Dzhanelidze M A
Georgian Med News. 2009 Jan(166):101-6.
It is known, that disturbances in functioning of cerebral blood flow autoregulation during pregnancy may cause severe neurological complications in case of hypertensive episodes. The aim of this study was comparison of autoregulatory responses of cerebral blood flow in pregnant and nonpregnant rats and analysis of their possible mechanisms. Experiments were carried out on two groups of nonpregnant white rats, and two groups of late-pregnant. All test on autoregulation of cerebral blood flow were provided in conditions of acute experiment under chloral hydrate anesthesia. Gradual changes in systemic arterial pressure were caused by occlusion of abdominal aorta by means of catheter with inflatable tip. The local cerebral blood flow was registered using Hydrogen Clearance technique. Before beginning of autoregulatory tests two groups of animals were treated with nitric oxide synthase inhibitor L-NAME. It was established that in late-pregnancy the cerebral blood flow autoregulatory curve in comparison with nonpregnant animals is shifted to the low levels of systemic arterial pressure. Inhibition of nitric oxide synthase by L-NAME caused the shift of autoregulatory curve to the high levels of systemic arterial pressure in both nonpregnant and pregnant animals. Besides, the differences in autoregulatory responses between nonpregnant and pregnant animals taking place in untreated by L-NAME groups were completely eliminated. These finding allow concluding that in late-pregnancy the shift of cerebral blood flow autoregulatory curve to low levels of systemic arterial pressure is caused by increased production of nitric oxide.
众所周知,孕期脑血流自动调节功能紊乱在发生高血压发作时可能导致严重的神经并发症。本研究的目的是比较妊娠大鼠和非妊娠大鼠脑血流的自动调节反应,并分析其可能的机制。实验在两组非妊娠白色大鼠和两组妊娠晚期大鼠上进行。所有脑血流自动调节测试均在水合氯醛麻醉下的急性实验条件下进行。通过带有可充气尖端的导管阻塞腹主动脉,引起全身动脉压的逐渐变化。使用氢清除技术记录局部脑血流。在进行自动调节测试之前,两组动物均用一氧化氮合酶抑制剂L-NAME进行处理。结果表明,与非妊娠动物相比,妊娠晚期脑血流自动调节曲线向全身动脉压较低水平偏移。L-NAME抑制一氧化氮合酶导致非妊娠和妊娠动物的自动调节曲线向全身动脉压较高水平偏移。此外,在未用L-NAME处理的组中,非妊娠和妊娠动物之间自动调节反应的差异完全消除。这些发现表明,妊娠晚期脑血流自动调节曲线向全身动脉压较低水平的偏移是由一氧化氮生成增加引起的。