Holmgaard Kim, Bek Toke
Department of Ophthalmology, Arhus University Hospital, Arhus, Denmark.
Invest Ophthalmol Vis Sci. 2010 Oct;51(10):5168-75. doi: 10.1167/iovs.09-4608. Epub 2010 Apr 7.
It has been shown that inhibition of prostaglandin synthesis in the perivascular retinal tissue can prevent the relaxation of retinal arterioles induced by N-methyl-d-aspartic acid (NMDA) and adenosine triphosphate (ATP). The purpose of the present study was to identify the prostaglandins involved in this retina-dependent relaxation.
Porcine retinal arterioles were mounted in a myograph for isometric tone measurements. The effect of the prostaglandins (PGs) PGE(2), PGF(2α), PGD(2), and PGI(2) and of thromboxane A(2) (TXA(2)) on vascular tone was recorded before and after removal of the perivascular retina, and the specificity of the responses were confirmed by blocking with specific antagonists. Finally, the coupling between prostaglandins found to have a specific vasoactive effect, dependent on the perivascular retina, and the individual vasorelaxing effects of NMDA, ATP, and adenosine were studied.
All prostaglandins tested showed a significant relaxation of precontracted arterioles at the highest concentrations, whereas PGF(2α) induced a significant constriction of isolated noncontracted arterioles. In the presence of perivascular retinal tissue, the dilating effect of PGE(2) increased significantly, an effect that was blocked by a prostaglandin E prostanoid (EP(1)) receptor blocker, whereas PGD(2) induced a dual response, with a significant contraction at low concentrations and a significant dilation at high concentrations. Inhibition of the cyclo-oxygenase (COX) enzyme with ibuprofen, as well as the EP(1) receptor, blocked the vasodilating effect of ATP, but not that of NMDA and adenosine, in the presence of perivascular retinal tissue.
ATP-induced vasodilation depends on the production of PGE in the perivascular retina. However, the regulation of retinal arteriolar tone involves COX products other than PGE.
研究表明,抑制视网膜血管周围组织中前列腺素的合成可防止N - 甲基 - D - 天冬氨酸(NMDA)和三磷酸腺苷(ATP)诱导的视网膜小动脉舒张。本研究的目的是确定参与这种视网膜依赖性舒张的前列腺素。
将猪视网膜小动脉安装在肌动描记器中进行等长张力测量。在去除血管周围视网膜之前和之后,记录前列腺素(PGs)PGE₂、PGF₂α、PGD₂和PGI₂以及血栓素A₂(TXA₂)对血管张力的影响,并通过使用特异性拮抗剂进行阻断来确认反应的特异性。最后,研究了发现具有特定血管活性作用(依赖于血管周围视网膜)的前列腺素与NMDA、ATP和腺苷的个体血管舒张作用之间的偶联。
所有测试的前列腺素在最高浓度时均显示出对预收缩小动脉的显著舒张作用,而PGF₂α则诱导分离的未收缩小动脉显著收缩。在存在血管周围视网膜组织的情况下,PGE₂的舒张作用显著增强,这种作用被前列腺素E类前列腺素(EP₁)受体阻滞剂阻断,而PGD₂诱导双重反应,在低浓度时显著收缩,在高浓度时显著舒张。在存在血管周围视网膜组织的情况下,用布洛芬抑制环氧化酶(COX)以及EP₁受体可阻断ATP的血管舒张作用,但不能阻断NMDA和腺苷的血管舒张作用。
ATP诱导的血管舒张取决于血管周围视网膜中PGE的产生。然而,视网膜小动脉张力的调节涉及除PGE之外的COX产物。