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冷却对人隐静脉对肾上腺素能激动剂反应性的影响。

The effects of cooling on human saphenous vein reactivity to adrenergic agonists.

作者信息

Harker C T, Ousley P J, Harris E J, Edwards J M, Taylor L M, Porter J M

机构信息

Department of Surgery, Oregon Health Sciences University, Portland 97201.

出版信息

J Vasc Surg. 1990 Jul;12(1):45-9. doi: 10.1067/mva.1990.20311.

Abstract

Human saphenous veins were obtained at surgery and assayed immediately (n = 10). The veins were cut into rings, suspended in organ chambers, and connected to force transducers for the recording of isometric tension. One ring served as control whereas others were treated with the alpha 1-adrenoceptor antagonist prazosin (3 X 10(-7) mol/L), or the alpha 2-adrenoceptor antagonist rauwolscine (10(-7) mol/L). In quiescent rings cooling from 37 degrees C to 24 degrees C had no significant effect. Norepinephrine (10(-8)-10(-5) mol/L) caused concentration-dependent contractions with an EC20 (-log concentration of norepinephrine required to induce contractions 20% of maximal) = 6.97 +/- 0.10. The contractions were inhibited by prazosin (EC20 = 5.89 +/- 0.17, p less than 0.001) and rauwolscine (ED20 = 5.78 +/- 0.11, p less than 0.001). In control rings cooling potentiated contractions evoked at concentrations of norepinephrine below 10(-6) mol/L and inhibited those at higher concentrations. In rings treated with alpha-antagonists cooling depressed the maximal contractile responses. Contractions to the alpha 1-agonist, phenylephrine (10(-7)-10(-4) mol/L), were inhibited by cooling, whereas those to the alpha 2-specific agonist B-HT 920 (10(-7)-10(-4) mol/L) showed a pattern similar to that seen with norepinephrine. The data indicate that the human saphenous vein possesses both alpha 1- and alpha 2-adrenoceptors postjunctionally, and that both contribute to contractile responses. Cold augments saphenous vein reactivity to norepinephrine by an apparent increase in the responsiveness of alpha 2-adrenoceptors to agonists. The relationship between temperature and adrenoceptor responsiveness may be of pivotal importance in defining the mechanism of cold-induced vasospasm.

摘要

在手术中获取人隐静脉并立即进行检测(n = 10)。将静脉切成环,悬挂于器官浴槽中,并连接到力传感器以记录等长张力。一个环作为对照,其他环则用α1肾上腺素能受体拮抗剂哌唑嗪(3×10⁻⁷ mol/L)或α2肾上腺素能受体拮抗剂育亨宾(10⁻⁷ mol/L)处理。在静息环中,从37℃冷却至24℃无显著影响。去甲肾上腺素(10⁻⁸ - 10⁻⁵ mol/L)引起浓度依赖性收缩,其EC20(诱导最大收缩20%所需去甲肾上腺素的-log浓度)= 6.97±0.10。这些收缩被哌唑嗪(EC20 = 5.89±0.17,p < 0.001)和育亨宾(ED20 = 5.78±0.11,p < 0.001)抑制。在对照环中,冷却增强了浓度低于10⁻⁶ mol/L的去甲肾上腺素引起的收缩,并抑制了较高浓度时的收缩。在用α拮抗剂处理的环中,冷却降低了最大收缩反应。对α1激动剂苯肾上腺素(10⁻⁷ - 10⁻⁴ mol/L)的收缩被冷却抑制,而对α2特异性激动剂B-HT 920(10⁻⁷ - 10⁻⁴ mol/L)的收缩显示出与去甲肾上腺素相似的模式。数据表明人隐静脉在节后同时具有α1和α2肾上腺素能受体,且两者均参与收缩反应。寒冷通过明显增加α2肾上腺素能受体对激动剂的反应性增强隐静脉对去甲肾上腺素的反应性。温度与肾上腺素能受体反应性之间的关系可能在确定冷诱导血管痉挛的机制中起关键作用。

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