Greco Rosaria, Meazza Cristina, Mangione Antonina Stefania, Allena Marta, Bolla Monica, Amantea Diana, Mizoguchi Hirocazu, Sandrini Giorgio, Nappi Giuseppe, Tassorelli Cristina
IRCCS National Neurological Institute C. Mondino Foundation, Pavia, Italy.
Cephalalgia. 2011 Jan;31(2):190-8. doi: 10.1177/0333102410379887. Epub 2010 Aug 6.
Clinical studies indicated that nitric oxide (NO) donors cause regional changes in cerebral blood flow (CBF), similar to those reported in spontaneous migraine. Systemic nitroglycerin (NTG), a NO donor, is a well-accepted experimental model of migraine. In this study we have examined the effects of NTG on the meningeal and cortical blood flow in rats.
Regional blood flow was monitored in male Sprague-Dawley rats using laser Doppler flowmetry before and after NTG/saline injection over 150 minutes. The effect of pre-treatment with Nω-nitro-L-arginine ester (L-NAME) or 7-nitroindazole (7-NI) on NTG-induced changes on blood flow was also investigated.
In the dura NTG caused a biphasic response represented by an initial decrease in blood flow followed by a significant increase. At variance, in the cortex NTG caused only an increase in blood flow. Pre-treatment with either L-NAME or 7-NI prevented NTG-induced increase in blood flow in both districts, while only L-NAME also prevented NTG-induced decrease in dural blood flow.
The present findings provide additional information on the timing of effects of NTG on blood flow at both the meningeal and cortical levels. These effects seem to be related to vasoregulatory mechanisms and/or metabolic activity in response to the synthesis of endogenous NO.
临床研究表明,一氧化氮(NO)供体可引起脑血流量(CBF)的局部变化,类似于自发性偏头痛中报道的变化。全身应用硝酸甘油(NTG)作为一种NO供体,是一种被广泛接受的偏头痛实验模型。在本研究中,我们检测了NTG对大鼠脑膜和皮质血流的影响。
使用激光多普勒血流仪监测雄性Sprague-Dawley大鼠在注射NTG/生理盐水前后150分钟内的局部血流量。还研究了用Nω-硝基-L-精氨酸酯(L-NAME)或7-硝基吲唑(7-NI)预处理对NTG诱导的血流变化的影响。
在硬脑膜中,NTG引起双相反应,表现为血流先减少,随后显著增加。相反,在皮质中,NTG仅引起血流增加。用L-NAME或7-NI预处理均可阻止NTG诱导的两个区域血流增加,而只有L-NAME还可阻止NTG诱导的硬脑膜血流减少。
本研究结果为NTG对脑膜和皮质水平血流影响的时间提供了更多信息。这些影响似乎与内源性NO合成时的血管调节机制和/或代谢活性有关。