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花生四烯酸衍生代谢物在控制大鼠肺动脉压和低氧性肺血管收缩中的作用。

Role of arachidonic acid-derived metabolites in the control of pulmonary arterial pressure and hypoxic pulmonary vasoconstriction in rats.

机构信息

Department of Physiology, Seoul National University College of Medicine, Seoul 110-799, Republic of Korea.

出版信息

Br J Anaesth. 2011 Jan;106(1):31-7. doi: 10.1093/bja/aeq268. Epub 2010 Oct 8.

Abstract

BACKGROUND

The roles of arachidonic acid (AA) metabolites in hypoxia-induced pulmonary vasoconstriction (HPV), a critical physiological mechanism that prevents ventilation/perfusion mismatch, are still incompletely understood.

METHODS

Pulmonary arterial pressure was measured in ventilated/perfused rat lungs. Isometric tones of rat intralobar pulmonary arteries were also measured, using a myograph.

RESULTS

Hypoxia (Po₂, 3%)-induced pulmonary arterial pressure increases (ΔPAP(hypox)) were stable with blood-mixed perfusate, but decayed spontaneously. ΔPAP(hypox) was inhibited by 29%, 16%, and 28% by the thromboxane A₂ (TXA₂) antagonist SQ-29548, the 5-lipoxygenase inhibitor, MK886, and the leukotriene D₄ antagonist, LY-171883, respectively. The prostacyclin synthase inhibitor tranylcypromine augmented ΔPAP(hypox) by 5%, whereas inhibition of cytochrome P450 did not affect ΔPAP(hypox). Consistently, the TXA₂ analogue U46619 increased ΔPAP(hypox) whereas prostacyclin abolished ΔPAP(hypox). However, leukotriene D₄ had no direct effect on ΔPAP(hypox). In the isolated pulmonary arteries, pretreatment with U46619 was essential to demonstrate hypoxia-induced contraction.

CONCLUSIONS

The above results suggest that TXA₂ and cysteinyl leukotrienes, other than leukotriene D₄, are endogenous factors that facilitate HPV in rats. The indispensable role of TXA₂-induced pretone in the HPV of isolated pulmonary arteries indicates that the signal from thromboxane receptors might be a critical component of oxygen sensation mechanisms.

摘要

背景

花生四烯酸(AA)代谢产物在缺氧诱导的肺血管收缩(HPV)中的作用仍不完全清楚,HPV 是一种防止通气/灌注不匹配的关键生理机制。

方法

测量通气/灌注大鼠肺中的肺动脉压力。还使用肌动描记器测量大鼠肺叶内肺动脉的等长张力。

结果

混合血液灌注的缺氧(Po₂,3%)诱导的肺动脉压力升高(ΔPAP(hypox))是稳定的,但会自发衰减。血栓烷 A₂(TXA₂)拮抗剂 SQ-29548、5-脂氧合酶抑制剂 MK886 和白三烯 D₄拮抗剂 LY-171883 分别抑制 ΔPAP(hypox)29%、16%和 28%。前列腺素合酶抑制剂曲安西龙使 ΔPAP(hypox)增加 5%,而细胞色素 P450 抑制不影响 ΔPAP(hypox)。一致地,TXA₂类似物 U46619 增加 ΔPAP(hypox),而前列腺素则消除 ΔPAP(hypox)。然而,白三烯 D₄对 ΔPAP(hypox)没有直接影响。在分离的肺动脉中,U46619 的预处理对于证明缺氧诱导的收缩是必需的。

结论

上述结果表明,TXA₂ 和半胱氨酰白三烯,而不是白三烯 D₄,是促进大鼠 HPV 的内源性因素。U46619 预处理在分离肺动脉 HPV 中的不可或缺作用表明,血栓烷受体的信号可能是氧感觉机制的关键组成部分。

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