEB 2086 reduced the hypoxically conditioned vasoconstriction (HPV) when using blood as perfusion medium, the effect being dependent on the dose (ED50 = 127.3 +/- 21.1 mg/l). HPV was lowered on the average by 82% if the full pharmacologic dose of 800 mg/l WEB 2086 was added to the perfusate. The A II response was weakened to a lesser degree (by 45%). If plasma was used as perfusate, the pressure increase in response to hypoxic stimulation or A II was less marked. However, the relative effect of the PAF antagonist was analogous (attenuation by 83% or 53%, respectively). In chronically hypoxic animals (3 weeks at 10% O2) the relative pressure drop in the lesser circulation after application of WEB 2086 (400 mg/l; HPV; blood as perfusate) was definitely more pronounced (p less than 0.001). The fact that WEB partly antagonises the pulmonary vasoconstriction triggered both by alveolar hypoxy and by angiotensin II, seems to indicate that in both constrictive stimuli PAF participates in the complex mediator mechanism or that WEB 2086 exercises a non-specific vasodilatory effect on the pulmonary flow.
我们使用大鼠离体血液灌注肺制备物,测试了血小板活化因子(PAF)拮抗剂WEB 2086对缺氧或血管紧张素II(A II)引发的血管收缩的影响。如果预先设定恒定流量,肺前测量压力的变化与肺血流阻力的变化直接相关。当使用血液作为灌注介质时,WEB 2086可减轻缺氧条件下的血管收缩(HPV),其效果取决于剂量(半数有效剂量[ED50]=127.3±21.1毫克/升)。如果向灌注液中加入800毫克/升的全药理剂量WEB 2086,HPV平均降低82%。A II反应减弱程度较小(45%)。如果使用血浆作为灌注液,对缺氧刺激或A II的压力升高则不太明显。然而,PAF拮抗剂的相对作用相似(分别减弱83%或53%)。在慢性缺氧动物(10%氧气环境下3周)中,应用WEB 2086(400毫克/升;HPV;血液作为灌注液)后小循环中的相对压力下降肯定更明显(p<0.001)。WEB部分拮抗肺泡缺氧和血管紧张素II引发的肺血管收缩这一事实,似乎表明在这两种收缩刺激中PAF参与了复杂的介质机制,或者WEB 2086对肺血流发挥了非特异性血管舒张作用。