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组胺刺激胃部诱发的心血管反射。

Cardiovascular reflexes evoked by histamine stimulation of the stomach.

作者信息

Stebbins C L, Theodossy S J, Longhurst J C

机构信息

Department of Internal Medicine, University of California, Davis 95616.

出版信息

Am J Physiol. 1991 Apr;260(4 Pt 2):H1098-105. doi: 10.1152/ajpheart.1991.260.4.H1098.

DOI:10.1152/ajpheart.1991.260.4.H1098
PMID:2012216
Abstract

This study examined the potential for histamine to cause cardiovascular reflexes when applied to the serosal or mucosal surface of the stomach. Thus, in chloralose-anesthetized cats, histamine was applied to the serosal surface of the stomach in concentrations ranging from 0.5 to 1,000 micrograms/ml. This resulted in graded increases in mean arterial pressure (MAP), maximal left ventricular pressure over time (dP/dt), and heart rate ranging from 9 +/- 4 to 30 +/- 3 mmHg, 450 +/- 103 to 1,710 +/- 610 mmHg/s, and 2 +/- 1 to 13 +/- 4 beats/min, respectively. Histamine stimulation of the gastric serosa evoked a greater pressor response than that observed when the same concentration of histamine (100 micrograms/ml) was applied to the gastric mucosa (43 +/- 7 vs. 13 +/- 3 mmHg, respectively). In six cats, celiac ganglionectomy abolished the previously observed cardiovascular response to histamine stimulation of the serosal surface of the stomach. When the gastric serosa was treated with the H1-receptor antagonist diphenhydramine (1 mg/ml) (n = 5), the cardiovascular response to histamine was abolished. In five other cats, administration of the H2-antagonist ranitidine (1 mg/ml) had no effect on the histamine-induced responses. When indomethacin (2-5 mg/ml), was applied to the serosal surface of the stomach (n = 6), histamine-induced increases in MAP and dP/dt were attenuated. However, application of PGE2 (1 microgram/ml) restored these two responses. These results suggest that histamine stimulates H1-receptors in the gastric wall to cause reflex cardiovascular responses that are dependent, in part, on the local production of prostaglandins.

摘要

本研究探讨了组胺作用于胃浆膜面或黏膜面时引发心血管反射的可能性。因此,在水合氯醛麻醉的猫中,将浓度范围为0.5至1000微克/毫升的组胺应用于胃浆膜面。这导致平均动脉压(MAP)、左心室压力随时间的最大变化率(dP/dt)和心率分级增加,分别从9±4至30±3毫米汞柱、450±103至1710±610毫米汞柱/秒以及2±1至13±4次/分钟。组胺刺激胃浆膜引发的升压反应比将相同浓度(100微克/毫升)的组胺应用于胃黏膜时观察到的反应更大(分别为43±7与13±3毫米汞柱)。在六只猫中,腹腔神经节切除术消除了先前观察到的胃浆膜面组胺刺激引起的心血管反应。当用H1受体拮抗剂苯海拉明(1毫克/毫升)处理胃浆膜时(n = 5),对组胺的心血管反应被消除。在另外五只猫中,给予H2拮抗剂雷尼替丁(1毫克/毫升)对组胺诱导的反应没有影响。当将吲哚美辛(2 - 5毫克/毫升)应用于胃浆膜面时(n = 6),组胺诱导的MAP和dP/dt增加减弱。然而,应用前列腺素E2(1微克/毫升)恢复了这两种反应。这些结果表明,组胺刺激胃壁中的H1受体,引发反射性心血管反应,这部分依赖于前列腺素的局部产生。

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