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内毒素血症期间循环因子导致骨骼肌中氨基酸转运减少。

Reduced amino acid transport in skeletal muscle caused by a circulating factor during endotoxemia.

作者信息

Warner B W, Hasselgren P O, James J H, Hummel R P, Rigel D F, Fischer J E

机构信息

Department of Surgery, University of Cincinnati Medical Center, Ohio 45267-0558.

出版信息

Ann Surg. 1990 Mar;211(3):323-8. doi: 10.1097/00000658-199003000-00003.

Abstract

The present study was designed to determine whether reduced amino acid uptake in skeletal muscle during endotoxemia is due to associated hypotension or is caused by a factor present in plasma. Three series of experiments were performed. In the first series of experiments, mean arterial pressure (MAP), heart rate, and amino acid uptake in incubated soleus muscles were measured after intravenous injection of endotoxin (1 mg/kg) in male Sprague-Dawley rats (40 to 60 g). Amino acid transport was measured by determining intracellular uptake of [3H]-alpha-amino-isobutyric acid (AIB) during 2 hours of incubation. In the second series of experiments, hypotension was induced by bleeding and muscle amino acid uptake was measured. In the third series of experiments, whole plasma or a low molecular weight fraction (less than 10,000 d) of plasma from endotoxin-injected rats was added in vitro to incubated muscles and amino acid uptake was determined. One hour after injection of endotoxin, MAP was reduced from 80 +/- 2 mmHg to 54 +/- 4 mmHg (p less than 0.05). AIB uptake was reduced by 20% (p less than 0.05) 2 hours after endotoxin injection. When MAP was maintained at 50 mmHg for 1 hour by bleeding, no changes in muscle AIB uptake were noted. When plasma obtained from rats 2 hours after endotoxin injection was added to incubated soleus muscles, AIB uptake was reduced by 22%. This effect was duplicated by a fraction of endotoxic plasma containing substances with a molecular weight less than 10,000 d. The present results suggest that reduced muscle amino acid uptake during endotoxemia is not due to associated hypotension, but may be caused by a circulating factor(s) with a molecular weight less than 10,000 d.

摘要

本研究旨在确定内毒素血症期间骨骼肌中氨基酸摄取减少是由于相关的低血压所致,还是由血浆中存在的一种因子引起。进行了三组实验。在第一组实验中,对雄性Sprague-Dawley大鼠(40至60克)静脉注射内毒素(1毫克/千克)后,测量平均动脉压(MAP)、心率以及孵育的比目鱼肌中的氨基酸摄取。通过在孵育2小时期间测定[3H]-α-氨基异丁酸(AIB)的细胞内摄取来测量氨基酸转运。在第二组实验中,通过放血诱导低血压并测量肌肉氨基酸摄取。在第三组实验中,将来自注射内毒素大鼠的全血浆或低分子量部分(小于10,000道尔顿)的血浆在体外添加到孵育的肌肉中,并测定氨基酸摄取。注射内毒素1小时后,MAP从80±2 mmHg降至54±4 mmHg(p<0.05)。内毒素注射2小时后,AIB摄取减少了20%(p<0.05)。当通过放血将MAP维持在50 mmHg 1小时时,未观察到肌肉AIB摄取有变化。当将内毒素注射后2小时从大鼠获得的血浆添加到孵育的比目鱼肌中时,AIB摄取减少了22%。这种效应被含有分子量小于10,000道尔顿物质的内毒素血浆部分所重复。目前的结果表明,内毒素血症期间肌肉氨基酸摄取减少不是由于相关的低血压,而是可能由分子量小于10,000道尔顿的循环因子引起。

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本文引用的文献

1
Mechanisms of the hemodynamic effects of endotoxin.内毒素血流动力学效应的机制。
Physiol Rev. 1960 Apr;40:245-79. doi: 10.1152/physrev.1960.40.2.245.
3
Exchange of amino acids by muscle and liver in sepsis.脓毒症时肌肉与肝脏之间的氨基酸交换
Arch Surg. 1983 Feb;118(2):167-75. doi: 10.1001/archsurg.1983.01390020023004.
10
Interleukin-1.白细胞介素-1
Rev Infect Dis. 1984 Jan-Feb;6(1):51-95. doi: 10.1093/clinids/6.1.51.

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