Matsui T, Sugawa M, Johshita H, Takuwa Y, Asano T
Department of Neurosurgery, Saitama Medical Center/School, Kawagoe, Japan.
Stroke. 1991 Sep;22(9):1183-7. doi: 10.1161/01.str.22.9.1183.
We previously suggested that activation of the protein kinase C-mediated contractile system may participate in the occurrence of chronic cerebral vasospasm. In the present study, we compared segments of normal beagle basilar arteries in vitro with segments of arteries undergoing chronic vasospasm to determine the responsiveness to various agonists such as serotonin, prostaglandin F2 alpha, and phorbol 12,13-diacetate as well as to external Ca2+. We also compared the effects of W-7 (a calmodulin inhibitor), nicardipine (a calcium channel blocker), and H-7 (a protein kinase C inhibitor) on the spontaneous tonus of arterial segments stabilized at a resting tension of 3 g. Compared with normal segments, the responsiveness to each agonist in segments undergoing vasospasm was essentially unchanged whereas the the responsiveness to external Ca2+ was significantly decreased (p less than 0.001). In segments undergoing vasospasm the decrease in resting tension induced by W-7 was markedly diminished (p less than 0.01), that induced by nicardipine was unchanged, and that induced by H-7 was significantly increased (p less than 0.01). Our results indicate that spontaneous tonus due to activation of the protein kinase C system is significantly augmented in segments undergoing vasospasm. Thus this system, rather than the Ca2+/calmodulin system, appears to play a major role in the occurrence of chronic vasospasm.
我们先前曾提出,蛋白激酶C介导的收缩系统的激活可能参与慢性脑血管痉挛的发生。在本研究中,我们将体外正常比格犬基底动脉节段与发生慢性血管痉挛的动脉节段进行比较,以确定其对5-羟色胺、前列腺素F2α、佛波醇12,13-二乙酸酯等各种激动剂以及细胞外Ca2+的反应性。我们还比较了W-7(一种钙调蛋白抑制剂)、尼卡地平(一种钙通道阻滞剂)和H-7(一种蛋白激酶C抑制剂)对在3g静息张力下稳定的动脉节段自发性张力的影响。与正常节段相比,发生血管痉挛的节段对每种激动剂的反应性基本未变,而对细胞外Ca2+的反应性则显著降低(p<0.001)。在发生血管痉挛的节段中,W-7诱导的静息张力降低明显减弱(p<0.01),尼卡地平诱导的未变,H-7诱导的则显著增加(p<0.01)。我们的结果表明,在发生血管痉挛的节段中,由于蛋白激酶C系统激活导致的自发性张力显著增强。因此,该系统而非Ca2+/钙调蛋白系统似乎在慢性血管痉挛的发生中起主要作用。