el-Kashef H A, Ehrhart I C, Hofman W F
Department of Physiology and Endocrinology, Medical College of Georgia, Augusta.
Pharmacology. 1990;41(3):130-40. doi: 10.1159/000138709.
Angiotensin II (ANG II) is a potent vasoconstrictor in most vascular beds. We studied the role of cyclooxygenase products and/or endothelium-derived relaxing factor (EDRF) in modulating the pressor response to ANG II in the isolated, blood perfused dog lung. ANG II was given as a bolus dose of 2, 4 and 8 micrograms before and after cyclooxygenase inhibition (COI) with either 40 mumol/l indometacin (INDO) or 45 mumol/l meclofenamate (MECLO), and before and after methylene blue (MB) infusion followed by MECLO or MECLO followed by MB infusion. ANG II produced an increase in lobar vascular resistance (LVR) that averaged 3.7 +/- 1.1 to 3.0 +/- 0.3 cm H2O/l/min (n = 30), but was not dose-related and exhibited marked tachyphylaxis. In contrast, after INDO, the increase in LVR to ANG II averaged 8.2 +/- 1.0 to 18.4 +/- 2.2 (n = 6) and 5.0 +/- 1.2 to 15 +/- 2.4 cm H2O/l/min after MECLO (n = 6) and both cyclooxygenase inhibitors increased (p less than 0.05) basal vascular tone. Infusion of MB did not alter baseline vascular tone, but prevented the tachyphylaxis to ANG II. Our results indicate that tachyphylaxis to ANG II-induced vasconstriction in the isolated, blood perfused dog lung lobe is not only reversed by COI, but potentiated and dose-related. Whereas MB diminished tachyphylaxis to ANG II, it failed to potentiate the pressor response to ANG II except with concurrent COI. Our findings suggest that vasodilator cyclooxygenase products are probably more important than EDRF in regulating both vascular tone and reactivity to ANG II in the dog lung.
血管紧张素II(ANG II)在大多数血管床中是一种强效血管收缩剂。我们研究了环氧化酶产物和/或内皮衍生舒张因子(EDRF)在调节离体血液灌注犬肺对ANG II的升压反应中的作用。在用40 μmol/L吲哚美辛(INDO)或45 μmol/L甲氯芬那酸(MECLO)抑制环氧化酶(COI)之前和之后,以及在亚甲蓝(MB)输注后再输注MECLO或先输注MECLO后再输注MB之前和之后,均给予2、4和8微克的ANG II推注剂量。ANG II使叶血管阻力(LVR)增加,平均从3.7±1.1增加到3.0±0.3 cm H₂O/l/min(n = 30),但与剂量无关且出现明显快速耐受。相比之下,在使用INDO后,对ANG II的LVR增加平均为8.2±1.0到18.4±2.2(n = 6),在使用MECLO后为5.0±1.2到15±2.4 cm H₂O/l/min(n = 6),两种环氧化酶抑制剂均增加了(p<0.05)基础血管张力。输注MB并未改变基线血管张力,但防止了对ANG II的快速耐受。我们的结果表明,在离体血液灌注犬肺叶中,对ANG II诱导的血管收缩的快速耐受不仅被COI逆转,而且被增强且与剂量相关。虽然MB减少了对ANG II的快速耐受,但除了与COI同时使用外,它未能增强对ANG II的升压反应。我们的发现表明,在调节犬肺血管张力和对ANG II的反应性方面,血管舒张性环氧化酶产物可能比EDRF更重要。