Toda N, Kawakami M, Yoshida K
Department of Pharmacology, Shiga University of Medical Sciences, Ohtsu, Japan.
Am J Physiol. 1991 Feb;260(2 Pt 2):H420-5. doi: 10.1152/ajpheart.1991.260.2.H420.
Angiographic studies on anesthetized dogs and Japanese monkeys showed that oxyhemoglobin (HbO2) injected into the cisterna magna produced a constriction of the basilar artery; the maximal constriction was attained 2-4 h later. Intracisternal injections of autologous blood, prostaglandin (PG) E2 and PGF2 alpha also constricted the artery to a similar extent, although the peak response was obtained much later (approximately 1 wk) with blood and was earlier (approximately 20 min) with PGs. The vasoconstrictor action of HbO2 was almost abolished by treatment for 5 h with aspirin in dogs and monkeys, whereas treatment of dogs with OKY 046, a thromboxane A2 synthesis inhibitor, did not significantly alter the action. In isolated monkey basilar arteries, HbO2 elicited a concentration-related contraction, which was suppressed by treatment with aspirin and by endothelium denudation. The basilar arteries responded to PGE2 and PGF2 alpha with contractions comparable to those caused by elevated external K+. Levels of PGE2, PGF2 alpha, and 6-keto-PGF1 alpha in the nutrient solution bathing dog and monkey cerebral arteries were increased by HbO2; the increment was depressed by endothelium denudation and by treatment with indomethacin. These findings suggest that cerebral artery constriction caused by HbO2 in vivo and in vitro is associated mainly with the release of vasoconstrictor PGs, such as PGE2 and PGF2 alpha. Endothelium appears to play an important role in the release of PGs. Cerebral vasospasm elicited by intracisternal injections of HbO2 may be a useful model for the analysis of mechanisms underlying the provocation of delayed vasospasm after subarachnoid hemorrhage.
对麻醉犬和日本猕猴进行的血管造影研究表明,注入小脑延髓池的氧合血红蛋白(HbO2)可使基底动脉收缩;最大收缩在2 - 4小时后达到。向小脑延髓池内注射自体血、前列腺素(PG)E2和PGF2α也能使该动脉产生类似程度的收缩,不过自体血引起的反应峰值出现得更晚(约1周),而PGs引起的反应峰值出现得更早(约20分钟)。在犬和猕猴中,用阿司匹林处理5小时后,HbO2的血管收缩作用几乎被消除,而用血栓素A2合成抑制剂OKY 046处理犬,并未显著改变其作用。在离体的猕猴基底动脉中,HbO2引发浓度相关的收缩,这种收缩可被阿司匹林处理和内皮剥脱所抑制。基底动脉对PGE2和PGF2α的反应与细胞外钾离子升高引起的收缩相当。灌注犬和猕猴脑动脉的营养液中,PGE2、PGF2α和6 - 酮 - PGF1α的水平因HbO2而升高;这种升高可被内皮剥脱和吲哚美辛处理所抑制。这些发现表明,体内和体外HbO2引起的脑动脉收缩主要与血管收缩性PGs如PGE2和PGF2α的释放有关。内皮似乎在PGs的释放中起重要作用。小脑延髓池内注射HbO2引发的脑血管痉挛可能是分析蛛网膜下腔出血后迟发性血管痉挛诱发机制的有用模型。