Wylam M E, Samsel R W, Umans J G, Mitchell R W, Leff A R, Schumacker P T
Section of Pulmonary and Critical Care Medicine, University of Chicago, Illinois 60637.
Am Rev Respir Dis. 1990 Dec;142(6 Pt 1):1263-7. doi: 10.1164/ajrccm/142.6_Pt_1.1263.
We studied the effect of endotoxin administration in vivo on arterial smooth muscle responses in vitro, testing the hypotheses that endotoxin augments adrenergic vasoconstriction and impairs endothelium-dependent vascular relaxation. Ten mongrel dogs were anesthetized and mechanically ventilated. Five received a bolus infusion of Escherichia coli endotoxin (5 mg/kg), and the remainder received a sham infusion. After 4 to 5 h, the anesthetized dogs were rapidly exsanguinated, and femoral, renal, and superior mesenteric arteries were removed. Arterial rings were mounted on force transducers in organ baths; contraction to phenylephrine or potassium-substituted Krebs-Henseleit solution (KCl), and relaxation to nitroprusside or acetylcholine were studied. Smooth muscle contractions to phenylephrine or KCl were similar between sham and endotoxin for each agonist. Also, nitroprusside-elicited relaxation from half-maximal phenylephrine-elicited contraction was similar. However, relaxation elicited by acetylcholine was markedly impaired in vessels from endotoxin-treated dogs. The negative log molar concentration of acetylcholine producing 50% relaxation for femoral arteries was 7.38 +/- 0.11 (endotoxin) versus 8.09 +/- 0.12 (control, p = 0.002), for renal arteries it was 6.71 +/- 0.33 (endotoxin) versus 7.81 +/- 0.18 (control, p = 0.019), and for mesenteric arteries it was 7.27 +/- 0.03 (endotoxin) versus 7.95 +/- 0.15 (control, p = 0.002). These results demonstrate that endotoxin treatment impairs endothelium-dependent relaxation of canine arteries in vitro. The data suggest that vascular changes in endotoxemia are accompanied by alteration in endothelial cell function, perhaps through altered endothelial production of vasodilatory mediators.
我们研究了体内给予内毒素对体外动脉平滑肌反应的影响,验证内毒素增强肾上腺素能血管收缩并损害内皮依赖性血管舒张的假说。十只杂种犬麻醉后进行机械通气。五只犬接受大肠杆菌内毒素大剂量输注(5mg/kg),其余接受假输注。4至5小时后,将麻醉的犬快速放血,取出股动脉、肾动脉和肠系膜上动脉。将动脉环安装在器官浴槽中的力传感器上;研究对去氧肾上腺素或钾替代的克氏-亨氏溶液(KCl)的收缩反应,以及对硝普钠或乙酰胆碱的舒张反应。对于每种激动剂,假输注组和内毒素组对去氧肾上腺素或KCl的平滑肌收缩相似。此外,硝普钠诱导的从半最大去氧肾上腺素诱导收缩的舒张也相似。然而,内毒素处理犬的血管中,乙酰胆碱诱导的舒张明显受损。股动脉产生50%舒张的乙酰胆碱负对数摩尔浓度在内毒素组为7.38±0.11,对照组为8.09±0.12(p = 0.002);肾动脉在内毒素组为6.71±0.33,对照组为7.81±0.18(p = 0.019);肠系膜动脉在内毒素组为7.27±0.03,对照组为7.95±0.15(p = 0.002)。这些结果表明,内毒素处理在体外损害犬动脉的内皮依赖性舒张。数据提示,内毒素血症中的血管变化伴随着内皮细胞功能的改变,可能是通过改变内皮产生的血管舒张介质实现的。