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蛛网膜下腔注射氯化汞对心肺的急性影响

Acute cardiorespiratory effects of intracisternal injections of mercuric chloride.

机构信息

Programa de Pós-Graduação em Ciências Fisiológicas, Universidade Federal do Espirito Santo, Espírito Santo, Brazil.

出版信息

Neurotoxicology. 2011 Jun;32(3):350-4. doi: 10.1016/j.neuro.2011.02.006. Epub 2011 Mar 4.

DOI:10.1016/j.neuro.2011.02.006
PMID:21377490
Abstract

The present studies were conducted to changes arising from mercury poisoning in the central nervous system (CNS), with a focus on determining the receptors and neurotransmitters involved. Currently, little is known regarding the neurological basis of the cardiopulmonary effects of mercury poisoning. We evaluated changes in systolic arterial pressure (SAP), diastolic arterial pressure (DAP), respiratory rate (RR) and heart rate (HR) following a 5 μl intracisternal (i.c) injection of mercuric chloride (HgCl(2)) and the participation of the autonomic nervous system in these responses. 58 animals were utilized and distributed randomly into 10 groups and administered a 5 μL intracisternal injection of 0.68 μg/kg HgCl(2) (n=7), 1.2 μg/kg HgCl(2) (n=7), 2.4 μg/kg HgCl(2) (n=7), 60 μg/kg HgCl(2) (n=7), 120 μg/kg HgCl(2) (n=3), saline (control) (n=7), 60 μg/kg HgCl(2) plus prazosin (n=6), saline plus prazosin (n=6), 60 μg/kg HgCl(2) plus metilatropina (n=4) or saline plus metilatropina (n=4)HgCl(2). Anesthesia was induced with halothane and maintained as needed with urethane (1.2 g/kg) administered intravenously (i.v.) through a cannula placed in the left femoral vein. The left femoral artery was also cannulated to record systolic arterial pressure (SAP), diastolic arterial pressure (DAP) and heart rate (HR). A tracheotomy was performed to record respiratory rate. Animals were placed in a stereotaxic frame, and the cisterna magna was exposed. After a stabilization period, solutions (saline or HgCl(2)) were injected i.c., and cardiopulmonary responses were recorded for 50 min. Involvement of the autonomic nervous system was assessed through the i.v. injection of hexamethonium (20 mg/kg), prazosin (1 mg/kg) and methylatropine (1 mg/kg) 10 min before the i.c. injection of HgCl(2) or saline. Treatment with 0.68, 1.2, 2.4 μg/kg HgCl(2) or saline did not modify basal cardiorespiratory parameters, whereas the 120 μg/kg dose induced acute toxicity, provoking respiratory arrest and death. The administration of 60 μg/kg HgCl(2), however, induced significant increases (p<0.05) in SAP at the 30°, 40° and 50° min, timepoints and DAP at the 5°, 10°, 20°, 30°, 40° and 50° timepoints. RR was significantly decreased at the 5°, 10°, 20°, 40° and 50° min timepoints; however, there was no change in HR. Hexamethonium administration, which causes non-specific inhibition of the autonomic nervous system, abolished the observed cardiorespiratory effects. Similarly, prazosin, a α(1)-adrenoceptor blocker that specifically inhibits sympathetic nervous system function, abolished HgCl(2) induced increases in SAP and DAP without affecting HR and RR. Methylatropine (1 mg/Kg), a parasympathetic nervous system inhibitor, exacerbated the effects of HgCl(2) and caused slow-onset respiratory depression, culminating in respiratory arrest and death. Our results demonstrate that increases in SAP and DAP induced by the i.c. injection of mercuric chloride are mediated by activation of the sympathetic nervous system.

摘要

本研究旨在探讨汞中毒对中枢神经系统(CNS)的影响,并重点研究其中涉及的受体和神经递质。目前,对于汞中毒引起的心肺效应的神经基础知之甚少。我们评估了经蛛网膜下腔(i.c.)注射氯化汞(HgCl2)后收缩压(SAP)、舒张压(DAP)、呼吸频率(RR)和心率(HR)的变化,并研究了自主神经系统在这些反应中的参与情况。58 只动物被随机分为 10 组,每组 7 只,分别接受 0.68μg/kg HgCl2(n=7)、1.2μg/kg HgCl2(n=7)、2.4μg/kg HgCl2(n=7)、60μg/kg HgCl2(n=7)、120μg/kg HgCl2(n=3)、生理盐水(对照组)(n=7)、60μg/kg HgCl2 加哌唑嗪(n=6)、生理盐水加哌唑嗪(n=6)、60μg/kg HgCl2 加甲硫托品(n=4)或生理盐水加甲硫托品(n=4)HgCl2。麻醉诱导采用氟烷,必要时通过置于左股静脉的导管静脉给予 1.2g/kg 的乌拉坦维持麻醉。还对左股动脉进行了插管,以记录收缩压(SAP)、舒张压(DAP)和心率(HR)。进行气管切开术以记录呼吸频率。动物被放置在立体定向框架中,并暴露脑脊髓液囊。在稳定期后,经蛛网膜下腔(i.c.)注射生理盐水或 HgCl2,记录 50 分钟的心肺反应。通过静脉注射六烃季铵(20mg/kg)、哌唑嗪(1mg/kg)和甲基阿托品(1mg/kg),在 i.c.注射 HgCl2 或生理盐水前 10 分钟评估自主神经系统的参与情况。0.68、1.2、2.4μg/kg HgCl2 或生理盐水处理未改变基础心肺参数,而 120μg/kg 剂量则引起急性毒性,导致呼吸暂停和死亡。然而,60μg/kg HgCl2 处理引起收缩压(SAP)在第 30°、40°和 50°分钟时显著增加(p<0.05),舒张压(DAP)在第 5°、10°、20°、30°、40°和 50°分钟时显著增加。RR 在第 5°、10°、20°、40°和 50°分钟时显著降低;然而,HR 没有变化。非特异性抑制自主神经系统的六烃季铵给药消除了观察到的心肺效应。同样,哌唑嗪,一种专门抑制交感神经系统功能的α1-肾上腺素受体阻滞剂,消除了 HgCl2 引起的 SAP 和 DAP 的增加,而不影响 HR 和 RR。作为副交感神经系统抑制剂的甲硫托品(1mg/kg)加剧了 HgCl2 的作用,并导致缓慢发作的呼吸抑制,最终导致呼吸暂停和死亡。我们的结果表明,经蛛网膜下腔注射氯化汞引起的 SAP 和 DAP 的增加是通过激活交感神经系统介导的。

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