Liu Wei, Takano Hiromichi, Shibamoto Toshishige, Cui Sen, Zhao Zhan-Sheng, Zhang Wei, Kurata Yasutaka
Dept. of Physiology II, Kanazawa Medical University, Uchinada Ishikawa 920-0293, Japan.
Am J Physiol Regul Integr Comp Physiol. 2007 Nov;293(5):R1947-53. doi: 10.1152/ajpregu.00904.2006. Epub 2007 Aug 22.
Using in vivo and isolated perfused liver preparations of BALB/c mice, we determined the roles of the liver and splanchnic vascular bed in anaphylactic hypotension. Intravenous injection of ovalbumin antigen into intact-sensitized mice decreased systemic arterial pressure (P(sa)) from 92 +/- 2 to 39 +/- 3 (SE) mmHg but only slightly increased portal venous pressure (P(pv)) from 6.4 +/- 0.1 cmH(2)O to the peak of 9.9 +/- 0.5 cmH(2)O at 3.5 min after antigen. Elimination of the splanchnic vascular beds by ligation of the celiac and mesenteric arteries, combined with total hepatectomy, attenuated anaphylactic hypotension. Ligation of these arteries alone, but not partial hepatectomy (70%), similarly attenuated anaphylactic hypotension. In contrast, isolated sensitized mouse liver perfused portally at constant flow did not show anaphylactic venoconstriction but, rather, substantial constriction in response to the anaphylaxis-associated platelet-activating factor, indicating that venoconstriction in mice in vivo may be induced by mediators released from extrahepatic tissues. These results suggest that splanchnic vascular beds are involved in BALB/c mouse anaphylactic hypotension. They presumably act as sources of chemical mediators to cause the anaphylaxis-induced portal hypertension, which induced splanchnic congestion, resulting in a decrease in circulating blood volume and, thus, systemic arterial hypotension. Mouse hepatic anaphylactic venoconstriction may be induced by factors outside the liver, but not by anaphylactic reaction within the liver.
利用BALB/c小鼠的体内和离体灌注肝脏制剂,我们确定了肝脏和内脏血管床在过敏性低血压中的作用。向完整致敏小鼠静脉注射卵清蛋白抗原可使体动脉压(P(sa))从92±2 mmHg降至39±3(SE)mmHg,但仅使门静脉压(P(pv))在抗原注射后3.5分钟时从6.4±0.1 cmH₂O轻微升高至峰值9.9±0.5 cmH₂O。通过结扎腹腔动脉和肠系膜动脉并联合全肝切除术消除内脏血管床,可减轻过敏性低血压。单独结扎这些动脉而非部分肝切除术(70%)同样可减轻过敏性低血压。相比之下,以恒定流量门静脉灌注的离体致敏小鼠肝脏未出现过敏性静脉收缩,而是对与过敏反应相关的血小板活化因子有明显收缩反应,这表明体内小鼠的静脉收缩可能由肝外组织释放的介质诱导。这些结果表明内脏血管床参与了BALB/c小鼠的过敏性低血压。它们可能作为化学介质的来源,导致过敏反应诱导的门静脉高压,进而引起内脏充血,导致循环血容量减少,从而引起体动脉低血压。小鼠肝脏的过敏性静脉收缩可能由肝脏外的因素诱导,而非肝脏内的过敏反应。