Prieto Juan C, Pinardi Gianni, Zamorano Jaime, Larraín Ernesto, Bermúdez Cristian, Castillo Rodrigo, Cisternas Verónica, Miranda Hugo F
Centro Cardiovascular, Hospital Clínico, Universidad de Chile, Santiago, Chile.
Rev Med Chil. 2007 Oct;135(10):1231-6. Epub 2007 Dec 20.
Endothelial dysfunction is associated to a lower production of nitric oxide and a reduction of endothelium mediated vasodilation.
To study the effects of pharmacological agents that modify nitric oxide synthetase (NOS) activity on tension changes induced by phenylephrine in rings of internal mammary and radial arteries and saphenous vein.
Vessel rings of 7 to 10 mm length were obtained from 32 patients subjected to coronary vascular surgery Fourteen samples of radial artery, 12 samples of internal mammary artery and 15 samples of saphenous vein were obtained. A maximal contraction was induced with KC1 and dose response curves for phenylephrine (FE) in the absence or presence of L-arginine and L-arginine methyl ester (L-NAME), were constructed.
The tension induced by FE in internal mammary artery and saphenous vein reached a maximum, near 90% of 80 mM KCl-induced contraction, but in the radial artery, it reached a maximum of 63% (p <0.05). In all vessels, the dose response curves were significantly shifted to the right by L-arginine and to the left by L-NAME.
Pre-incubation of human rings with L-ARG or L-NAME, changed the response to FE induced contraction, which may be related to different degrees of endothelial nitric oxide production or NO sensitivity. The basal NO production in radial artery seems to be larger than the other vessels.
内皮功能障碍与一氧化氮生成减少及内皮介导的血管舒张功能降低有关。
研究改变一氧化氮合酶(NOS)活性的药物制剂对苯肾上腺素诱导的乳内动脉、桡动脉和大隐静脉环张力变化的影响。
从32例接受冠状动脉血管手术的患者获取长度为7至10毫米的血管环。获取了14个桡动脉样本、12个乳内动脉样本和15个大隐静脉样本。用氯化钾诱导最大收缩,并构建在不存在或存在L-精氨酸和L-精氨酸甲酯(L-NAME)的情况下苯肾上腺素(FE)的剂量反应曲线。
FE在乳内动脉和大隐静脉中诱导的张力达到最大值,接近80 mM氯化钾诱导收缩的90%,但在桡动脉中,其最大值为63%(p<0.05)。在所有血管中,L-精氨酸使剂量反应曲线显著右移,L-NAME使剂量反应曲线显著左移。
用人血管环预先孵育L-ARG或L-NAME会改变对FE诱导收缩的反应,这可能与不同程度的内皮一氧化氮生成或NO敏感性有关。桡动脉中的基础NO生成似乎比其他血管更大。