University of Birmingham, Physiology, The Medical School, Vincent Drive, Edgbaston, Birmingham B15 2TT, UK.
J Physiol. 2010 Dec 15;588(Pt 24):5115-25. doi: 10.1113/jphysiol.2010.198275. Epub 2010 Oct 20.
Suboptimal conditions in utero can have long-lasting effects including increased risk of cardiovascular disease in adult life. Such programming effects may be induced by chronic systemic hypoxia in utero (CHU). We have investigated how CHU affects cardiovascular responses evoked by acute systemic hypoxia in adult male offspring, recognising that adenosine contributes to hypoxia-induced muscle vasodilatation and bradycardia by acting on A(1) receptors in normal (N) rats. In the present study, dams were housed in a hypoxic chamber at 12% O(2) for the second half of gestation; offspring were born and reared in air until 9-10 weeks of age. Under anaesthesia, acute systemic hypoxia (breathing 8% O(2) for 5 min) evoked similar biphasic tachycardia/bradycardia, fall in arterial pressure and increase in femoral vascular conductance (FVC) in N and CHU rats (+2.0 vs. +2.7 conductance units respectively). However, in CHU rats, neither the non-selective adenosine receptor antagonist 8-sulphophenyltheopylline (8-SPT), nor the A(1) receptor antagonist 8-cyclopentyl-1,3-dipropylxanthine (DPCPX) affected the increase in FVC, but DPCPX attenuated the hypoxia-induced bradycardia. Further, in N and CHU rats, 5 min infusion of adenosine induced similar increases in FVC; in CHU rats, DPCPX reduced the adenosine-induced increase in FVC (by >50%) and accentuated the concomitant tachycardia. These results suggest that CHU rats have functional A(1) receptors in heart and vasculature, but the release and/or vasodilator influence of adenosine on the endothelium in acute hypoxia is attenuated and replaced by other dilator factors. Such changes from normal endothelial function may have implications for general cardiovascular regulation.
子宫内的环境不佳会对胎儿造成长期影响,包括增加成年后患心血管疾病的风险。这种编程效应可能是由子宫内慢性全身缺氧(CHU)引起的。我们已经研究了 CHU 如何影响成年雄性后代急性全身缺氧引起的心血管反应,认识到在正常(N)大鼠中,腺苷通过作用于 A1 受体,对缺氧诱导的肌肉血管舒张和心动过缓起作用。在本研究中,母鼠在 12% O2 的低氧室中饲养妊娠后半期;后代在空气中出生和饲养,直到 9-10 周龄。在麻醉下,急性全身缺氧(呼吸 8% O2 5 分钟)在 N 和 CHU 大鼠中引起类似的双相性心动过速/心动过缓、动脉压下降和股血管传导性(FVC)增加(分别增加+2.0 和+2.7 个传导单位)。然而,在 CHU 大鼠中,非选择性腺苷受体拮抗剂 8-磺基苯基茶碱(8-SPT)和 A1 受体拮抗剂 8-环戊基-1,3-二丙基黄嘌呤(DPCPX)均不影响 FVC 的增加,但 DPCPX 减弱了缺氧引起的心动过缓。此外,在 N 和 CHU 大鼠中,5 分钟的腺苷输注引起相似的 FVC 增加;在 CHU 大鼠中,DPCPX 降低了腺苷诱导的 FVC 增加(>50%),并加重了伴随的心动过速。这些结果表明,CHU 大鼠的心脏和血管中具有功能性 A1 受体,但在急性缺氧中,腺苷对内皮的释放和/或血管舒张作用减弱,并被其他舒张因子取代。这种正常内皮功能的变化可能对一般心血管调节有影响。