Ruttner E, Huszár E, Barát E, Debreczeni L A
Intensive Care Unit, National Korányi Institute for TBC and Pulmonology, Budapest, Hungary.
Acta Physiol Hung. 1990;75(1):53-60.
Isolated rat lungs were ventilated and perfused by saline-Ficoll perfusate at a constant flow. The baseline perfusion pressure (PAP) correlated with the concentration of 6-keto-PGF1 alpha the stable metabolite of PGI2 (r = 0.83) and with the 6-keto-PGF1 alpha/TXB2 ratio (r = 0.82). A bolus of 10 micrograms exogenous arachidonic acid (AA) injected into the arterial cannula of the isolated lungs caused significant decrease in pulmonary vascular resistance (PVR) which was followed by a progressive increase of PVR and edema formation. Changes in perfusion pressure induced by AA injection also correlated with concentrations of the stable metabolites (6-keto-PGF1 alpha: r = -0.77, TxB2: -0.76), and their ratio: (6-keto-PGF1 alpha/TXB2: r = -0.73). Injection of 10 and 100 micrograms of PGF2 alpha into the pulmonary artery stimulated the dose-dependent production of TXB2 and 6-keto-PGF1 alpha. No significant correlations were found between the perfusion pressure (PAP) which was increased by the PGF2 alpha and the concentrations of the former stable metabolites. The results show that AA has a biphasic effect on the isolated lung vasculature even in low dose. The most potent vasoactive metabolites of cyclooxygenase, prostacyclin and thromboxane A2 influence substantially not only the basal but also the increased tone of the pulmonary vessels.
将离体大鼠肺用生理盐水 - 菲可溶液灌注液以恒定流量进行通气和灌注。基线灌注压(PAP)与PGI2的稳定代谢产物6 - 酮 - PGF1α的浓度相关(r = 0.83),并与6 - 酮 - PGF1α/TXB2比值相关(r = 0.82)。向离体肺的动脉插管中注射10微克外源性花生四烯酸(AA)会导致肺血管阻力(PVR)显著降低,随后PVR逐渐升高并形成水肿。AA注射引起的灌注压变化也与稳定代谢产物的浓度相关(6 - 酮 - PGF1α:r = -0.77,TXB2:-0.76)及其比值(6 - 酮 - PGF1α/TXB2:r = -0.73)。向肺动脉注射10微克和100微克的PGF2α会刺激TXB2和6 - 酮 - PGF1α的剂量依赖性产生。PGF2α升高的灌注压(PAP)与先前稳定代谢产物的浓度之间未发现显著相关性。结果表明,即使是低剂量的AA对离体肺血管系统也有双相作用。环氧化酶最有效的血管活性代谢产物前列环素和血栓素A2不仅对肺血管的基础张力有显著影响,而且对升高的张力也有显著影响。