Walsh Sarah K, English Fred A, Johns Edward J, Kenny Louise C
Anu Research Centre, Department of Obstetrics and Gynaecology, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland.
Hypertension. 2009 Aug;54(2):345-51. doi: 10.1161/HYPERTENSIONAHA.109.132191. Epub 2009 Jun 29.
Preeclampsia is associated with widespread maternal vascular dysfunction, which is thought to be mediated by circulating factor(s). The aim of the study was to characterize vascular function in the reduced uterine perfusion pressure (RUPP) rat model of preeclampsia and to investigate the role of plasma factors in mediating any observed changes in vascular reactivity. Mean arterial blood pressure and vascular function were measured in RUPP and control rats. Mesenteric vessels from both virgin and pregnant rats were exposed for 1 hour or overnight to plasma from both RUPP and control rats and their vascular function assessed. RUPP rats were characterized by severe hypertension, restricted fetal growth, and reduced placental weight (P<0.001). Vasorelaxation was impaired in resistance vessels from RUPP compared with control rats (acetylcholine: R(max) 70+/-3 versus 92+/-1 [NP] and 93+/-3% [sham], P<0.01; bradykinin: 40+/-2 versus 62+/-2 [NP] and 59+/-4% [sham], P<0.001). Incubation of vessels from pregnant (but not virgin) animals with RUPP plasma overnight resulted in an attenuation of vasorelaxant responses (acetylcholine: 63+/-7 versus 86+/-2%, P<0.05; bradykinin: 35+/-5 versus 55+/-6%, P<0.001). The residual relaxant response in RUPP plasma-treated vessels was not further attenuated after treatment with N(omega)-nitro-l-arginine methyl ester (acetylcholine: 57+/-7 versus 63+/-7%, ns; bradykinin: 37+/-5 versus 35+/-5%, ns). The RUPP rat model is characterized by an impaired response to vasodilators which may be attributable to one or more circulating factors. This plasma-mediated endothelial dysfunction appears to be a pregnancy-dependent effect. Furthermore, nitric oxide-mediated vasorelaxation appears to be absent in RUPP plasma-treated vessels.
子痫前期与广泛的母体血管功能障碍有关,这种障碍被认为是由循环因子介导的。本研究的目的是在子痫前期的降低子宫灌注压(RUPP)大鼠模型中表征血管功能,并研究血浆因子在介导任何观察到的血管反应性变化中的作用。测量了RUPP大鼠和对照大鼠的平均动脉血压和血管功能。将未孕和怀孕大鼠的肠系膜血管暴露于RUPP大鼠和对照大鼠的血浆中1小时或过夜,并评估其血管功能。RUPP大鼠的特征为严重高血压、胎儿生长受限和胎盘重量减轻(P<0.001)。与对照大鼠相比,RUPP大鼠的阻力血管舒张功能受损(乙酰胆碱:R(max) 70±3%对92±1% [NP]和93±3% [假手术],P<0.01;缓激肽:40±2%对62±2% [NP]和59±4% [假手术],P<0.001)。将怀孕(而非未孕)动物的血管与RUPP血浆一起孵育过夜会导致血管舒张反应减弱(乙酰胆碱:63±7%对86±2%,P<0.05;缓激肽:35±5%对55±6%,P<0.001)。用N(ω)-硝基-L-精氨酸甲酯处理后,RUPP血浆处理的血管中的残余舒张反应未进一步减弱(乙酰胆碱:57±7%对63±7%,无显著性差异;缓激肽:37±5%对35±5%,无显著性差异)。RUPP大鼠模型的特征是对血管舒张剂的反应受损,这可能归因于一种或多种循环因子。这种血浆介导的内皮功能障碍似乎是一种依赖于妊娠的效应。此外,在RUPP血浆处理的血管中似乎不存在一氧化氮介导的血管舒张。